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Spillover Effects of Long-Term Disabilities on Close Family Members

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  • Diana Pacheco Barzallo

    (Swiss Paraplegic Research)

Abstract

Background Care and support of people dealing with long-term disabilities involves the entire family. Objective This paper evaluates the effect of living with a relative dealing with a long-term disability on the health status of all family members in the household. Methods Using information from the Swiss household panel from the year 1999 to 2003 (n = 18,030), a linear regression is implemented to compare the health status of family members cohabiting with individuals dealing with a long-term disability with the health status of individuals of similar characteristics in the general population. Additionally, a non-parametric graphical analysis estimates the smooth patterns of the results over time. Results Family members who cohabit with a person dealing with a long-term disability have a consistently reduced health status. The size of the impact depends on the sex and the role in the family. In general, women show the most negative effects. For children, the impact depends on the relationship with the disabled person. Conclusions Recognizing the presence of health spillovers can help to design policies to better support families. Being the perceived health status a good indicator of the use of health services and mortality, the health system should focus on the entire family, and not only on the patient or the main caregiver.

Suggested Citation

  • Diana Pacheco Barzallo, 2018. "Spillover Effects of Long-Term Disabilities on Close Family Members," Applied Health Economics and Health Policy, Springer, vol. 16(3), pages 347-355, June.
    • Handle: RePEc:spr:aphecp:v:16:y:2018:i:3:d:10.1007_s40258-018-0391-9
    DOI: 10.1007/s40258-018-0391-9
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    References listed on IDEAS

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    1. Joshua D. Angrist & Jörn-Steffen Pischke, 2009. "Mostly Harmless Econometrics: An Empiricist's Companion," Economics Books, Princeton University Press, edition 1, number 8769.
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    4. Gallagher, Sally K. & Mechanic, David, 1996. "Living with the mentally ill: Effects on the health and functioning of other household members," Social Science & Medicine, Elsevier, vol. 42(12), pages 1691-1701, June.
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    Cited by:

    1. Áine Roddy, 2022. "Income and conversion handicaps: estimating the impact of child chronic illness/disability on family income and the extra cost of child chronic illness/child disability in Ireland using a standard of ," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 23(3), pages 467-483, April.
    2. Roddy, Áine, 2022. "Income and conversion handicaps: estimating the impact of child chronic illness/disability on family income and the extra cost of child chronic illness/child disability in Ireland using a standard of ," LSE Research Online Documents on Economics 111833, London School of Economics and Political Science, LSE Library.
    3. Henry, Edward & Cullinan, John, 2021. "Mental health spillovers from serious family illness: Doubly robust estimation using EQ-5D-5L population normative data," Social Science & Medicine, Elsevier, vol. 279(C).

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