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Health effects of caring for and about parents and spouses

Judith Bom (), Pieter Bakx (), Erik Schut () and Eddy Van Doorslaer ()
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Judith Bom: Erasmus University Rotterdam
Pieter Bakx: Erasmus University Rotterdam
Erik Schut: Erasmus University Rotterdam

No 18-050/V, Tinbergen Institute Discussion Papers from Tinbergen Institute

Abstract: Informal caregiving is a potentially attractive alternative to formal care but may entail health costs for the caregiver. We examine the mental and physical health impact of providing informal care and disentangle the caregiving effect – the effect of caring for someone in need – from the family effect – the effect of caring about someone in need. We account for potential endogeneity in the caregiving decision and control for previous health status using Arellano-Bond difference GMM models. We use four waves (2010-2013) of panel data from the Dutch Study on Transitions in Employment, Ability and Motivation (STREAM). We find that caregiving harms the mental health of caregivers; this effect is mainly present for spousal caregivers. A negative health shock of a family member also has a direct negative effect on mental health, providing evidence of a family effect. These findings imply that most studies may have overestimated the negative health effects of caregiving by not accounting adequately for the family effect. As the caregiving effect differs strongly between various types of caregivers, policies to counteract this effect should specifically target subgroups of caregivers that carry the largest burden of informal caregiving.

Keywords: long-term care; informal care; caregiver effect; family effect; mental health (search for similar items in EconPapers)
JEL-codes: J14 I10 J18 (search for similar items in EconPapers)
Date: 2018-05-18
New Economics Papers: this item is included in nep-eur and nep-hea
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Journal Article: Health effects of caring for and about parents and spouses (2019) Downloads
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