Private Intergenerational Transfers, Family Structure, and Health in a sub‐Saharan African Context

Payne, Collin F.; Pesando, Luca Maria; Kohler, Hans‐Peter

doi:10.1111/padr.12225

Cited by 7 publications

(6 citation statements)

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“…We also assessed whether associations differ by sex and age. In particular, working-age adults often provide financial support to their older relatives in LMICs, and we hypothesized that this may be an additional stressor and may indirectly increase the risk for chronic physical conditions especially in this age group ( 18 ).…”

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confidence: 99%

Informal Caregiving, Chronic Physical Conditions, and Physical Multimorbidity in 48 Low- and Middle-Income Countries

Jacob

Smıth

et al. 2020

The Journals of Gerontology: Series A

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Background The health of the caregivers is crucial to sustain informal care provision, while multimorbidity is an important health risk concept. However, studies on the association between informal caregiving and physical multimorbidity are currently lacking. Therefore, we investigated this association in adults from 48 low- and middle-income countries (LMICs). Method Cross-sectional data from 242,952 adults (mean age 38.4 years) participating in the World Health Survey 2002–2004 were analyzed. Informal caregivers were considered those who provided help in the past year to a relative or friend (adult or child) who has a long-term physical or mental illness or disability, or is getting old and weak. Nine physical conditions were assessed. Multivariable logistic regression analyses were conducted to assess associations between informal caregiving and physical multimorbidity, while the between-country heterogeneity in this relationship was studied with country-wise analyses. Results The overall prevalence of informal caregiving and physical multimorbidity (ie, two or more physical conditions) was 19.2% and 13.2%, respectively. Overall, caregivers had 1.40 (95% confidence interval = 1.29–1.52) times higher odds for physical multimorbidity. This association was particularly pronounced in younger caregivers (eg, 18–44 years: odds ratio = 1.54; 95% confidence interval = 1.37–1.72), whereas this association was not statistically significant among those aged ≥65 and older (odds ratio = 1.19; 95% confidence interval = 0.98–1.44). Country-wise analyses corroborated these findings, and there was a negligible level of between-country heterogeneity (I2 = 24.0%). Conclusions In LMICs, informal caregivers (especially young caregivers) were more likely to have physical multimorbidity. This should be taken into account in policies that address the health and well-being of informal caregivers.

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confidence: 99%

Informal Caregiving, Chronic Physical Conditions, and Physical Multimorbidity in 48 Low- and Middle-Income Countries

Jacob

Smıth

et al. 2020

The Journals of Gerontology: Series A

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“…In the absence of well-functioning broad-based formal health insurance and social protection systems in many SSA countries, the family acts as the key provider of support to older people (Payne et al, 2017). Given the ongoing socio-economic and demographic changes that may reshape household structures and affect the living arrangements of older adults, several authors have expressed concern over the essential support for older people within the framework of co-habitation.…”

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confidence: 99%

Do the living arrangements of older people matter for the family transfers they receive? Evidence from Senegal

2022

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In the absence of broad-based formal health insurance and social protection systems in much of sub-Saharan Africa, the family acts as the key provider of support to older people. This paper furthers our understanding of family support mechanisms in the context of low-income countries by focusing on support from outside the household, which has been less studied so far. By using the data of 3,114 people aged ≥50 from the second round of the Senegalese Poverty and Family Structure Survey, the paper examines how the living arrangements of older people are associated with receiving transfers from non-coresident kin. Our findings highlight a net advantage of women receiving net positive family transfers compared to men for some living arrangements. Results also indicate that living without a husband or an adult significantly increases the likelihood of older women receiving support from non-resident family members compared to those who live with both spouse and a younger adult child. However, these differences are not significant among older men. These results suggest that in constrained settings, decisionmakers should consider older people's living arrangements and potential external family support when designing public policies towards them, so as to optimise the impact of policy and interventions on their welfare.

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“…The condition in (47) ensures that the capital stock will eventually converge to a stationary value, rather than undergoing perpetual growth, while (48) secures a positive net return on saving, and pins down the minimum vale in (49), since / δ δ βr  . Given this, the minimum value in (49) ensures that both the wage and savings, net of income transfers, are strictly positive even at the minimum value of the capital stock. In the same condition, the maximum value on B guarantees that the threshold k is strictly positive.…”

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confidence: 99%

“…In the same condition, the maximum value on B guarantees that the threshold k is strictly positive. Finally, the condition for the composite term v in ( 50) complements (49) in that it is sufficient to ensure that the latter presents an ascending range of values for B , from the minimum to the maximum. 16 Now, define the composite terms…”

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Upstream intergenerational transfers in economic development: The role of family ties and their cultural transmission

Varvarigos

2021

Journal of Mathematical Economics

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Private Intergenerational Transfers, Family Structure, and Health in a sub‐Saharan African Context

Cited by 7 publications

References 62 publications

Informal Caregiving, Chronic Physical Conditions, and Physical Multimorbidity in 48 Low- and Middle-Income Countries

Informal Caregiving, Chronic Physical Conditions, and Physical Multimorbidity in 48 Low- and Middle-Income Countries

Do the living arrangements of older people matter for the family transfers they receive? Evidence from Senegal

Upstream intergenerational transfers in economic development: The role of family ties and their cultural transmission

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