Spousal care intensity, socioeconomic status, and depression among the older caregivers in China: a study on 2011–2018 CHARLS panel data

Ma, Jun, Yang, Hongyan, Hu, Wenxiu and Khan, Hafiz T.A. ORCID: https://orcid.org/0000-0002-1817-3730 (2022) Spousal care intensity, socioeconomic status, and depression among the older caregivers in China: a study on 2011–2018 CHARLS panel data. Healthcare, 10 (2). p. 239.

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Abstract

Using the Stress Process Model and data from the 2011-2018 China Health and Retirement Longitudinal Study (CHARLS), this study examined the effect of spousal caregiving intensity on the depression level of older caregivers in China. The moderating role that socioeconomic status plays in the relationship between spouses was explored by constructing Multilevel Growth Models (MGM). The care intensity for a spouse was found to have significantly increased depression levels in older caregivers, while the degree of disability of the spouse being cared for (B=0.200, p<0.001) had a greater effect on depression than the duration of care (B=0.007, p<0.01). There was a threshold effect where the provision of more than 10 hours of care per week for a spouse (B=0.931, p<0.001; B=0.970; p<0.01) or caring for a disabled spouse with limited ADLs (B=0.709, p<0.01; B=1.326; p<0.001; B=1.469, p<0.01) increased depression in older caregivers. There were moderating influences including higher professional prestige before retirement (B=-0.006, p<0.01) and higher annual family income (B=-0.037, p<0.05) that increased depression related to the spouse’s degree of disability. It was considered that active familism measures should be formulated for older spousal caregivers, especially those with lower socioeconomic status.

Item Type: Article
Additional Information: Copyright: © 2022 by the authors. Li‐ censee MDPI, Basel, Switzerland. Citation: Ma, J., Yang, H., Hu, W., Khan, H.T.A., 2022. Spousal Care Intensity, Socioeconomic Status, and Depression among the Older Caregivers in China: A Study on 2011–2018 CHARLS Panel Data. Healthcare 10. https://doi.org/10.3390/healthcare10020239
Uncontrolled Keywords: Chinese older adults; spousal caregivers; care intensity; depression; socioeconomic status
Subjects: Medicine and health > Health promotion and public health
Medicine and health > Health promotion and public health > Healthcare education
Related URLs:
Depositing User: Hafiz T.A. Khan
Date Deposited: 23 Jan 2022 08:23
Last Modified: 27 Jan 2022 10:17
URI: http://repository.uwl.ac.uk/id/eprint/8740

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