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Foreign live-in domestic workers as caretakers of older Kuwaiti men and women: socio-demographic and health correlates


Ageing of the population is posing new challenges for caretakers. This paper aims to examine: (a) age and gender differences in care provided by a domestic worker versus a family member in the performance of activities of daily living (ADL); (b) socio-demographic correlates of care during illness; and (c) self-reported physical, functional, and psychological health status in relation to care-giver. A cross-sectional household survey was conducted among 2,487 Kuwaiti nationals aged 50 years or older. This paper focuses on persons aged 70 or more. We found that domestic workers provided care to 28 per cent of men and 58 per cent of women who needed assistance with ADL; and to 14 per cent men and 51 per cent women during illness. These respondents ranked poorer on several health indicators and reported higher depressive symptoms score than those looked after by a family member. Logistic regression indicated that care by a domestic worker was approximately seven times more likely for women than men, about 10.8 times more likely for those without co-resident children compared with those who had three or more co-resident children, and 44 per cent less likely for the poorest compared with the richest persons. It appears that reliance on domestic workers is increasing and such reliance will remain necessary in the absence of culturally acceptable alternative institutional arrangements.

Corresponding author
Address for correspondence: Nasra Shah, Department of Community Medicine and Behavioral Sciences, Faculty of Medicine, Kuwait University, P.O. Box 24923, Safat, 3110Kuwait. E-mail:
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Ayalon, L. 2009 a. Fears come true: the experiences of older care recipients and their family members of live-in foreign home care workers. International Psychogeriatrics, 21, 779–86.
Ayalon, L. 2009 b. Evaluating the working conditions and exposure to abuse of Filipino home care workers in Israel: characteristics and clinical correlates. International Psychogeriatrics, 21, 40–9.
Ayalon, L. 2009 c. Family and family-like interactions in households with round-the-clock paid foreign carers in Israel. Ageing & Society, 29, 671–86.
Ayalon, L., Kaniel, M. and Rosenberg, L. 2008. Social worker's perspectives on care arrangements between vulnerable elders and foreign home-care workers: lessons from Israeli/Filipino caregiving arrangements. Home Health Care Services Quarterly, 27, 121–42.
Brush, B. L. and Vasupuram, R. 2006. Nurses, nannies and caring work: importation, visibility and marketability. Nursing Inquiry, 13, 181–5.
Chang, G. 2000. Disposable Domestics. Immigrant Women Workers in the Global Economy. South End Press, Cambridge, Massachusetts.
Department of Vital Statistics and Health Records 2009. Health Kuwait. Ministry of Health, Kuwait.
Djernes, J. K. 2006. Prevalence and predictors of depression of elderly: a review. Acta Psychiatrica Scandinavia, 113, 372–87.
Fleming, A. A. 1998. Family caregiving of older people with dementing illness in nursing homes: a lifeline of special care. Australasian Journal on Ageing, 17, 140–4.
Human Rights Watch 2008. As if I Am Not Human: Abuses Against Asian Domestic Workers in Saudi Arabia. Human Rights Watch, New York.
Iecovich, E. 2007. Client satisfaction with live-in and live-out home care workers in Israel. Journal of Ageing and Social Policy, 19, 105–22.
International Organization for Migration 2008. World migration 2008. Managing labour mobility in the evolving global economy. World Migration Report Series, 4.
International Trade Union Confederation 2010. ITUC spotlight interview with US domestic workers united. Press release. Available online at [Accessed 15 December 2010].
Jureidini, R. 2009. Irregular workers in Egypt: migrant and refugee domestic workers. International Journal on Multicultural Societies, 11, 7590.
Jureidini, R. and Moukarbel, N. 2004. Female Sri Lankan domestic workers in Lebanon: a case of ‘contract slavery’? Journal of Ethnic and Migration Studies, 30, 581607.
Kietzman, K. G., Benjamin, A. E. and Matthias, R. E. 2008. Of family, friends, and strangers: caregiving satisfaction across three types of paid caregivers. Home Health Care Services Quarterly, 27, 100–20.
Legare, J. and Martel, L. 2003. Living arrangements of older persons in the early nineties: an international comparison. Genus, LIX, 1, 85103.
Li, L. W., Zhang, J. and Liang, J. 2009. Health among the oldest-old in China: which living arrangements make a difference. Social Science and Medicine, 68, 220–7.
Loveband, A. 2004. Positioning the product: Indonesian migrant women workers in Taiwan. Journal of Contemporary Asia, 34, 336–48.
Mehio-Sibai, A., Beydoun, M. A. and Tohme, R. A. 2009. Living arrangements of ever-married older Lebanese women: is living with married children advantageous? Journal of Cross-cultural Gerontology, 24, 517.
Parrenas, R. S. 2001. Servants of Globalization. Women Migration and Domestic Work. Stanford University Press, Stanford, California.
Public Authority of Civil Information 2010. Population and Working Forces. Public Authority of Civil Information, Kuwait.
Shah, N. 2004. Women's socioeconomic characteristics and marital patterns in a rapidly developing Muslim society, Kuwait. Journal of Comparative Family Studies, March, 163–83.
Shah, N. 2009. Building state capacities for managing contract worker mobility: the Asia–GCC context. Presented at the workshop on ‘The Future of Migration: Building Capacities for Change’, International Organization for Migration, Cairo.
Shah, N. 2010 a. Population of Kuwait Structure and Dynamics. University of Kuwait Press, Kuwait.
Shah, N. 2010 b. Building state capacities for managing contract worker mobility: the Asia–GCC context. World Migration Report 2010 Background Paper, International Organization for Migration, Cairo.
Shah, N., Badr, H. E., Yount, K. and Shah, M. 2011. Decline in co-residence with children among older Kuwaiti men and women: what is driving the change? Journal of Cross-cultural Gerontology. Published online 26 January 2011. doi:10.1007/s10823-011-9138-x.
Shah, N., Behbehani, J. and Shah, M. 2010. Prevalence and correlates of major chronic illnesses among older Kuwaiti nationals in two governorates. Medical Principles and Practice, 19, 105–12.
Shah, N. and Menon, I. 1997. Violence against women migrant workers: issues, data and partial solutions. Asian and Pacific Migration Journal, 6, 530.
Shah, N. M., Yount, K. M., Shah, M. A. and Menon, I. 2002. Living arrangements of older women and men in Kuwait. Journal of Cross-cultural Gerontology, 17, 337–55.
Sinunu, M., Yount, K. M. and El Afify, N. A. 2009. Informal and formal long-term care for frail older adults in Cairo, Egypt: family caregiving decisions in a context of social change. Journal of Cross-cultural Gerontology, 24, 6376.
Soldo, B. J., Wong, R. and Palloni, A. 2003. Mexican Health and Aging Study. (MHAS). Mexico.
Tomassini, C. 2007. The oldest old in Great Britain: change over the last 20 years. Population Trends, 123, 32–9.
World Health Organization 2002. Health and ageing: a discussion paper. WHO/NMH/HPS/01.1, World Health Organization, Geneva.
Yeoh, B. S. A., Huang, S. and Gonzalez, J. 1999. Migrant female domestic workers: debating the economic, social and political impacts in Singapore. International Migration Review, 33, 114–36.
Yount, K. M. and Khadr, Z. 2008. Gender, social change and living arrangements among older Egyptians during 1990s. Population Research Policy Review, 27, 201–25.
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Ageing & Society
  • ISSN: 0144-686X
  • EISSN: 1469-1779
  • URL: /core/journals/ageing-and-society
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