The Division of Family Labor: Care for Elderly Parents

Wolf, Douglas A.; Freedman, Vicki A.; Soldo, Beth J.

doi:10.1093/geronb/52b.special_issue.102

Cited by 158 publications

(169 citation statements)

References 10 publications

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“…For the other three subsamples, after controlling for individual characteristics and mother's health, expected number of siblings who would care for the mother was a significant predictor of a child's own caregiving behavior, and the sign was negative. The signage was consistent with earlier work (McGarry, 1998;Wolf, Freedman and Soldo, 1997, among others) that indicates that siblings crowd out each other's care, but it does lead to more total hours of care.…”

supporting

confidence: 89%

“…Children may act strategically or cooperatively in the decision to become a caregiver (Wolf et al 1997;Heidemann & Stern 1999;Pezzin & Schone 1999;Checkovich & Stern 2002;Engers & Stern 2002;Neuharth & Stern 2002;Heitmuller 2007), and have been found generally to depend partially on the expected behavior of siblings. Generally, the more likely siblings are to care for a parent, the less 9 likely a child him or herself is to take care of a parent (Checkovich & Stern 2002).…”

Section: Selectionmentioning

confidence: 99%

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Caring for Mom and Neglecting Yourself? The Health Effects of Caring for an Elderly Parent

Coe

Houtven

2008

SSRN Journal

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We examine the physical and mental health effects of providing care to an elderly mother on the adult child caregiver. We address the endogeneity of the selection in and out of caregiving using an instrumental variable approach, and carefully control for baseline health and work status of the adult child using fixed effects and Arellano-Bond estimation techniques. Continued caregiving over time increases depressive symptoms for married women and married men. In addition, the increase in depressive symptoms is persistent for married men. Depressive symptoms for single men and women are not affected by continued caregiving. There is a small protective effect on the likelihood (10%) of having any heart conditions among married women who continue caregiving.Robustness checks confirm that the increase in depressive symptoms and decrease in likelihood of heart conditions can be directly attributable to caregiving behavior, and not due to a direct effect of the death of the mother. The initial onset of caregiving, by contrast, has no immediate effects on physical or mental health for any subgroup of caregivers.3

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supporting

confidence: 89%

Section: Selectionmentioning

confidence: 99%

Caring for Mom and Neglecting Yourself? The Health Effects of Caring for an Elderly Parent

Coe

Houtven

2008

SSRN Journal

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“…The methodology used for calculating weekly hours of care from the AHEAD data has been previously described. 19 Because data on hours per day of care were not collected for caregivers who helped less than once per week, hours values for these caregivers were assigned using a method of multiple imputation 27 based on reported caregiver characteristics (helper gender, residential status, relationship to the respondent, and number of days per week of care). 19 Missing caregiving hours data were imputed for a total of 19% of informal caregivers.…”

Section: Dependent Variablesmentioning

confidence: 99%

“…19 Because data on hours per day of care were not collected for caregivers who helped less than once per week, hours values for these caregivers were assigned using a method of multiple imputation 27 based on reported caregiver characteristics (helper gender, residential status, relationship to the respondent, and number of days per week of care). 19 Missing caregiving hours data were imputed for a total of 19% of informal caregivers. Because most caregivers with missing data were those who provided very infrequent help (less than once per week), they accounted for less than 2% of the total informal caregiver hours analyzed in the study.…”

Section: Dependent Variablesmentioning

confidence: 99%

National Estimates of the Quantity and Cost of Informal Caregiving for the Elderly with Dementia*

et al. 2001

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OBJECTIVE:Caring for the elderly with dementia imposes a substantial burden on family members and likely accounts for more than half of the total cost of dementia for those living in the community. However, most past estimates of this cost were derived from small, nonrepresentative samples. We sought to obtain nationally representative estimates of the time and associated cost of informal caregiving for the elderly with mild, moderate, and severe dementia. DESIGN:Multivariable regression models using data from the 1993 Asset and Health Dynamics Study, a nationally representative survey of people age 70 years or older (N = 7,443).SETTING: National population-based sample of the community-dwelling elderly. MAIN OUTCOME MEASURES:Incremental weekly hours of informal caregiving and incremental cost of caregiver time for those with mild dementia, moderate dementia, and severe dementia, as compared to elderly individuals with normal cognition. Dementia severity was defined using the Telephone Interview for Cognitive Status. R E S U L T S :A f te r a d j u s t i n g fo r s oc i o d e m o g r a p h i c s , comorbidities, and potential caregiving network, those with normal cognition received an average of 4.6 hours per week of informal care. Those with mild dementia received an additional 8.5 hours per week of informal care compared to those with normal cognition (P < .001), while those with moderate and severe dementia received an additional 17.4 and 41.5 hours (P < .001), respectively. The associated additional yearly cost of informal care per case was $3,630 for mild dementia, $7,420 for moderate dementia, and $17,700 for severe dementia. This represents a national annual cost of more than $18 billion. CONCLUSION:The quantity and associated economic cost of informal caregiving for the elderly with dementia are substantial and increase sharply as cognitive impairment worsens. Physicians caring for elderly individuals with dementia should be mindful of the importance of informal care for the well-being of their patients, as well as the potential for significant burden on those (often elderly) individuals providing the care.

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“…De l'autre, les résultats indiquent alors que les contacts et visites des collatéraux n'ont aucune incidence signifi cative dans la régression, avec un coeffi cient estimé très faible, si bien qu'un enfant semble indifférent à l'attitude de ses frères et soeurs lorsqu'il s'agit d'aider les parents. Aux États-Unis, Wolf et al (1997) trouvent une réduction très limitée de l'aide individuelle aux parents en réponse aux choix des frères et soeurs. ___________ 12.…”

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Les transferts ascendants au Bangladesh, une décision familiale?

Wolff¹

2006

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Cet article apporte un éclairage sur la prise de décision dans la famille, dans le domaine des transferts versés par les enfants adultes à leurs parents âgés. D’un côté, un enfant doit composer avec son éventuel conjoint pour s’occuper de ses parents et beaux-parents. De l’autre, chaque enfant peut compter sur un éventuel soutien de ses frères et soeurs pour la prise en charge des ascendants. Nous cherchons ici à savoir dans quelle mesure il importe de prendre en compte ces effets de fratrie pour comprendre les solidarités ascendantes. Nous examinons l’existence d’éventuels arrangements intrafamiliaux à partir de l’enquête MHSS réalisée en 1996 au Bangladesh. Nos résultats économétriques pour les transferts ascendants indiquent que les comportements des frères et soeurs ne sont pas indépendants les uns des autres.This paper sheds light on the decision-making process within the family and deals with private transfers given by adult children to their elderly parents. On the one hand, each child has to bargain with his/her spouse to care for parents and parents-in-law. On the other hand, each child may rely on a potential support from other siblings when helping the parents. We wonder here whether it matters to account for arrangements between siblings to explain the pattern of upstream transfers. We examine the possibility of intra-family arrangements using the MHSS survey conducted in 1996 in Bangladesh. Our econometric results show that the transfer decisions of the various siblings are not independent from each other

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The Division of Family Labor: Care for Elderly Parents

Cited by 158 publications

References 10 publications

Caring for Mom and Neglecting Yourself? The Health Effects of Caring for an Elderly Parent

Caring for Mom and Neglecting Yourself? The Health Effects of Caring for an Elderly Parent

National Estimates of the Quantity and Cost of Informal Caregiving for the Elderly with Dementia*

Les transferts ascendants au Bangladesh, une décision familiale?

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