Informal Care Networks in the Context of Multimorbidity: Size, Composition, and Associations With Recipient Psychological Well-Being

J Aging Health. 2018 Apr;30(4):641-664. doi: 10.1177/0898264316687623. Epub 2017 Jan 16.

Abstract

Objective: We evaluate how the size and composition of care networks change with increasing morbidity count (i.e., multimorbidity) and how larger care networks relate to recipient psychological well-being.

Method: Using the National Health and Aging Trends study (NHATS; N = 7,026), we conduct multivariate regressions to analyze size and compositional differences in care networks by morbidity count and recipient gender, and to examine differences in recipient psychological well-being linked to care network size.

Results: Women report larger and more diverse care networks than men. These gender differences strengthen with increasing morbidity count. Larger care networks are associated with diminished psychological well-being among care recipients, especially as morbidity increases.

Discussion: These findings reveal how increasing morbidity translates differently to care network size and diversity for men and women. They also suggest that having multiple caregivers may undermine the psychological well-being of care recipients who face complex health challenges.

Keywords: caregiving; epidemiology; mental health; social networks.

Publication types

  • Multicenter Study
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Caregivers / psychology*
  • Depression / epidemiology*
  • Depression / psychology
  • Female
  • Humans
  • Male
  • Multimorbidity / trends
  • Patient Care / methods*
  • Sex Factors
  • Stress, Psychological / epidemiology*
  • Stress, Psychological / psychology
  • United States / epidemiology