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      How Many Older Informal Caregivers Are There in Europe? Comparison of Estimates of Their Prevalence from Three European Surveys

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          Abstract

          Informal caregivers are people providing some type of unpaid, ongoing assistance to a person with a chronic illness or disability. Long-term care measures and policies cannot take place without taking into account the quantitatively crucial role played by informal caregivers. We use the European Health Interview Survey (EHIS), the European Quality of Life Survey (EQLS), and the Study on Health and Ageing in Europe (SHARE) to measure the prevalence of informal caregivers in the European population, and analyze associated socio-demographic factors. This rate ranges between about 13 percent in Portugal and Spain, and more than 22 percent in Luxembourg, Belgium, and Denmark. It declines in older age groups and, on average, is lower in men than in women in all countries studied, and lower among the poorly educated compared to those with higher levels of education. However, large variance was observed in the average share of informal caregivers for most countries between the three surveys. Our findings, estimated through the three surveys, reveal common trends, but also a series of disparities. Additional research will be needed to enable policy makers to access a richer and more harmonized body of data, allowing them to adopt truly evidence-based and targeted policies and interventions in this field.

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          Informal caregiving and its impact on health: a reappraisal from population-based studies.

          Considerable research and public discourse on family caregiving portrays it as a stressful and burdensome experience with serious negative health consequences. A landmark study by Schulz and Beach that reported higher mortality rates for strained spouse caregivers has been widely cited as evidence for the physical health risks of caregiving and is often a centerpiece of advocacy for improved caregiver services. However, 5 subsequent population-based studies have found reduced mortality and extended longevity for caregivers as a whole compared with noncaregiving controls. Most caregivers also report benefits from caregiving, and many report little or no caregiving-related strain. Policy reports, media portrayals, and many research reports commonly present an overly dire picture of the health risks associated with caregiving and largely ignore alternative positive findings. As the pool of traditional family caregivers declines in the coming years, a more balanced and updated portrayal of the health effects of caregiving is needed to encourage more persons to take on caregiving roles, and to better target evidence-based services to the subgroup of caregivers who are highly strained or otherwise at risk. Recommendations are discussed for research that will better integrate and clarify both the negative and potential positive health effects of informal caregiving.
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            Health at a Glance 2019

            (2019)
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              The Impact of Informal Caregiving for Older Adults on the Health of Various Types of Caregivers: A Systematic Review

              Abstract Objective Informal care, the provision of unpaid care to dependent friends or family members, is often associated with physical and mental health effects. As some individuals are more likely to provide caregiving tasks than others, estimating the causal impact of caregiving is difficult. This systematic literature review provides an overview of all studies aimed at estimating the causal effect of informal caregiving on the health of various subgroups of caregivers. Methodology A structured literature search, following PRISMA guidelines, was conducted in 4 databases. Three independent researchers assessed studies for eligibility based on predefined criteria. Results from the studies included in the review were summarized in a predefined extraction form and synthesized narratively. Results The systematic search yielded a total of 1,331 articles of which 15 are included for synthesis. The studies under review show that there is evidence of a negative impact of caregiving on the mental and physical health of the informal caregiver. The presence and intensity of these health effects strongly differ per subgroup of caregivers. Especially female, and married caregivers, and those providing intensive care appear to incur negative health effects from caregiving. Conclusion The findings emphasize the need for targeted interventions aimed at reducing the negative impact of caregiving among different subgroups. As the strength and presence of the caregiving effect differ between subgroups of caregivers, policymakers should specifically target those caregivers that experience the largest health effect of informal caregiving.
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                Author and article information

                Journal
                Int J Environ Res Public Health
                Int J Environ Res Public Health
                ijerph
                International Journal of Environmental Research and Public Health
                MDPI
                1661-7827
                1660-4601
                19 December 2020
                December 2020
                : 17
                : 24
                : 9531
                Affiliations
                [1 ]Department of Health Systems Management, The Max Stern Yezreel Valley College, 1930600 Yezreel Valley, Israel
                [2 ]School of Nursing, University of Rochester Medical Center, Rochester, NY 14642-8404, USA
                [3 ]Institute for Gerontology, University of Vechta, D-49377 Vechta, Germany; andrea.teti@ 123456uni-vechta.de
                [4 ]Epidemiology and Health Monitoring, Robert Koch-Institute, 10439 Berlin, Germany; RommelA@ 123456rki.de
                [5 ]Faculty of Social Sciences, University of Ljubljana, 1000 Ljubljana, Slovenia; Valentina.Hlebec@ 123456fdv.uni-lj.si
                [6 ]INRCA IRCCS—National Institute of Health and Science on Ageing, Centre for Socio-Economic Research on Ageing, 60124 Ancona, Italy; g.lamura@ 123456inrca.it
                Author notes
                [* ]Correspondence: aviadt@ 123456yvc.ac.il
                Author information
                https://orcid.org/0000-0002-2112-4112
                https://orcid.org/0000-0001-7253-0535
                https://orcid.org/0000-0001-9278-9544
                Article
                ijerph-17-09531
                10.3390/ijerph17249531
                7767284
                33352669
                44148da6-9a57-4808-8b8f-1482cefe9dd1
                © 2020 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 16 October 2020
                : 16 December 2020
                Categories
                Article

                Public health
                informal caregiver,survey,harmonization,unpaid care
                Public health
                informal caregiver, survey, harmonization, unpaid care

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