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Caregiving and changes in health-related behaviour

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  • Hiyoshi, Ayako
  • Rostila, Mikael
  • Fall, Katja
  • Montgomery, Scott
  • Grotta, Alessandra

Abstract

Potential health risks for informal caregivers have been hypothesised to be partly related to adverse changes in health-related behaviour, but evidence is limited. We examined whether smoking, drinking, eating, physical activity or leisure pursuits change in relation to co-resident or out-of-home caregiving (for someone outside the household), and if associations differ by sex, educational attainment, and welfare state typology. We conducted a longitudinal study using six waves of the Survey of Health, Ageing and Retirement in Europe, collecting data repeatedly from 2004 to 2017 for adults aged 50 years and older living in 17 European countries (57,962 individuals). To control for measured and unmeasured within-individual time-invariant confounders, we used fixed effects logistic models to analyse the repeated measures of caregiving, behaviour and covariates and estimated odds ratios (OR) with 95% confidence intervals (95%CI). Among male participants, unhealthy eating increased while smoking decreased [ORs 1.26 (95%CI 1.01–1.58) and 0.53 (0.36–0.78), respectively] in survey waves in which they provided co-resident care, compared with the waves that they did not. Among female participants, there was little change in behaviour between waves with and without co-resident caregiving. When providing out-of-home care, lacks of physical activity and leisure pursuits declined. But in the same time, drinking increased both men and women, and especially among individuals with lower educational attainment and residing in non-Nordic countries. To conclude, overall, increased drinking when providing out-of-home care was most consistent, especially among individuals with lower educational attainment and residing in non-Nordic countries. Otherwise, the associations varied by the type of care, behaviour and population subgroups. These findings indicated that not all caregivers are susceptible to behavioural changes, and that not all behaviour may be involved similarly in linking caregiving to health risks. This opens possibilities to target specific behaviour and groups to prevent adverse changes in health behaviour in caregivers.

Suggested Citation

  • Hiyoshi, Ayako & Rostila, Mikael & Fall, Katja & Montgomery, Scott & Grotta, Alessandra, 2023. "Caregiving and changes in health-related behaviour," Social Science & Medicine, Elsevier, vol. 322(C).
    • Handle: RePEc:eee:socmed:v:322:y:2023:i:c:s0277953623001879
    DOI: 10.1016/j.socscimed.2023.115830
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    References listed on IDEAS

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    1. McCann, J.J. & Hebert, L.E. & Bienias, J.L. & Morris, M.C. & Evans, D.A., 2004. "Predictors of beginning and ending caregiving during a 3-year period in a biracial community population of older adults," American Journal of Public Health, American Public Health Association, vol. 94(10), pages 1800-1806.
    2. Zwar, Larissa & König, Hans-Helmut & Hajek, André, 2020. "Psychosocial consequences of transitioning into informal caregiving in male and female caregivers: Findings from a population-based panel study," Social Science & Medicine, Elsevier, vol. 264(C).
    3. Alain Paraponaris & Bérengère Davin & Pierre Verger, 2012. "Formal and informal care for disabled elderly living in the community: an appraisal of French care composition and costs," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 13(3), pages 327-336, June.
    4. Tara L Queen & Jonathan Butner & Cynthia A Berg & Jacqui Smith & Deborah Carr, 2019. "Activity Engagement Among Older Adult Spousal Caregivers," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 74(7), pages 1278-1282.
    5. Gordon Kemp & João Santos Silva, 2016. "Partial effects in fixed-effects models," United Kingdom Stata Users' Group Meetings 2016 06, Stata Users Group.
    6. Marian I Zegwaard & Marja J Aartsen & Pim Cuijpers & Mieke HF Grypdonck, 2011. "Review: a conceptual model of perceived burden of informal caregivers for older persons with a severe functional psychiatric syndrome and concomitant problematic behaviour," Journal of Clinical Nursing, John Wiley & Sons, vol. 20(15‐16), pages 2233-2258, August.
    7. Bond, Malcolm J. & Clark, Michael S. & Davies, Suzanne, 2003. "The quality of life of spouse dementia caregivers: changes associated with yielding to formal care and widowhood," Social Science & Medicine, Elsevier, vol. 57(12), pages 2385-2395, December.
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    1. Zhong, Meirui & Qiang, Dan & Wang, Jinxian & Sun, Weizeng, 2024. "Improving health and reducing health inequality: An innovation of digitalization?," Social Science & Medicine, Elsevier, vol. 348(C).

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