Parental health limitations, caregiving and loneliness among women with widowed parents: longitudinal evidence from France

Broek, Thijs van den; Grundy, Emily

doi:10.1007/s10433-018-0459-2

Cited by 8 publications

(4 citation statements)

References 61 publications

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“…According to the FCA, productivity costs only occur during the period necessary to fill the vacancy that has arisen due to sick leave, i.e. the friction period [ 18 ]. Therefore, instead of using a maximum of 2 years of sick leave, a friction period was used to which the number of sick leave days were limited.…”

Section: Methodsmentioning

confidence: 99%

The economic burden of knee and hip osteoarthritis: absenteeism and costs in the Dutch workforce

Hardenberg

Speklé

Coenen

et al. 2022

BMC Musculoskelet Disord

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Background This study aimed to quantify the absenteeism costs of knee and hip osteoarthritis in the Netherlands for the Dutch workforce and specific groups of workers. Methods We used a longitudinal, dynamic database from a large occupational health service in which occupational physicians register information about personal information and sick leave of workers with the diagnosis of knee- and/or hip osteoarthritis. We included all employees aged 15 to 75 years performing paid work and diagnosed with knee and/or hip osteoarthritis. Costs were calculated annually and per episode for different subgroups from an employer’s perspective using the Human Capital Approach. In the Netherlands, the employer has to pay 70% of the employee's wage out of pocket for the first two years of sick leave and also for the occupational health care. In this way, employers receive information about the costs of workers on sick leave due to knee or hip osteoarthritis. This might stimulate investments in targeted prevention and work-directed care. Results For the period 2015–2017, 1399 workers fulfilled the inclusion criteria. An average sick leave episode of knee osteoarthritis had a duration of 186 calendar days and was associated with €15,550 in costs. For hip osteoarthritis these data were 159 calendar days and €12,482 in costs. These costs are particularly high among male workers and workers with a higher number of weekly working hours. The average annual costs for the Dutch workforce due to sick leave for knee and hip osteoarthritis were €26.9 million and €13.8 million, respectively. Sick leave costs decreased for hip and not for knee osteoarthritis during 2015–2017. Conclusions Annual sick leave costs due to knee and hip osteoarthritis are about €40 million for the Dutch workforce and approximately twice as high for knee compared to hip osteoarthritis. Average costs per sick leave episode are particularly high among male workers and workers with a higher number of weekly working hours.

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Section: Methodsmentioning

confidence: 99%

The economic burden of knee and hip osteoarthritis: absenteeism and costs in the Dutch workforce

Hardenberg

Speklé

Coenen

et al. 2022

BMC Musculoskelet Disord

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“…Consequently, all time-invariant characteristics, including those not observed, were accounted for (Allison, 2009). This makes our estimates of the effects of providing care to ageing parents on quality of life not prone to bias due to omitted variables that are constant over time (Taylor et al , 1995; Kaschowitz and Brandt, 2017; Van den Broek and Grundy, 2018).…”

Section: Methodsmentioning

confidence: 99%

“…Our definition of care-giving requires that the parent to which the child provides assistance is in less than good health, and several studies have shown that parental health limitations are associated with poorer mental wellbeing of their children, regardless of whether or not care is provided to the parent (Amirkhanyan and Wolf, 2006; Wolf et al , 2015; Van den Broek and Grundy, 2018). We therefore included a dummy variable indicating that at least one living parent reportedly had ‘fair’ or ‘poor’ health, as opposed to ‘excellent’, ‘very good’ or ‘good’ health.…”

Section: Datamentioning

confidence: 99%

Does long-term care coverage shape the impact of informal care-giving on quality of life? A difference-in-difference approach

Broek

Grundy

2018

Ageing and Society

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The impact that providing care to ageing parents has on adult children's lives may depend on the long-term care (LTC) context. A common approach to test this is to compare whether the impact of care-giving varies between countries with different LTC coverage. However, this approach leaves considerable room for omitted variable bias. We use individual fixed-effects analyses to reduce bias in the estimates of the effects of informal care-giving on quality of life, and combine this with a difference-in-difference approach to reduce bias in the estimated moderating impact of LTC coverage on these effects. We draw on longitudinal data for Sweden and Denmark from the Survey of Health, Ageing and Retirement in Europe (SHARE) collected between 2004 and 2015. Both countries traditionally had generous LTC coverage, but cutbacks were implemented at the end of the 20th century in Sweden and more recently in Denmark. We use this country difference in the timing of the cutbacks to shed light on effects of LTC coverage on the impact care-giving has on quality of life. Our analyses show that care-giving was more detrimental for quality of life in Sweden than in Denmark, and this difference weakened significantly when LTC coverage was reduced in Denmark, but not in Sweden. This suggests that LTC coverage shapes the impact of care-giving on quality of life.

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“…Still, research suggests that the effects of caregiving could differ based on a country's approach to long-term care. For example, countries with more generous long-term care policies tend to have higher levels of caregiver wellbeing (Bom & Stöckel, 2021;Brenna and Di Novi, 2016;Uccheddu et al, 2019;Van den Broek and Grundy, 2018). These differences may, in part, be due to the specialization theory outlined by Brandt (2013), which suggests that generous welfare states enable an effective division of labor between informal and formal care services.…”

Section: Caregiving Contexts: Long-term Care Policymentioning

confidence: 99%

The Effects of Informal Care Provision on Mental Health Across European Countries

Nolan¹

2023

Preprint

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Given Europe’s rapid population aging, it is important to consider whether countries on the continent are equipped to provide social services to their older inhabitants. Often, care work for older individuals is provided informally (i.e. unpaid) by family members, rather than through government services. Though engaging in helping behaviors can sometimes lead to positive health benefits, previous research has identified a number of physical and mental health declines that informal caregivers experience while engaging in particularly intensive care work. With data from waves 6, 7, and 8 (spanning the years 2015 to 2020) of the Survey of Health, Ageing, and Retirement in Europe (SHARE), I used panel fixed-effects models to examine within-person variation in depression scores after a respondent starts providing daily or almost daily informal care. I focused specifically on differences between caregivers providing informal care inside their home versus those providing it outside their home. The final sample encompassed 18 countries and contained 23,488 respondents when observing informal care inside the home and 31,481 respondents when observing informal care outside the home. Overall, my results substantiate previous research that has found that the effect of informal caregiving on depressive symptoms is more pronounced for in-home versus out-of-home caregivers. However, my research strengthens this claim through a more precise comparison of these two informal caregiving contexts by isolating the specific type of care work provided and time commitment involved. In addition, my results show that belonging to a larger household minimizes the declines in mental health from providing personal care outside the home, and there is preliminary evidence to suggest that countries with greater government responsibility for long-term care dampen the depressive consequences of providing care inside the home. Further, countries with greater governmental responsibility for long-term care provision appear to be more successful at shrinking the pool of informal caregivers that provide particularly intensive forms of care. Together, these findings underscore that policy interventions designed to assist informal caregivers must take into consideration a wide constellation of potential caregiving relationships and place renewed attention towards out-of-home caregivers. Still, more comprehensive social support metrics are needed to understand how social support can buffer the emotional burden of caregiving work.

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Parental health limitations, caregiving and loneliness among women with widowed parents: longitudinal evidence from France

Cited by 8 publications

References 61 publications

The economic burden of knee and hip osteoarthritis: absenteeism and costs in the Dutch workforce

The economic burden of knee and hip osteoarthritis: absenteeism and costs in the Dutch workforce

Does long-term care coverage shape the impact of informal care-giving on quality of life? A difference-in-difference approach

The Effects of Informal Care Provision on Mental Health Across European Countries

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