Assessing health, psychological distress and financial well-being in informal young adult caregivers compared to matched young adult non-caregivers

Psychol Health Med. 2023 Jul-Dec;28(8):2249-2260. doi: 10.1080/13548506.2023.2195671. Epub 2023 Mar 28.

Abstract

Young adult caregivers (YACs) are faced with the atypical challenge of providing informal (i.e. not paid) care to a family member, while simultaneously at a critical developmental stage in which many major life decisions and milestones are taking place. Adding the challenge of caring for a family member during this already complex time period may have a detrimental impact on young adults' (YAs) own overall health and well-being. The aim of this study was to examine differences in overall health, psychological distress, and financial strain among a propensity matched sample of YACs compared to young adult non-caregivers (YANCs) from a nationally representative database and to examine differences in these outcomes by caregiving role (caring for a child vs. other family member). YAs (aged 18-39, N = 178) identifying as a caregiver (n = 74) were matched with YANCs (n = 74) on age, gender, and race. Results revealed that YACs exhibited higher psychological distress, lower overall health and more sleep disturbance and higher financial strain compared to YANCs. YAs caring for family members other than children also reported higher anxiety and fewer hours spent caregiving compared to YAs caring for a child. YACs appear to be at risk for impairments in health and well-being compared to their matched peers. Longitudinal research is needed to understand how caregiving during young adulthood impacts health and well-being across time.

Keywords: Caregiving; financial strain; overall health; propensity matching; psychological distress; young adults.

MeSH terms

  • Adult
  • Anxiety / epidemiology
  • Caregivers* / psychology
  • Child
  • Family / psychology
  • Humans
  • Psychological Distress*
  • Salaries and Fringe Benefits
  • Stress, Psychological / epidemiology
  • Stress, Psychological / psychology
  • Young Adult