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Health outcomes of unpaid caregivers in low‐ and middle‐income countries: A systematic review and meta‐analysis

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  • Irene Magaña
  • Pablo Martínez
  • María‐Soledad Loyola

Abstract

Aims and objectives To explore differences in health outcomes between unpaid caregivers and noncaregivers living in low‐ and middle‐income countries (LMICs). Background Previous meta‐analyses found worse health outcomes for unpaid caregivers in high‐income nations. However, no meta‐analysis has considered unpaid caregivers from LMICs. A systematic integration of this topic may contribute to nursing care for unpaid caregivers in LMICs. Design Systematic review and meta‐analysis of observational studies. Methods Following PRISMA statement, studies were searched for using the CINAHL, PubMed and SciELO databases, limited to publications until 31 December 2019. Random‐ and fixed‐effects meta‐analyses were used for data synthesis. Results Fourteen studies from Africa, Asia and South America were included. Unpaid caregivers of people with ill‐health were more anxious and depressed than noncaregivers. Studies conducted in Asia and South America reported poorer health outcomes for unpaid caregivers than noncaregivers, whereas the trend for African studies was the opposite. Unpaid caregivers of healthy individuals may have better health status than noncaregivers, particularly those caring between 1–14 hr per week. Of the six studies which examined gender differences, two studies informed worse health outcomes for women, one presented the opposite effect, and three found no differences. Conclusions Individual, social, cultural and systemic factors play an important role in the health outcomes of unpaid caregivers in LMICs. More evidence is needed from LMICs. As unpaid caregivers are predominantly female, urgent attention to the health outcomes of female unpaid caregivers is required. Relevance to clinical practice The management of mental health problems, particularly anxiety and depression, should be an integral part of nursing care for unpaid caregivers living in LMICs. To further promote the health of unpaid caregivers in developing countries, stakeholders should consider launching educational campaigns that assist caregivers in finding ways to meet their cultural obligations while also reinforcing caregiver self‐care.

Suggested Citation

  • Irene Magaña & Pablo Martínez & María‐Soledad Loyola, 2020. "Health outcomes of unpaid caregivers in low‐ and middle‐income countries: A systematic review and meta‐analysis," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(21-22), pages 3950-3965, November.
    • Handle: RePEc:wly:jocnur:v:29:y:2020:i:21-22:p:3950-3965
    DOI: 10.1111/jocn.15450
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    1. Quanzhi Zhang & Dazhi Yao & Jinwei Yang & Yuqiu Zhou, 2014. "Factors Influencing Sleep Disturbances among Spouse Caregivers of Cancer Patients in Northeast China," PLOS ONE, Public Library of Science, vol. 9(10), pages 1-8, October.
    2. Daniel A Hojman & Fabian Duarte & Jaime Ruiz-Tagle & Marilu Budnich & Carolina Delgado & Andrea Slachevsky, 2017. "The cost of dementia in an unequal country: The case of Chile," PLOS ONE, Public Library of Science, vol. 12(3), pages 1-17, March.
    3. O'Reilly, Dermot & Connolly, Sheelah & Rosato, Michael & Patterson, Chris, 2008. "Is caring associated with an increased risk of mortality? A longitudinal study," Social Science & Medicine, Elsevier, vol. 67(8), pages 1282-1290, October.
    4. Bremer, Patrick & Cabrera, Esther & Leino-Kilpi, Helena & Lethin, Connie & Saks, Kai & Sutcliffe, Caroline & Soto, Maria & Zwakhalen, Sandra M.G. & Wübker, Ansgar, 2015. "Informal dementia care: Consequences for caregivers’ health and health care use in 8 European countries," Health Policy, Elsevier, vol. 119(11), pages 1459-1471.
    5. Feinian Chen & Guangya Liu, 2012. "The Health Implications of Grandparents Caring for Grandchildren in China," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 67(1), pages 99-112.
    6. Hirst, Michael, 2005. "Carer distress: A prospective, population-based study," Social Science & Medicine, Elsevier, vol. 61(3), pages 697-708, August.
    7. Juan Carlos Campaña & Jose Ignacio Giménez-Nadal & José Alberto Molina, 2018. "Gender Norms and the Gendered Distribution of Total Work in Latin American Households," Feminist Economics, Taylor & Francis Journals, vol. 24(1), pages 35-62, January.
    8. Martin Pinquart & Silvia Sörensen, 2007. "Correlates of Physical Health of Informal Caregivers: A Meta-Analysis," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 62(2), pages 126-137.
    9. Alessandro Liberati & Douglas G Altman & Jennifer Tetzlaff & Cynthia Mulrow & Peter C Gøtzsche & John P A Ioannidis & Mike Clarke & P J Devereaux & Jos Kleijnen & David Moher, 2009. "The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-28, July.
    10. Martin Pinquart & Silvia Sörensen, 2006. "Gender Differences in Caregiver Stressors, Social Resources, and Health: An Updated Meta-Analysis," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 61(1), pages 33-45.
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