Well‐being losses by providing informal care to elderly people: Evidence from 310 caregivers in Shanghai, China

Wenwei, Liu; Zhang, Huimin; Yuan, Suwei; Lyu, Tongzhou

doi:10.1111/hsc.13330

Cited by 3 publications

(2 citation statements)

References 27 publications

(36 reference statements)

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“…However, there are some obvious differences between financial support and informal care provision. Taking care of parents, especially who come with poor physical conditions, requires more time, energies and patience from their adult children, which made negative influence on the physical condition, income and leisure of adult children [29,30]. Compared with informal care provision, financial support is easier to perform under the background of the shrink in family size, frequent population mobility, increasingly fierce labor market competition and improved accessibility of formal care services [31,32].…”

Section: Introductionmentioning

confidence: 99%

The association between financial support of adult children to their parents and informal care provision in China and its differences in household registration, residence arrangement and community-based care services: 2008 ~ 2018

Liang

Wang

et al. 2023

Int J Equity Health

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Background The changes in demographic and family structures have weakened the traditional norms of filial piety and intergenerational relationships dramatically. This study aims to examine the dynamic association between financial support of adult children to their parents and informal care provision in China and its differences in household registration, residence arrangement and community-based care services. Methods Data was derived from the 2008–2018 Chinese Longitudinal Healthy Longevity Survey (CLHLS), which is a longitudinal survey of a nationally representative sample of individuals aged 60 and over. Random effects model was used to assess the association between financial support and informal care provision of adult children to their parents. Results It was found that financial support showed an upward trend while informal care provision showed a download trend from 2008 to 2018. The result indicated a significant and negative association between financial support and informal care provision of adult children to their parents (B = -0.500, 95% confidence interval (CI) = -0.761 to -0.239). And the association was significant among elderly people who were from urban areas (B = -0.628, 95% CI = -0.970 to -0.287), co-resided with adult children (B = -0.596, 95% CI = -0.939 to -0.253), and had community-based services (B = -0.659, 95% CI = -1.004 to -0.315). Conclusion Financial support was negatively associated with informal care provision of adult children to their parents in China, and the association has differences in household registration, residence arrangement and community-based care services. It is suggested that policymakers should prioritize planning interventions for elderly care services and establish a family caregiver support system.

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Section: Introductionmentioning

confidence: 99%

The association between financial support of adult children to their parents and informal care provision in China and its differences in household registration, residence arrangement and community-based care services: 2008 ~ 2018

Liang

Wang

et al. 2023

Int J Equity Health

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“…A recent study by Liu (2021) Family carers expressed unmet need concerning information in a study by Rosa et al (2010) of 112 caregivers of patients affected by moderate to severe dementia. However, the authors found a high incidence of family members who still expressed the need for additional information and support from formal networks about the illness (Rosa et al, 2010).…”

Section: Support To Carementioning

confidence: 99%

An Exploration of the Concept of Well-being In Relation to the Care of Older People

Cheshire-Allen¹

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This research explores the concept of well-being as it applies to family carers of older people and the experiences of those carers in the light of a reworked version of that concept. The study is situated within a broader context of the ‘care crisis’ consisting of an increase in older age care demands alongside a decrease in the resource or care capacity to support demand, resulting in a so-called ‘care deficit’. Notions of ‘well-being’ have become nested within this crisis narrative. During the past five years, particularly in the UK, references to well-being have been explicitly embedded into social care welfare support programmes, and are used to determine and shape how care support services are delivered to carers and those requiring care. However, as well as being ubiquitous, the term is contentious. Its meaning in the care context has yet to be resolved, and in particular, scant critical attention has been paid to the term’s significance in the context of care for older people. This study responds to this knowledge gap by exploring the meaning and implication of well-being in the context of care of older people. This qualitative research study provides a full analysis of relevant theory, policy and empirical research addressing well-being and family carers. The central research question is: What is well-being in the context of family care of older people, and why does it matter? The research question is explored through an extended critical engagement with relevant well-being and care theoretical foundations (Nussbaum, 2011; Tronto, 2013) and through a policy analysis of the Social Services and Well-being Act (Wales) 2014. A novel theoretical framework founded upon a social justice perspective and drawing upon critical care ethics and the capability approach is developed. Through critical engagement with the latent meaning of well-being, I argue that the mainstream conception in the context of care is narrow and reductive. Based upon and reflecting ideas about older age and care that mute the value of care as an essential component of all human life and, have the potential in practice to limit and damage family carers’ lives and life chances. In the latter part of the thesis, this framework is applied to primary data gathered through thirty qualitative semi-structured interviews with family carers of older people in Wales. The analysis explores how ‘well-being’ as an enduring ideal defining what it means to live a ‘good life’ interacts with how care in older age is understood. The analysis identifies the key themes of well-being as a multidimensional and relational idea, freedom, choice, vulnerability and dependency. From these findings, I suggest that there is value in theorising an imperfect conception of well-being that acknowledges decline and dependence, particularly in older age care. Furthermore, I suggest a reformulation of well-being in the context of older age care, based upon acknowledging relationality, inequalities and socio-political and cultural contexts. Such a conception, I argue, has the potential to provide a firmer basis on which to articulate and tackle well-being within social care policy and to combat harmful assumptions about the place of care of older people within those systems and the value of caring relationships themselves.

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Impact of informal caregiving on caregivers’ subjective well-being in China: a longitudinal study

Cheng,

Yang,

2023

Arch Public Health

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Background While informal caregiving is crucial for improving and maintaining health of the elderly, there is limited evidence of its potential effect on caregivers’ wellbeing. Understanding this effect is important for policy makers to design effective long-term care policies. This longitudinal study aims to investigate the impact of informal caregiving on caregivers’ subjective wellbeing in China. Methods Three waves (2016, 2018, 2020) of data from the China Family Panel Studies (CFPS) are constructed for empirical analysis. Ordered logit model is first used to estimate the effect. Fixed effects ordered logit model and mixed effects ordered logit model are further employed to control for the possible bias from unobserved individual heterogeneity. Results Informal caregiving significantly reduces caregivers’ subjective wellbeing and the negative effect is stronger for high-frequency caregivers. Subgroup analysis reveals that informal caregiving imposed greater negative impacts on women, those living in rural areas, being married, working, and living separately from parents. Further analysis of mechanism indicates that decrease in wage income, leisure and sleep time were channels through which informal caregiving affects caregivers’ well-being. Conclusion When policy makers formulate sustainable long-term care policies and home support services, interventions to improve caregivers’ stress-coping skills and ensure their engagement in leisure and social activities could be adopted to mitigate the negative effects on caregivers’ subjective well-being.

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Well‐being losses by providing informal care to elderly people: Evidence from 310 caregivers in Shanghai, China

Abstract: This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

Cited by 3 publications

References 27 publications

The association between financial support of adult children to their parents and informal care provision in China and its differences in household registration, residence arrangement and community-based care services: 2008 ~ 2018

The association between financial support of adult children to their parents and informal care provision in China and its differences in household registration, residence arrangement and community-based care services: 2008 ~ 2018

An Exploration of the Concept of Well-being In Relation to the Care of Older People

Impact of informal caregiving on caregivers’ subjective well-being in China: a longitudinal study

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