The cyclicality of informal care

Mommaerts, Corina; Truskinovsky, Yulya

doi:10.1016/j.jhealeco.2020.102306

Cited by 23 publications

(24 citation statements)

References 38 publications

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“…We expand upon these studies, finding that middle-aged and older family caregivers who experienced employment disruptions, including transitions to working from home, in the first months of the pandemic were also providing more care than they did before the pandemic. American workers who are approaching or working beyond retirement age are already at risk of employment discrimination, of leaving the labor market during recessions, and of adjusting caregiving roles in response to labor market conditions (Coile et al, 2014; Mommaerts & Truskinovsky, 2020; Neumark et al, 2018). It is possible that family care needs during the COVID-19 crisis may similarly lead to the early labor force exit of some middle-aged and older workers.…”

Section: Discussionmentioning

confidence: 99%

Caregiving in a Pandemic: COVID-19 and the Well-Being of Family Caregivers 55+ in the United States

2022

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Little is known about the effects of Coronavirus disease 2019 (COVID-19) on older family caregivers. Using data from a national sample of 2,485 U.S. adults aged ≥55, we aimed to describe the magnitude of disruptions to family care arrangements during the initial wave of the COVID-19 pandemic, and the associations between these disruptions and the mental health outcomes (depression, anxiety, loneliness, and self-rated health) and employment outcomes (job loss or furlough, hours or wages reduced, transition to work-from-home) of family caregivers. We found that COVID-19 disrupted over half of family caregiving arrangements, and that care disruptions were associated with increased depression, anxiety, and loneliness among caregivers, compared with both noncaregivers and caregivers who did not experience disruptions. Family caregivers who experienced pandemic-related employment disruptions were providing more care than caregivers who did not experience disruptions. These findings highlight the impact of the pandemic on an essential and vulnerable health care workforce.

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Section: Discussionmentioning

confidence: 99%

Caregiving in a Pandemic: COVID-19 and the Well-Being of Family Caregivers 55+ in the United States

2022

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“…is procyclical, according to Mommaerts and Truskinovsky (2020); and this procyclical effect would compensate the other ways in which the probability of receiving informal care can increase during economic downturns. When we allow for three unobserved types in the analysis, the likelihood increases, but parameters j0 , j1 of types 2 and 3 are not statistically different at a 10% level of significance, i.e.…”

Section: Further Discussion About Heterogeneitymentioning

confidence: 99%

The heterogeneous effects of the great recession on informal care to the elderly

Carro

Pronkina

2022

Int J Health Econ Manag.

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This paper studies the role of unobserved factors to measure the impact of the economic downturn on informal care availability to the elderly in Europe. We use the Survey of Health, Ageing and Retirement in Europe (SHARE), which allows controlling for socio-demographic variables. Our results show that the impact of the Great Recession on care receipt depends not only on observed, but also on unobserved characteristics. For 21% of the sample, the effect is three to four times larger than the average effect for the entire sample. For 57% of the sample, there is no effect of the economic crisis, and this is related to unobservable factors. In our estimation process, we are able to characterize how this unobserved heterogeneity correlates with the observable variables. Moreover, we show that if the unobserved heterogeneity in the effect of the crisis is ignored, then we are not able to capture that there is no effect for more than half of the individuals, even if we allow for unobserved heterogeneity in the intercept of the model and for the heterogeneous effect of the crisis based on observables.

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“…However, the literature has focused primarily on the caregiving dynamics between parents and children (see, for example, Barczyk and Kredler (2018); Courbage and Roudaut (2008); Klimaviciute (2017); Lockwood (2018)) or considered children’s influence on LTCI purchases (Sperber et al, (2017); Zhou-Richter et al, (2010)). Some papers have considered spousal caregiving (Mommaerts & Truskinovsky, 2020) or family structure more generally (Van Houtven et al, 2015). However, the possibility that spouses may have conflicting interests over the purchase of LTCI has rarely been acknowledged or discussed.…”

Section: Understanding Ltci Purchase In a Family Bargaining Contextmentioning

confidence: 99%

My Wife Is My Insurance Policy: Household Bargaining and Couples’ Purchase of Long-Term Care Insurance

2022

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This paper examines household decisions over long-term care insurance (LTCI) purchases through a bargaining lens. Long-term care insurance purchase is a discrete decision around which spouses’ interests may diverge substantially. The cost of buying LTCI is typically borne by both spouses, but the benefits of LTCI go disproportionately to women, who are more likely to need long-term care for themselves, and to benefit from the asset protection and other support LTCI offers in the event their husband needs care. Using panel data on married couples ages 50–75 from the US Health and Retirement Study (HRS), we test and find support for the hypothesis that spouses’ relative bargaining power is related to LTCI purchase decisions. In particular, when husbands have final say in household decisions, LTCI coverage is less likely. The findings suggest that spouse’s relative bargaining power matters for health care choices and, therefore, for the welfare of older men and women.

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The cyclicality of informal care

Cited by 23 publications

References 38 publications

Caregiving in a Pandemic: COVID-19 and the Well-Being of Family Caregivers 55+ in the United States

Caregiving in a Pandemic: COVID-19 and the Well-Being of Family Caregivers 55+ in the United States

The heterogeneous effects of the great recession on informal care to the elderly

My Wife Is My Insurance Policy: Household Bargaining and Couples’ Purchase of Long-Term Care Insurance

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