Skip to main content
×
Home
    • Aa
    • Aa

Who cares? A comparison of informal and formal care provision in Spain, England and the USA

  • AÏDA SOLÉ-AURÓ (a1) (a2) and EILEEN M. CRIMMINS (a2)
Abstract
ABSTRACT

This paper investigates the prevalence of incapacity in performing daily activities and the associations between household composition and availability of family members and receipt of care among older adults with functioning problems in Spain, England and the United States of America (USA). We examine how living arrangements, marital status, child availability, limitations in functioning ability, age and gender affect the probability of receiving formal care and informal care from household members and from others in three countries with different family structures, living arrangements and policies supporting care of the incapacitated. Data sources include the 2006 Survey of Health, Ageing and Retirement in Europe for Spain, the third wave of the English Longitudinal Study of Ageing (2006), and the eighth wave of the USA Health and Retirement Study (2006). Logistic and multinomial logistic regressions are used to estimate the probability of receiving care and the sources of care among persons age 50 and older. The percentage of people with functional limitations receiving care is higher in Spain. More care comes from outside the household in the USA and England than in Spain. The use of formal care among the incapacitated is lowest in the USA and highest in Spain.

Copyright
Corresponding author
Address for correspondence: Aïda Solé-Auró, Ethel Percy Andrus Gerontology Center, University of Southern California, 3715 McClintock Ave, Los Angeles, CA 90089-0191, USA. E-mail: aida.soleauro@usc.edu
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

K. Bolin , B. Lindgren and P. Lundborg 2008. Informal and formal care among single-living elderly in Europe. Health Economics, 17, 3, 393409.

E. Bonsang 2009. Does informal care from children to their elderly parents substitute for formal care in Europe? Journal of Health Economics, 28, 1, 143–54.

A. Börsch-Supan , K. Hank and H. Jürges 2005. A new comprehensive and international view on ageing. European Journal of Ageing, 2, 4, 245–53.

L. G. Branch , T. T. Wetle , P. A. Scherr , N. R. Cook , D. A. Evans , L. E. Hebert , E. N. Masland , M. E. Keough and J. O. Taylor 1988. A prospective study of incident comprehensive medical home care use among the elderly. American Journal of Public Health, 78, 3, 255–9.

K. K. Charles and P. Sevak 2005. Can family caregiving substitute for nursing home care? Journal of Health Economics, 24, 6, 1174–90.

E. M. Crimmins and D. G. Ingegneri 1990. Interaction and living arrangements of older parents and their children. Past trends, present determinants, future implications. Research on Aging, 12, 1, 335.

E. M. Crimmins , J. K. Kim and A. Solé-Auró 2011. Gender differences in health: results from SHARE, ELSA and HRS. European Journal of Public Health, 21, 1, 8191.

R. Donovan , A. Williams , K. Stajduhar , K. Brazil and D. Marshall 2011. The influence of culture on home-based family caregiving at end-of-life: a case study of Dutch reformed family care givers in Ontario, Canada. Social Science & Medicine, 72, 3, 338–46.

P. Doty 1986. Family care of the elderly: the role of public policy. The Milbank Quarterly, 64, 1, 3475.

F. Elwert and N. A. Christakis 2008. The effect of widowhood on mortality by the causes of death of both spouses. American Journal of Public Health, 98, 11, 2092–8.

J. Feder , H. L. Komisar and M. Niefeld 2000. Long-term care in the United States: an overview. Health Affairs, 19, 3, 4056.

D. Gans and M. Silverstein 2006. Norms of filial responsibility for aging parents across time and generations. Journal of Marriage and Family, 68, 4, 961–76.

V. L. Greene 1983. Substitution between formally and informally provided care for the impaired elderly in the community. Medical Care, 21, 6, 609–19.

C. L. Himes 1992. Future caregivers: projected family structures of older persons. Journal of Gerontology, 47, 1, S1726.

K. C. Holden and H. H. D. Kuo 1996. Complex marital histories and economic well-being: the continuing legacy of divorce and widowhood as the HRS cohort approaches retirement. The Gerontologist, 36, 3, 383–90.

S. Jiménez-Martín and C. Prieto 2012. The trade-off between formal and informal care in Spain. The European Journal of Health Economics, 13, 4, 461–90.

G. Lafortune and G. Balestat 2007. Trends in Severe Disability Among Elderly People Assessing the Evidence in 12 OECD Countries and the Future Implications. Organisation for Economic Co-operation and Development, Paris.

D. Macunovich , R. Easterlin , C. Schaeffer and E. M. Crimmins 1995. Echoes of the baby boom and bust: recent and prospective changes in living alone among elderly widows in the United States. Demography, 32, 1, 1728.

E. Mentzakis , P. McNamee and M. Ryan 2009. Who cares and how much: exploring the determinants of co-residential informal care. Review of Economics of the Household, 7, 3, 283303.

C. M. Murtaugh , N. McCall , S. Moore and A. Meadow 2003. Trends in Medicare home health care use: 1997–2001. Health Affairs, 22, 5, 146–56.

D. S. Reher 1998. Family ties in western Europe: persistent contrasts. Population and Development Review, 24, 2, 203.

M. Silverstein , D. Gans , A. Lowenstein , R. Giarrusso and V. L. Bengtson 2010. Older parent–child relationships in six developed nations: comparisons at the intersection of affection and conflict. Journal of Marriage and Family, 72, 4, 1006–21.

C. H. Van Houtven and E. C. Norton 2004. Informal care and health care use of older adults. Journal of Health Economics, 23, 6, 1159–80.

D. A. Wolf 1995. Changes in the living arrangements of older women: an international study. The Gerontologist, 35, 6, 724–31.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Ageing & Society
  • ISSN: 0144-686X
  • EISSN: 1469-1779
  • URL: /core/journals/ageing-and-society
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords:

Metrics

Full text views

Total number of HTML views: 3
Total number of PDF views: 75 *
Loading metrics...

Abstract views

Total abstract views: 404 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 13th July 2017. This data will be updated every 24 hours.