Caring for aging parents is fulfilling for adult children but comes at the cost of impacting their health and finances. Employing Bronfenbrenner's bioecological model, this study examines the mediating role of healthcare hardship in the association between caregiving and health, while also investigating the sources of support that could mitigate the adverse effects of caregiving. Using the Survey of Health Retirement in Europe, the study reveals that while there is no sufficient evidence for a direct impact of caregiving on health through healthcare hardship, there is a significant link between caregiving and healthcare hardship. Additionally, having a support system is associated with reduced healthcare hardship. Notably, men seem to benefit more from social support compared to women. The study indicates that adult children make sacrifices, risking their own well-being to care for their parents. It emphasizes the importance of a strong support network to mitigate these negative caregiving effects.
BassD. M.NoelkerL. S.RechlinL. R. (1996). The moderating influence of service use on negative caregiving consequences. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 51B(3), S121–S131. https://doi.org/10.1093/geronb/51B.3.S121
2.
BevansM.SternbergE. M. (2012). Caregiving burden, stress, and health effects among family caregivers of adult cancer patients. JAMA, 307(4), 398–403. https://doi.org/10.1001/jama.2012.29
3.
BolinK.LindgrenB.LundborgP. (2008). Your next of kin or your own career? Caring and working among the 50+ of Europe. Journal of Health Economics, 27(3), 718–738. https://doi.org/10.1016/j.jhealeco.2007.10.004
4.
BrennaE.Di NoviC. (2013). Is caring for elderly parents detrimental to women's mental health? The influence of the European North-South gradient (Working Paper No. 4). Dipartimento di Economia e Finanza (DISCE), Università Cattolica del Sacro Cuore.
5.
BronfenbrennerU. (1995). Developmental ecology through space and time: A future perspective. In MoenP.ElderG. H.LüscherK. (Eds.), Examining lives in context: Perspectives on the ecology of human development (pp. 599–618). American Psychological Association.
6.
BronfenbrennerU. (2005). The biological theory of human development. In BronfenbrennerU. (Ed.), Making human beings human: Biological perspectives on human development (pp. 3–15). Sage Publications.
7.
BronfenbrennerU.EvansG. W. (2000). Developmental science in the 21st century: Emerging questions, theoretical models, research designs and empirical findings. Social Development, 9(1), 115–125. https://doi.org/10.1111/1467-9507.00114
8.
BronfenbrennerU.MorrisP. A. (2006). The bioecological model of human development. In DamonW.LernerR. M. (Eds.), Handbook of child psychology: Theoretical models of human development (Vol. 1, pp. 793–828). John Wiley & Sons.
9.
Calvó-PerxasL.Vilalta-FranchJ.LitwinH.Turró-GarrigaO.MiraP.Garre-OlmoJ. (2018). What seems to matter in public policy and the health of informal caregivers? A cross-sectional study in 12 European countries. PLoS One, 13(3), Article e0194232. https://doi.org/10.1371/journal.pone.0194232
10.
CampbellL. D.Martin-MatthewsA. (2003). The gendered nature of men’s filial care. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 58(6), S350–S358. https://doi.org/10.1093/geronb/58.6.S350
11.
Centers for Disease Control and Prevention (CDC). (2020). Caregiving for family and friends—A public health issue.
12.
ChakrabortyR.JanaA.VibhuteV. M. (2023). Caregiving: A risk factor of poor health and depression among informal caregivers in India-A comparative analysis. BMC Public Health, 23(1), Article 42. https://doi.org/10.1186/s12889-022-14880-5
13.
EagleD. E.HybelsC. F.Proeschold-BellR. J. (2019). Perceived social support, received social support, and depression among clergy. Journal of Social and Personal Relationships, 36(7), 2055–2073. https://doi.org/10.1177/0265407518776134
14.
EIT Health. (2016). Rising need for elder care in Europe necessitates new paradigm for elder caregiving training: A landscape analysis. Landscape Analysis. Global Coalition on Ageing. https://care-campus.eu/en/publications/landscape-report/
GrigoryevaA. (2014). When gender trumps everything: The division of parent care among siblings. Center for the Study of Social Organization.
20.
HaberkernK.SchmidT.SzydlikM. (2015). Gender differences in intergenerational care in European welfare states. Ageing and Society, 35(2), 298–320. https://doi.org/10.1017/S0144686X13000639
21.
HayesA. F.ScharkowM. (2013). The relative trustworthiness of inferential tests of the indirect effect in statistical mediation analysis: Does method really matter?Psychological Science, 24(10), 1918–1927. https://doi.org/10.1177/0956797613480187
KimH. J.LapierreT. A.ChapinR. (2018). Grandparents providing care for grandchildren: Implications for economic preparation for later life in South Korea. Ageing and Society, 38(4), 676–699. https://doi.org/10.1017/S0144686X16001215
24.
KotsadamA. (2011). Does informal eldercare impede women’s employment? The case of European welfare states. Feminist Economics, 17(2), 121–144. https://doi.org/10.1080/13545701.2010.543384
25.
Lopez-AnuarbeM.KohliP. (2019, May). Understanding male caregivers’ emotional, financial, and physical burden in the United States. Healthcare, 7(2), Article 72. https://doi.org/10.3390/healthcare7020072
26.
MacCallumR. C.BrowneM. W.SugawaraH. M. (1996). Power analysis and determination of sample size for covariance structure modeling. Psychological Methods, 1(2), 130–149. https://doi.org/10.1037/1082-989X.1.2.130
OliveiraD.ZaritS. H.OrrellM. (2019). Health-promoting self-care in family caregivers of people with dementia: The views of multiple stakeholders. The Gerontologist, 59(5), e501–e511. https://doi.org/10.1093/geront/gnz029
33.
PearlinL. I.BiermanA. (2013). Current issues and future directions in research into the stress process. In AneshenselC. S.PhelanJ. C.BiermanA. (Eds.), Handbook of the sociology of mental health (pp. 325–340). Springer Science + Business Media.
34.
PreacherK. J.HayesA. F. (2008). Contemporary approaches to assessing mediation in communication research. In HayesA. F.SlaterM. D.SnyderL. B. (Eds.), The Sage sourcebook of advanced data analysis methods for communication research (pp. 13–54). Sage Publications.
35.
ReinhardS. C.FeinbergL. F. (2015). The escalating complexity of family caregiving: Meeting the challenge. In GauglerJ. E.KaneR. L. (Eds.), Family caregiving in the new normal (pp. 291–303). Academic Press.
SchulzR.EdenJ., & National Academies of Sciences, Engineering, and Medicine. (2016). Family caregiving roles and impacts. In Families caring for an aging America. National Academies Press (US).
38.
SchulzR.SherwoodP. R. (2008). Physical and mental health effects of family caregiving. Journal of Social Work Education, 44(sup3), 105–113. https://doi.org/10.5175/JSWE.2008.773247702
39.
ShibaK.KondoN.KondoK. (2016). Informal and formal social support and caregiver burden: The AGES caregiver survey. Journal of Epidemiology, 26(12), 622–628. https://doi.org/10.2188/jea.JE20150263
SpiessC. K.SchneiderU. (2002). Midlife caregiving & employment: An analysis of adjustments in work hours and informal care for female employees in Europe (Working Paper No. 9). European Network of Economic Policy Research Institutes.
42.
TingeyJ. L.LumJ.MoreanW.FranklinR.BentleyJ. A. (2020). Healthcare coverage and utilization among caregivers in the United States: Findings from the 2015 Behavioral Risk Factor Surveillance System. Rehabilitation Psychology, 65(1), 63–71. https://doi.org/10.1037/rep0000307
43.
VerbakelE. (2018). How to understand informal caregiving patterns in Europe? The role of formal long-term care provisions and family care norms. Scandinavian Journal of Public Health, 46(4), 436–447. https://doi.org/10.1177/1403494817726197
44.
WakabayashiC.DonatoK. M. (2006). Does caregiving increase poverty among women in later life? Evidence from the Health and Retirement Survey. Journal of Health and Social Behavior, 47(3), 258–274. https://doi.org/10.1177/002214650604700305
