Socioeconomic status and the likelihood of informal care provision in Japan: An analysis considering survival probability of care recipients

PLoS One. 2021 Aug 13;16(8):e0256107. doi: 10.1371/journal.pone.0256107. eCollection 2021.

Abstract

Studies show that the burden of caregiving tends to fall on individuals of low socioeconomic status (SES); however, the association between SES and the likelihood of caregiving has not yet been established. We studied the relationship between SES and the likelihood of adults providing long-term care for their parents in Japan, where compulsory public long-term insurance has been implemented. We used the following six comprehensive measures of SES for the analysis: income, financial assets, expenditure, living conditions, housing conditions, and education. We found that for some SES measures the probability of care provision for parents was greater in higher SES categories than in the lowest category, although the results were not systematically related to the order of SES categories or consistent across SES measures. The results did not change even after the difference in the probability of parents' survival according to SES was considered. Overall, we did not find evidence that individuals with lower SES were more likely to provide care to parents than higher-SES individuals. Although a negative association between SES and care burden has been repeatedly reported in terms of care intensity, the caregiving decision could be different in relation to SES. Further research is necessary to generalize the results.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Caregivers / economics*
  • Caregivers / statistics & numerical data
  • Educational Status
  • Female
  • Housing / economics
  • Housing / statistics & numerical data
  • Humans
  • Japan
  • Male
  • Middle Aged
  • Parents
  • Patient Care / economics*
  • Patient Care / methods
  • Patient Care / mortality
  • Patient Care / statistics & numerical data
  • Socioeconomic Factors
  • Surveys and Questionnaires

Grants and funding

This research is financially supported by the Open Research Areas for Social Sciences (ORA program) of the Japan Society for the Promotion of Science (JPJSJRP20181403). The funder had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.