Caring for mom and neglecting yourself? The health effects of caring for an elderly parent
AbstractWe examine the physical and mental health effects of providing care to an elderly mother on the adult child caregiver. We address the endogeneity of the selection in and out of caregiving using an instrumental variable approach, using the death of the care recipient and sibling characteristics. We also carefully control for baseline health and work status of the adult child. We explore flexible specifications, such as Arellano-Bond estimation techniques. Continued caregiving over time increases depressive symptoms and decreases self-rated health for married women and married men. In addition, the increase in depressive symptoms is persistent for married women. While depressive symptoms for single men and women are not affected by continued caregiving, there is evidence of increased incidence of heart conditions for single men, and that these effects are persistent. Robustness checks indicate that these health changes can be directly attributable to caregiving behavior, and not due to a direct effect of the death of the mother. The initial onset of caregiving has modest immediate negative effects on depressive symptoms for married women and no immediate effects on physical health. Negative physical health effects emerge 2 years later, however, suggesting that there are delayed effects on health that would be missed with a short recall period. Initial caregiving does not affect health of married men. Published in 2009 by John Wiley & Sons, Ltd.
Download InfoIf you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
Bibliographic InfoArticle provided by John Wiley & Sons, Ltd. in its journal Health Economics.
Volume (Year): 18 (2009)
Issue (Month): 9 ()
Contact details of provider:
Web page: http://www3.interscience.wiley.com/cgi-bin/jhome/5749
Other versions of this item:
- Coe, N.B. & Van Houtven, C.H., 2008. "Caring for Mom and Neglecting Yourself? The Health Effects of Caring for an Elderly Parent," Discussion Paper 2008-89, Tilburg University, Center for Economic Research.
- I10 - Health, Education, and Welfare - - Health - - - General
- J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination
- D10 - Microeconomics - - Household Behavior - - - General
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-55, March-Apr.
- Kathleen M. McGarry, 1998. "5. Caring for the Elderly: The Role of Adult Children," NBER Chapters, in: Inquiries in the Economics of Aging, pages 133-166 National Bureau of Economic Research, Inc.
- Douglas Staiger & James H. Stock, 1994.
"Instrumental Variables Regression with Weak Instruments,"
NBER Technical Working Papers
0151, National Bureau of Economic Research, Inc.
- Douglas Staiger & James H. Stock, 1997. "Instrumental Variables Regression with Weak Instruments," Econometrica, Econometric Society, vol. 65(3), pages 557-586, May.
- K. Bolin & B. Lindgren & P. Lundborg, 2007.
"Informal and Formal Care among Single-living Elderly in Europe,"
Tinbergen Institute Discussion Papers
07-031/3, Tinbergen Institute.
- K. Bolin & B. Lindgren & P. Lundborg, 2008. "Informal and formal care among single-living elderly in Europe," Health Economics, John Wiley & Sons, Ltd., vol. 17(3), pages 393-409.
- Steven Stern & Tennille J. Neuharth, 2000.
"Shared Caregiving Responsibilities of Adult Siblings with Elderly Parents,"
Virginia Economics Online Papers
323, University of Virginia, Department of Economics.
- Tennille J. Checkovich & Steven Stern, 2002. "Shared Caregiving Responsibilities of Adult Siblings with Elderly Parents," Journal of Human Resources, University of Wisconsin Press, vol. 37(3), pages 441-478.
- Arellano, Manuel & Bond, Stephen, 1991.
"Some Tests of Specification for Panel Data: Monte Carlo Evidence and an Application to Employment Equations,"
Review of Economic Studies,
Wiley Blackwell, vol. 58(2), pages 277-97, April.
- Tom Doan, . "RATS program to replicate Arellano-Bond 1991 dynamic panel," Statistical Software Components RTZ00169, Boston College Department of Economics.
- Steven Stern, 1995. "Estimating Family Long-Term Care Decisions in the Presence of Endogenous Child Characteristics," Journal of Human Resources, University of Wisconsin Press, vol. 30(3), pages 551-580.
- Currie, Janet & Madrian, Brigitte C., 1999.
"Health, health insurance and the labor market,"
Handbook of Labor Economics,
in: O. Ashenfelter & D. Card (ed.), Handbook of Labor Economics, edition 1, volume 3, chapter 50, pages 3309-3416
- Van Houtven, Courtney Harold & Norton, Edward C., 2008. "Informal care and Medicare expenditures: Testing for heterogeneous treatment effects," Journal of Health Economics, Elsevier, vol. 27(1), pages 134-156, January.
- Heitmueller, Axel, 2007.
"The chicken or the egg?: Endogeneity in labour market participation of informal carers in England,"
Journal of Health Economics,
Elsevier, vol. 26(3), pages 536-559, May.
- Heitmueller, Axel, 2004. "The Chicken or the Egg? Endogeneity in Labour Market Participation of Informal Carers in England," IZA Discussion Papers 1366, Institute for the Study of Labor (IZA).
- K. Bolin & B. Lindgren & P. Lundborg, 2007. "Informal and Formal Care among Single-living Elderly in Europe," Tinbergen Institute Discussion Papers 07-031/3, Tinbergen Institute.
- Steven Stern & Bridget Hiedemann, 1999.
"Strategic Play Among Family Members When Making Long-Term Care Decisions,"
Virginia Economics Online Papers
321, University of Virginia, Department of Economics.
- Hiedemann, Bridget & Stern, Steven, 1999. "Strategic play among family members when making long-term care decisions," Journal of Economic Behavior & Organization, Elsevier, vol. 40(1), pages 29-57, September.
- Van Houtven, Courtney Harold & Norton, Edward C., 2004. "Informal care and health care use of older adults," Journal of Health Economics, Elsevier, vol. 23(6), pages 1159-1180, November.
- Steven Stern & Maxim Engers, .
"Long-Term Care and Family Bargaining,"
Virginia Economics Online Papers
320, University of Virginia, Department of Economics.
- Heitmueller, Axel & Inglis, Kirsty, 2007. "The earnings of informal carers: Wage differentials and opportunity costs," Journal of Health Economics, Elsevier, vol. 26(4), pages 821-841, July.
- Edward C. Norton & Courtney Harold Van Houtven, 2006. "Inter-vivos Transfers and Exchange," Southern Economic Journal, Southern Economic Association, vol. 73(1), pages 157â172, July.
- Charles, Kerwin Kofi & Sevak, Purvi, 2005. "Can family caregiving substitute for nursing home care?," Journal of Health Economics, Elsevier, vol. 24(6), pages 1174-1190, November.
- Nickell, Stephen J, 1981. "Biases in Dynamic Models with Fixed Effects," Econometrica, Econometric Society, vol. 49(6), pages 1417-26, November.
- Meliyanni Johar & Shiko Maruyama, 2011.
"Intergenerational cohabitation in modern Indonesia: filial support and dependence,"
John Wiley & Sons, Ltd., vol. 20(S1), pages 87-104, 09.
- Meliyanni Johar & Shiko Maruyama, 2010. "Intergenerational Cohabitation in Modern Indonesia: Filial Support and Dependence," Discussion Papers 2010-07, School of Economics, The University of New South Wales.
- Young Kyung Do & Edward C. Norton & Sally Stearns & Courtney H. Van Houtven, 2013. "Informal Care and Caregiver's Health," NBER Working Papers 19142, National Bureau of Economic Research, Inc.
- Elenka Brenna & Cinzia Di Novi, 2013.
"Is caring for elderly parents detrimental to women’s mental health? The influence of the European North-South gradient,"
DISCE - Working Papers del Dipartimento di Economia e Finanza
def4, Università Cattolica del Sacro Cuore, Dipartimenti e Istituti di Scienze Economiche (DISCE).
- Cinzia Di Novi & Elenka Brenna, 2013. "Is caring for elderly parents detrimental for women’s mental health? The influence of the European North-South gradient," Working Papers 2013:23, Department of Economics, University of Venice "Ca' Foscari".
- HwaJung Choi, 2011. "Parents’ Health and Adult Children’s Subsequent Working Status: A Perspective of Intergenerational Transfer and Time Allocation," Journal of Family and Economic Issues, Springer, vol. 32(3), pages 493-507, September.
- Schmitz, H.; & Westphal, M.;, 2013.
"Short- and medium-term effects of informal care provision on health,"
Health, Econometrics and Data Group (HEDG) Working Papers
13/23, HEDG, c/o Department of Economics, University of York.
- Hendrik Schmitz & Matthias Westphal, 2013. "Short- and Medium-term Effects of Informal Care Provision on Health," Ruhr Economic Papers 0426, Rheinisch-Westfälisches Institut für Wirtschaftsforschung, Ruhr-Universität Bochum, Universität Dortmund, Universität Duisburg-Essen.
- Hendrik Schmitz & Matthias Westphal, 2013. "Short- and Medium-Term Effects of Informal Care Provision on Health," SOEPpapers on Multidisciplinary Panel Data Research 569, DIW Berlin, The German Socio-Economic Panel (SOEP).
- Van Houtven, Courtney Harold & Coe, Norma B. & Skira, Meghan M., 2013. "The effect of informal care on work and wages," Journal of Health Economics, Elsevier, vol. 32(1), pages 240-252.
- Goltz, Andreas & Arnault, Louis, 2014. "Can formal home care reduce the burden of informal care for elderly dependents? Evidence from France," Economics Papers from University Paris Dauphine 123456789/13164, Paris Dauphine University.
- Li-Jung Ku & Sally Stearns & Courtney Houtven & George Holmes, 2012. "The health effects of caregiving by grandparents in Taiwan: an instrumental variable estimation," Review of Economics of the Household, Springer, vol. 10(4), pages 521-540, December.
- Edward C. Norton & Lauren Hersch Nicholas & Sean Sheng-Hsiu Huang, 2013.
"Informal Care and Inter-vivos Transfers: Results from the National Longitudinal Survey of Mature Women,"
NBER Working Papers
18948, National Bureau of Economic Research, Inc.
- Norton Edward C. & Nicholas Lauren H. & Huang Sean Sheng-Hsiu, 2013. "Informal Care and Inter-vivos Transfers: Results from the National Longitudinal Survey of Mature Women," The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 14(2), pages 377-400, May.
- Schmitz, Hendrik & Stroka, Magdalena A., 2013. "Health and the double burden of full-time work and informal care provision — Evidence from administrative data," Labour Economics, Elsevier, vol. 24(C), pages 305-322.
- Cinzia Di Novi & Rowena Jacobs & Matteo Migheli, 2013. "The quality of life of female informal caregivers: from Scandinavia to the Mediterranean Sea," Working Papers 084cherp, Centre for Health Economics, University of York.
- Kuo-Liang Chang & George Langelett & Andrew Waugh, 2011. "Health, Health Insurance, and Decision to Exit from Farming," Journal of Family and Economic Issues, Springer, vol. 32(2), pages 356-372, June.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Wiley-Blackwell Digital Licensing) or (Christopher F. Baum).
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
If references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.