Caring Alone? Social Capital and the Mental Health of Caregivers

Thiel, Lars

doi:10.2139/ssrn.2833258

Cited by 4 publications

(6 citation statements)

References 51 publications

(54 reference statements)

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“…They found that stronger social ties moderate the negative association between caregiving and carers' mental wellbeing. Thiel (2016) found that the protective role of social capital was particularly strong for caregivers with high time commitments. Thiel (2016) also highlighted that how we capture the social capital in studies is important, as he found that the moderating role of social activities can neither be explained by the caregivers observed characteristics correlated with social capital, nor by features of the caregiving process.…”

Section: Introductionmentioning

confidence: 96%

“…Additionally, the extent to which these relationships vary by small regional areas in which the carers live warrant more research. Thiel (2016) analysed the role of social capital in buffering the negative relationship between informal care provision and mental health in German and Oshio and Kan (2016) in Japan [18,19]. They found that stronger social ties moderate the negative association between caregiving and carers' mental wellbeing.…”

Section: Introductionmentioning

confidence: 99%

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A multilevel mixed effects analysis of informal carers health in Australia: the role of community participation, social support and trust at small area level

et al. 2020

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Background Informal carers suffer from worse health outcomes than non-carers due to their caregiving role. Yet, in a society carers health is as important as that of their care recipients. This study investigated the self-assessed mental and general health outcomes of informal carers in Australia. It evaluated the influence of carers’ personal social capital- a logically linked sequence of their social behaviour such as community participation, social support and trust in others- on their health outcomes. The study estimated the magnitude of small area level variation at Statistical Area Level 1 (SA1) along with individual level variation in carers’ health outcomes. Methods The study used a multilevel mixed effects cross-sectional design using data from the Household Income and Labour Dynamics of Australia survey, wave 14. It included Australians aged 15 years and older that were surveyed in the year 2014. The sample consisted of 12,767 individuals and 5004 SA1s. The outcome measures included- mental health, general health and physical functioning, domains of the Short Form 36 Questionnaire, a widely used multi-dimensional measure of health-related quality of life. Results Informal carers suffered from poor mental (Beta = − 0.587, p = 0.003) and general health (Beta = − 0.670, p = 0.001) outcomes compared to non-carers in Australia. These health outcomes exhibited significant variation acrossSA1s in Australia, with 12–13% variation in general and mental health. However, within small local areas, differences at the individual level, accounted for most of the variation in outcomes. Moreover, levels of community participation, personal social connection and trust, as perceived by individuals in the communities, had a positive influence on both mental and general health of carers and non-carers, and were more beneficial for carers compared to non-carers. Conclusion It seems that the positive influence of social capital for carers helps them in coping with the negative impact of their caregiving duty on health outcomes. Findings suggested that some targeted community support programs for carers to build on their personal social cohesion and trust in their community could help in improving their poor health profiles. Moreover, improved informal carers’ health may help the health system in better managing their resources.

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Section: Introductionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

A multilevel mixed effects analysis of informal carers health in Australia: the role of community participation, social support and trust at small area level

et al. 2020

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“…Um die Fragestellung der Studie untersuchen zu können, war es notwendig, Daten aus 2 unterschiedlichen Erhebungsjahren zu verwenden. Wir haben daher in Anlehnung an eine bereits vorliegende Studie auf Basis von SOEP-Daten [23] anhand der unveränderten Personenidentifikationsnummern 2 SOEP-Querschnittstichproben aus den Erhebungsjahren 2015 und 2016 zusammengeführt. Nach Zusammenführung der Datensätze und Ausschluss fehlender Werte beträgt die Stichprobengröße 19 791 Personen.…”

Section: Methodikunclassified

Vereinbarkeit von Beruf und Pflege: Wie wirkt sich Erwerbstätigkeit auf die Gesundheit pflegender Angehöriger aus?

Bidenko

Bohnet-Joschko

2020

Gesundheitswesen

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Zusammenfassung Ziel Die Studie untersucht, inwieweit die Gesundheitsauswirkungen der informellen Pflege durch den kontextuellen Faktor Erwerbstätigkeit beeinflusst werden. Methodik Die Analyse basiert auf repräsentativen Bevölkerungsdaten aus den Jahren 2015 und 2016 (n=19 791). Als Untersuchungsgruppe „pflegende Angehörige“ definiert werden Personen, die mindestens eine Stunde pro Woche eine pflegebedürftige Person informell unterstützen, betreuen oder versorgen. Durch Anwendung von Propensity Score Matching wird eine strukturangepasste Vergleichsgruppe identifiziert. Anhand eines multivariaten Regressionsmodells werden Zusammenhänge in der Gruppe der pflegenden Angehörigen und der strukturangepassten Vergleichsgruppe analysiert. Für eine grafische Darstellung werden Untergruppen zum zeitlichen Einsatz im Hinblick auf Angehörigenpflege und Erwerbstätigkeit gebildet. Ergebnisse Die psychische Gesundheit pflegender Angehöriger verschlechtert sich mit zunehmendem Aufwand für die Betreuung (B=-0,44; p=0,02). Die negativen gesundheitlichen Auswirkungen der Angehörigenbetreuung werden durch die Erwerbstätigkeit verringert (B=0,58; p<0,01), allerdings nur bis zum einem bestimmten zeitlichen Arbeitseinsatz. Bei einem höheren zeitlichen Aufwand für beide Tätigkeiten nimmt der moderierende Effekt ab (bis zu 32% der Standardabweichung). Schlussfolgerungen Der signifikante moderierende Effekt der Erwerbstätigkeit ist in der Wirkung maßgeblich durch die Gesamtbelastung aus den beiden Tätigkeitsbereichen geprägt. Die Ergebnisse vermitteln einen Eindruck von der potentiell stärkenden und schützenden Wirkung von Erwerbstätigkeit auf die gesundheitlich negativen Auswirkungen der Angehörigenbetreuung.

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“…Additionally, the extent to which these relationships vary by small regional areas in which the carers live warrant more research. Thiel (2016) analysed the role of social capital in buffering the negative relationship between informal care provision and mental health in German and Oshio and Kan (2016) in Japan 18 19 . They found that stronger social ties moderate the negative association between caregiving and carers' mental wellbeing.…”

Section: Introductionmentioning

confidence: 99%

A Multilevel Mixed Effects Analysis of Informal Carers Health in Australia: The role of Community Participation, Social Support and Trust at Small Area level.

Mohanty

Niyonsenga

Cochrane

et al. 2020

Preprint

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Background: Informal carers suffer from worse health outcomes than non-carers due to their caregiving role. Yet, in a society carers health is as important as that of their care recipients. This study investigated the self-assessed mental and general health outcomes of informal carers in Australia. It evaluated the influence of carers’ personal social capital- a logically linked sequence of their social behaviour such as community participation, social support and trust in others- on their health outcomes. The study estimated the magnitude of small area level variation at Statistical Area Level 1 (SA1) along with individual level variation in carers’ health outcomes.Methods: The study used a multilevel mixed effects cross-sectional design using data from the Household Income and Labour Dynamics of Australia survey, wave 14. It included Australians aged 15 years and older that were surveyed in the year 2014. The sample consisted of 12,767 individuals and 5004 SA1s. The outcome measures included- mental health, general health and physical functioning, domains of the Short Form 36 Questionnaire, a widely used multi-dimensional measure of health-related quality of life.Results: Informal carers suffered from poor mental (Beta = -0.587, p=0.003) and general health (Beta = -0.670, p=0.001) outcomes compared to non-carers in Australia. These health outcomes exhibited significant variation acrossSA1s in Australia, with 12-13% variation in general and mental health. However, within small local areas, differences at the individual level, accounted for most of the variation in outcomes. Moreover, levels of community participation, personal social connection and trust, as perceived by individuals in the communities, had a positive influence on both mental and general health of carers and non-carers, and were more beneficial for carers compared to non-carers. Conclusion: It seems that the positive influence of social capital for carers helps them in coping with the negative impact of their caregiving duty on health outcomes. Findings suggested that some targeted community support programs for carers to build on their personal social cohesion and trust in their community could help in improving their poor health profiles. Moreover, improved informal carers’ health may help the health system in better managing their resources.

show abstract

Caring Alone? Social Capital and the Mental Health of Caregivers

Cited by 4 publications

References 51 publications

A multilevel mixed effects analysis of informal carers health in Australia: the role of community participation, social support and trust at small area level

A multilevel mixed effects analysis of informal carers health in Australia: the role of community participation, social support and trust at small area level

Vereinbarkeit von Beruf und Pflege: Wie wirkt sich Erwerbstätigkeit auf die Gesundheit pflegender Angehöriger aus?

A Multilevel Mixed Effects Analysis of Informal Carers Health in Australia: The role of Community Participation, Social Support and Trust at Small Area level.

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