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Factors Worsening and Mitigating the Consequences of the COVID-19 Outbreak on the Overall Health of Informal Caregivers of Older People with Long-Term Care Needs Living in Germany and in Italy

Author

Listed:
  • Sara Santini

    (Centre for Socio-Economic Research on Aging, IRCCS INRCA-National Institute of Health and Science on Aging, Via Santa Margherita 5, 60124 Ancona, Italy)

  • Marco Socci

    (Centre for Socio-Economic Research on Aging, IRCCS INRCA-National Institute of Health and Science on Aging, Via Santa Margherita 5, 60124 Ancona, Italy)

  • Paolo Fabbietti

    (Laboratory of Geriatric Pharmacoepidemiology, IRCCS INRCA-National Institute of Health and Science on Aging, Via Santa Margherita 5, 60124 Ancona, Italy)

  • Giovanni Lamura

    (Centre for Socio-Economic Research on Aging, IRCCS INRCA-National Institute of Health and Science on Aging, Via Santa Margherita 5, 60124 Ancona, Italy)

  • Andrea Teti

    (Institute for Gerontology, University of Vechta, 49377 Vechta, Germany)

Abstract

Population ageing and the higher prevalence of multimorbidity in later life are increasing the demand for Long-Term Care (LTC) worldwide; this has been exacerbated by the COVID-19 pandemic. As in Europe and beyond, the bulk of care for frail older people is carried out by informal caregivers. This study aimed at understanding the factors affecting the overall worsening health of informal caregivers of older people with LTC needs living in Germany and Italy during the outbreak. To this purpose, 319 informal caregivers (149 in Germany and 173 in Italy) were surveyed online in 2020–2021. A logistic regression analysis was performed by country, to obtain an adjusted estimate of the risk of worsening of caregivers’ health. This risk increased by 42% for German caregivers compared to Italian ones, despite the former receiving more formal services. This may depend on different quality standards of LTC services and caregivers’ expectations, and on differing policies concerning migrant care workers (MCWs) during the outbreak, who could not enter Germany and were “trapped” at care recipients’ homes in Italy. Results call for in-home care reforms and policies guaranteeing more effective caregiver support, home care services and fairer working condition for MCWs in both countries.

Suggested Citation

  • Sara Santini & Marco Socci & Paolo Fabbietti & Giovanni Lamura & Andrea Teti, 2022. "Factors Worsening and Mitigating the Consequences of the COVID-19 Outbreak on the Overall Health of Informal Caregivers of Older People with Long-Term Care Needs Living in Germany and in Italy," IJERPH, MDPI, vol. 19(3), pages 1-21, February.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:3:p:1694-:d:740494
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    1. Fasani, Francesco & Mazza, Jacopo, 2020. "Immigrant Key Workers: Their Contribution to Europe's COVID-19 Response," IZA Policy Papers 155, Institute of Labor Economics (IZA).
    2. Aviad Tur-Sinai & Netta Bentur & Paolo Fabbietti & Giovanni Lamura, 2021. "Impact of the Outbreak of the COVID-19 Pandemic on Formal and Informal Care of Community-Dwelling Older Adults: Cross-National Clustering of Empirical Evidence from 23 Countries," Sustainability, MDPI, vol. 13(13), pages 1-13, June.
    3. Rafael del-Pino-Casado & Marta Rodríguez Cardosa & Catalina López-Martínez & Vasiliki Orgeta, 2019. "The association between subjective caregiver burden and depressive symptoms in carers of older relatives: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 14(5), pages 1-16, May.
    4. Karen Hooker & Sally R. Bowman & Deborah Padgett Coehlo & Shana Rae Lim & Jeffrey Kaye & Robin Guariglia & Fuzhong Li, 2002. "Behavioral Change in Persons With Dementia," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 57(5), pages 453-460.
    5. Aviad Tur-Sinai & Andrea Teti & Alexander Rommel & Valentina Hlebec & Giovanni Lamura, 2020. "How Many Older Informal Caregivers Are There in Europe? Comparison of Estimates of Their Prevalence from Three European Surveys," IJERPH, MDPI, vol. 17(24), pages 1-17, December.
    6. Esping-Andersen, Gosta, 1999. "Social Foundations of Postindustrial Economies," OUP Catalogue, Oxford University Press, number 9780198742005.
    7. Christophe Courbage & Guillem Montoliu-Montes & Joël Wagner, 2020. "The effect of long-term care public benefits and insurance on informal care from outside the household: empirical evidence from Italy and Spain," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 21(8), pages 1131-1147, November.
    8. Juliana Onwumere, 2021. "Informal carers in severe mental health conditions: Issues raised by the United Kingdom SARS-CoV-2 (COVID-19) Pandemic," International Journal of Social Psychiatry, , vol. 67(2), pages 107-109, March.
    9. Ricardo Rodrigues & Cassandra Simmons & Andrea E. Schmidt & Nadia Steiber, 2021. "Care in times of COVID-19: the impact of the pandemic on informal caregiving in Austria," European Journal of Ageing, Springer, vol. 18(2), pages 195-205, June.
    10. László Árpád Kostyál & Zsuzsa Széman & Virág Erzsébet Almási & Paolo Fabbietti & Sabrina Quattrini & Marco Socci & Giovanni Lamura & Cristina Gagliardi, 2021. "Impact of the COVID-19 Pandemic on Family Carers of Older People Living with Dementia in Italy and Hungary," Sustainability, MDPI, vol. 13(13), pages 1-19, June.
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    5. Simona Hvalič-Touzery & Marina Trkman & Vesna Dolničar, 2022. "Caregiving Situation as a Predictor of Subjective Caregiver Burden: Informal Caregivers of Older Adults during the COVID-19 Pandemic," IJERPH, MDPI, vol. 19(21), pages 1-21, November.
    6. Carlo Lallo & Marta Pasqualini & Cecilia Tomassini, 2022. "Trends in the Use of Home LTC Services in Large, Medium and Small Municipalities in Italy: Lessons for the Post-COVID-19 Reappraisal," IJERPH, MDPI, vol. 19(19), pages 1-12, October.

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