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Spousal characteristics and unmet care needs: A longitudinal national study of adults aged 50 and over in England

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  • Zhang, Jingwen
  • Zhang, Yanan
  • Bennett, Matthew R.

Abstract

This paper investigates unmet needs among dyads of people aged 50 and over in England. Understanding the extent and patterns of unmet needs for long-term care across different social groups is critical for understanding care-related experiences and inequalities and planning the long-term care system. Although spouses are a main source of care support, little is known about how spouses' characteristics relate to one's experience of unmet care needs. This study adopts a dyadic perspective, investigating the association between unmet care needs and spouses' characteristics, including socioeconomic status, health status and the quality of spousal relationships. Drawing on data from the English Longitudinal Study of Ageing (ELSA) (N = 3439), we matched the information of individuals who have care needs to the characteristics of their spouses and used random effects modelling to account for the longitudinal nature of the data. The results show that having a spouse with poorer functional abilities was associated with a higher risk of experiencing objective and subjective unmet needs. Men were more likely to experience objective unmet care needs if their spouses engaged in paid work, but this is not the case for women. Women faced a lower risk of subjective and objective unmet needs when having a closer relationship with their spouse, whereas this pattern was not observed among men. The findings highlight the importance of considering the interpersonal care relationships and gendered dynamics of caregiving, providing insights into designing gender-sensitive intervention programmes to better support people in care needs and their families.

Suggested Citation

  • Zhang, Jingwen & Zhang, Yanan & Bennett, Matthew R., 2025. "Spousal characteristics and unmet care needs: A longitudinal national study of adults aged 50 and over in England," Social Science & Medicine, Elsevier, vol. 365(C).
  • Handle: RePEc:eee:socmed:v:365:y:2025:i:c:s0277953624009845
    DOI: 10.1016/j.socscimed.2024.117530
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    References listed on IDEAS

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    1. Momtaz, Yadollah Abolfathi & Hamid, Tengku Aizan & Ibrahim, Rahimah, 2012. "Unmet needs among disabled elderly Malaysians," Social Science & Medicine, Elsevier, vol. 75(5), pages 859-863.
    2. García-Gómez, Pilar & Hernández-Quevedo, Cristina & Jiménez-Rubio, Dolores & Oliva-Moreno, Juan, 2015. "Inequity in long-term care use and unmet need: Two sides of the same coin," Journal of Health Economics, Elsevier, vol. 39(C), pages 147-158.
    3. Bell, Andrew & Jones, Kelvyn, 2015. "Explaining Fixed Effects: Random Effects Modeling of Time-Series Cross-Sectional and Panel Data," Political Science Research and Methods, Cambridge University Press, vol. 3(1), pages 133-153, January.
    4. Yanan Zhang & Matthew R Bennett & Jessica Kelley, 2024. "Insights Into Informal Caregivers’ Well-being: A Longitudinal Analysis of Care Intensity, Care Location, and Care Relationship," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 79(2), pages 435-446.
    5. Heejeong Choi & Jeremy B. Yorgason & David R. Johnson, 2016. "Marital Quality and Health in Middle and Later Adulthood: Dyadic Associations," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 71(1), pages 154-164.
    6. Michio Yuda & Jinkook Lee, 2016. "Effects of Informal Caregivers' Health on Care Recipients," The Japanese Economic Review, Japanese Economic Association, vol. 67(2), pages 192-210, June.
    7. Badi H. Baltagi, 2021. "Econometric Analysis of Panel Data," Springer Texts in Business and Economics, Springer, edition 6, number 978-3-030-53953-5, March.
    8. Joanne R Campione & Katarzyna A Zebrak & Candace Kemp, 2020. "Predictors of Unmet Need Among Informal Caregivers," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 75(10), pages 2181-2192.
    9. Zhu, Yumei & Österle, August, 2017. "Rural-urban disparities in unmet long-term care needs in China: The role of the hukou status," Social Science & Medicine, Elsevier, vol. 191(C), pages 30-37.
    10. Liu, Hui & Zhang, Zhenmei & Zhang, Yan, 2021. "A national longitudinal study of marital quality and cognitive decline among older men and women," Social Science & Medicine, Elsevier, vol. 282(C).
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