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Will you still need me, will you still feed me when I'm 64? The health impact of caregiving to one's spouse

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  • P.L. de Zwart
  • P. Bakx
  • E.K.A. van Doorslaer

Abstract

Informal care may substitute for formal long‐term care that is often publicly funded or subsidized. The costs of informal caregiving are borne by the caregiver and may consist of worse health outcomes and, if the caregiver has not retired, worse labor market outcomes. We estimate the impact of providing informal care to one's partner on the caregiver's health using data from the Survey of Health, Ageing, and Retirement in Europe. We use statistical matching to deal with selection bias and endogeneity. We find that in the short run caregiving has a substantial effect on the health of caregivers and, for female caregivers, on their health care use. These effects should be taken into account when comparing the costs and benefits of formal and informal care provision. The health effects may, however, be short‐lived, as we do not find any evidence that they persist after 4 or 7 years.

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  • P.L. de Zwart & P. Bakx & E.K.A. van Doorslaer, 2017. "Will you still need me, will you still feed me when I'm 64? The health impact of caregiving to one's spouse," Health Economics, John Wiley & Sons, Ltd., vol. 26(S2), pages 127-138, September.
    • Handle: RePEc:wly:hlthec:v:26:y:2017:i:s2:p:127-138
    DOI: 10.1002/hec.3542
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    1. Marie Blaise & Sandrine Juin & Hélène Le Forner & Quitterie Roquebert, 2024. "I care, you clean? Gendered effects of informal care on couple housework and leisure time," LISER Working Paper Series 2024-05, Luxembourg Institute of Socio-Economic Research (LISER).
    2. Gonçalves, Judite & von Hafe, Francisco & Filipe, Luís, 2021. "Formal home care use and spousal health outcomes," Social Science & Medicine, Elsevier, vol. 287(C).
    3. Giorgio Di Gessa & Christian Deindl, 2024. "Determinants of trajectories of informal caregiving in later life: evidence from England," European Journal of Ageing, Springer, vol. 21(1), pages 1-13, December.
    4. Bom, Judith & Bakx, Pieter & Schut, Frederik & van Doorslaer, Eddy, 2019. "Health effects of caring for and about parents and spouses," The Journal of the Economics of Ageing, Elsevier, vol. 14(C).
    5. Fátima Barbosa & Sara Simões Dias & Gina Voss & Alice Delerue Matos, 2023. "The Longitudinal Association between Co-Residential Care Provision and Healthcare Use among the Portuguese Population Aged 50 and Over: A SHARE Study," IJERPH, MDPI, vol. 20(5), pages 1-14, February.
    6. Teo, Hansel, 2023. "The impact of a partner's nursing home admission on individuals' mental well-being," Social Science & Medicine, Elsevier, vol. 327(C).
    7. Rellstab, Sara & Bakx, Pieter & García-Gómez, Pilar & van Doorslaer, Eddy, 2020. "The kids are alright - labour market effects of unexpected parental hospitalisations in the Netherlands," Journal of Health Economics, Elsevier, vol. 69(C).
    8. Costa-Font, Joan & Vilaplana-Prieto, Cristina, 2022. "Mental health effects of caregivers respite: Subsidies or Supports?," The Journal of the Economics of Ageing, Elsevier, vol. 23(C).
    9. Ludovico Carrino & Vahé Nafilyan & Mauricio Avendano, 2023. "Should I Care or Should I Work? The Impact of Work on Informal Care," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 42(2), pages 424-455, March.
    10. Fazila Aloweni & Kinjal Doshi & Stephanie Fook‐Chong & Rahul Malhotra & Truls Østbye, 2019. "The types of caregiving reactions experienced by the older spouse caregivers," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(23-24), pages 4538-4548, December.
    11. Portier, Camille, 2023. "Heterogeneity in the mental health cost of caring for others," Social Science & Medicine, Elsevier, vol. 326(C).
    12. Carrino, L.; & Nafilyan, V.; & Avendaño Pabon, M.;, 2019. "Should I Care or Should I Work? The Impact of Working in Older Age on Caregiving," Health, Econometrics and Data Group (HEDG) Working Papers 19/23, HEDG, c/o Department of Economics, University of York.
    13. Eibich, Peter, 2023. "Instrumental variable estimates of the burden of parental caregiving," The Journal of the Economics of Ageing, Elsevier, vol. 26(C).
    14. Stöckel, Jannis & Bom, Judith, 2022. "Revisiting longer-term health effects of informal caregiving: Evidence from the UK," The Journal of the Economics of Ageing, Elsevier, vol. 21(C).
    15. Sean Urwin & Yiu‐Shing Lau & Gunn Grande & Matt Sutton, 2023. "Informal caregiving, time use and experienced wellbeing," Health Economics, John Wiley & Sons, Ltd., vol. 32(2), pages 356-374, February.
    16. Patrick Janson & Kristina Willeke & Lisa Zaibert & Andrea Budnick & Anne Berghöfer & Sarah Kittel-Schneider & Peter U. Heuschmann & Andreas Zapf & Manfred Wildner & Carolin Stupp & Thomas Keil, 2022. "Mortality, Morbidity and Health-Related Outcomes in Informal Caregivers Compared to Non-Caregivers: A Systematic Review," IJERPH, MDPI, vol. 19(10), pages 1-25, May.
    17. Coe, Norma B. & Goda, Gopi Shah & Van Houtven, Courtney Harold, 2023. "Family spillovers and long-term care insurance," Journal of Health Economics, Elsevier, vol. 90(C).
    18. Giorgio Di Gessa & Karen Glaser & Paola Zaninotto, 2022. "Is grandparental childcare socio-economically patterned? Evidence from the English longitudinal study of ageing," European Journal of Ageing, Springer, vol. 19(3), pages 763-774, September.
    19. Brenna, Elenka, 2021. "Should I care for my mum or for my kid? Sandwich generation and depression burden in Italy," Health Policy, Elsevier, vol. 125(3), pages 415-423.
    20. Signe A. Abrahamsen & Maja Weemes Grøtting, 2023. "Formal care of the elderly and health outcomes among adult daughters," Health Economics, John Wiley & Sons, Ltd., vol. 32(2), pages 436-461, February.
    21. Le, Duc Dung & Ibuka, Yoko, 2023. "Understanding the effects of informal caregiving on health and well-being: Heterogeneity and mechanisms," Social Science & Medicine, Elsevier, vol. 317(C).
    22. Marcus F. Johansson & Kevin J. McKee & Lena Dahlberg & Martina Summer Meranius & Christine L. Williams & Lena Marmstål Hammar, 2022. "Negative Impact and Positive Value of Caregiving in Spouse Carers of Persons with Dementia in Sweden," IJERPH, MDPI, vol. 19(3), pages 1-13, February.
    23. Longobardo, Luz María Peña & Rodríguez-Sánchez, Beatriz & Oliva, Juan, 2023. "Does becoming an informal caregiver make your health worse? A longitudinal analysis across Europe," Economics & Human Biology, Elsevier, vol. 50(C).
    24. Costi, Chiara & Hollingsworth, Bruce & O'Sullivan, Vincent & Zucchelli, Eugenio, 2023. "Does caring for others affect our mental health? Evidence from the COVID-19 pandemic," Social Science & Medicine, Elsevier, vol. 321(C).

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