Will you still need me, will you still feed me when I'm 64? The health impact of caregiving to one's spouse

Health Econ. 2017 Sep;26 Suppl 2(Suppl Suppl 2):127-138. doi: 10.1002/hec.3542.

Abstract

Informal care may substitute for formal long-term care that is often publicly funded or subsidized. The costs of informal caregiving are borne by the caregiver and may consist of worse health outcomes and, if the caregiver has not retired, worse labor market outcomes. We estimate the impact of providing informal care to one's partner on the caregiver's health using data from the Survey of Health, Ageing, and Retirement in Europe. We use statistical matching to deal with selection bias and endogeneity. We find that in the short run caregiving has a substantial effect on the health of caregivers and, for female caregivers, on their health care use. These effects should be taken into account when comparing the costs and benefits of formal and informal care provision. The health effects may, however, be short-lived, as we do not find any evidence that they persist after 4 or 7 years.

Keywords: SHARE; informal care; long-term care; propensity score matching.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Caregivers / economics
  • Caregivers / psychology
  • Caregivers / statistics & numerical data*
  • Depression / epidemiology
  • Europe
  • Female
  • Health Services / statistics & numerical data
  • Health Status*
  • Humans
  • Long-Term Care
  • Male
  • Middle Aged
  • Sex Factors
  • Socioeconomic Factors
  • Spouses / statistics & numerical data*
  • Stress, Psychological / epidemiology