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Informal Care Provision and the Reduction of Economic Activity Among Mid-Life Carers in Great Britain – A Mixed-Methods Approach

Published online by Cambridge University Press:  02 December 2021

Athina Vlachantoni Open the ORCID record for Athina Vlachantoni [Opens in a new window] ,
Ning Wang Open the ORCID record for Ning Wang [Opens in a new window] ,
Zhixin Feng Open the ORCID record for Zhixin Feng [Opens in a new window]  and
Jane Falkingham Open the ORCID record for Jane Falkingham [Opens in a new window]
Athina Vlachantoni
Affiliation:
Centre for Research on Ageing and the ESRC Centre for Population Change, Faculty of Social Sciences, University of Southampton, Southampton, UK. E-mail: a.vlachantoni@soton.ac.uk
Ning Wang
Affiliation:
School of Social and Public Administration, East China University of Science and Technology, Shanghai, China. E-mail: ningwang0417@outlook.com
Zhixin Feng
Affiliation:
School of Geography and Planning, Sun Yat-Sen University, Guangzhou, China. E-mail: frankfengs@outlook.com
Jane Falkingham
Affiliation:
ESRC Centre for Population Change, Faculty of Social Sciences, University of Southampton, Southampton, UK. E-mail: j.c.falkingham@soton.ac.uk
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Abstract

Informal care provision is an integral part of the long-term care system. However, it has been shown to have negative effects on the carers’ economic activity, and understanding the mechanisms behind this is crucial for social policy design. This study provides new insight into mid-life carers’ decisions to reduce their economic activity through a convergent mixed-methods design. Quantitative analysis of a sample of 2,233 carers aged fifty from the National Child Development Study (NCDS) Wave 8 with follow up at age fifty-five, and qualitative analysis of in-depth interviews of forty-eight carers between 2008-2010, were used. The combined results indicate that being female, single never married, having financial issues, being an employee, and frequently meeting a parent are associated with economic activity reduction; the carers’ own perspectives further elucidate key factors, such as their value and identity, family structure, life course events, and care intensity, which affect their decisions.

Keywords

Informal parental caremidlifeeconomic activitymixed-methodsNational Child Development Study
Type
Article
Information
Social Policy and Society , First View , pp. 1 - 18
Copyright
© The Author(s), 2021. Published by Cambridge University Press

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References

Arksey, H. and Glendinning, C. (2008) ‘Combining work and care: carers’ decision-making in the context of competing policy pressures’, Social Policy and Administration, 42, 1, 1–18.Google Scholar
Arksey, H., Kemp, P., Glendinning, C., Kotchetkova, I. and Tozer, R. (2005) Carers’ Aspirations and Decisions around Work and Retirement, Research Report No 290, Report prepared for Department for Work and Pensions, York: University of York.Google Scholar
Arnold, H. J. and Feldman, D. C. (1981) ‘Social desirability response bias in self-report choice situations’, Academy of Management Journal, 24, 2, 377–85.Google Scholar
Austen, S. and Ong, R. (2013) ‘The effects of ill health and informal care roles on the employment retention of mid-life women: does the workplace matter?’, Journal of Industrial Relations, 55, 5, 663–80.CrossRefGoogle Scholar
Bazeley, P. (2017) Integrating Analyses in Mixed Methods Research, Thousand Oaks, CA: Sage.Google Scholar
Bowes, A. (2007) ‘Research on the costs of long-term care for older people – current and emerging issues’, Social Policy and Society, 6, 3, 447–459.CrossRefGoogle Scholar
Braun, V. and Clarke, V. (2006) ‘Using thematic analysis in psychology’, Qualitative Research in Psychology, 3, 2, 77–101.CrossRefGoogle Scholar
Brekke, I. and Nadim, M. (2017) ‘Gendered effects of intensified care burdens: employment and sickness absence in families with chronically sick or disabled children in Norway’, Work, Employment and Society, 31, 3, 391–408.CrossRefGoogle Scholar
Burström, B. and Fredlund, P. (2001) ‘Self rated health: is it as good a predictor of subsequent mortality among adults in lower as well as in higher social classes?’, Journal of Epidemiology and Community Health, 55, 11, 836–40.CrossRefGoogle Scholar
Carers UK (2019) State of Caring: A Snapshot of Unpaid Care in the UK, http://www.carersuk.org/images/News__campaigns/CUK_State_of_Caring_2019_Report.pdf [accessed 29.10.2019].Google Scholar
Carmichael, F. and Charles, S. (2003) ‘The opportunity costs of informal care: does gender matter?’, Journal of Health Economics, 22, 5, 781–803.CrossRefGoogle ScholarPubMed
Carmichael, F., Hulme, C., Sheppard, S. and Connell, G. (2008) ‘Work–life imbalance: informal care and paid employment in the UK’, Feminist Economics, 14, 2, 3–35.CrossRefGoogle Scholar
Casado-Marín, D., García-Gómez, P. and López-Nicolás, Á. (2011) ‘Informal care and labour force participation among middle-aged women in Spain’, SERIEs, 2, 1–29.CrossRefGoogle Scholar
Creswell, J. W. and Tashakkori, A. (2007) ‘Editorial: developing publishable mixed methods manuscripts’, Journal of Mixed Methods Research, 1, 107, 7–12.CrossRefGoogle Scholar
Daatland, S. O., Veenstra, M. and Lima, I. A. (2010) ‘Norwegian sandwiches’, European Journal of Ageing, 7, 271–81.CrossRefGoogle ScholarPubMed
Elliott, J. (2008) ‘The narrative potential of the British birth cohort studies’, Qualitative Research, 8, 3, 411–21.CrossRefGoogle Scholar
Elliott, J. (2013) The Power and Perils of Narrative: Making the Best Use of the British Birth Cohort Studies, London: IOE Press.Google Scholar
Evandrou, M., Falkingham, J., Gomez-Leon, M. and Vlachantoni, A. (2018) ‘Intergenerational flows of support between parents and adult children in Britain’, Ageing and Society, 38, 2, 321–351.CrossRefGoogle Scholar
Evandrou, M., Glaser, K. and Henz, U. (2002) ‘Multiple role occupancy in midlife: balancing work and family life in Britain’, The Gerontologist, 42, 6, 781–9.CrossRefGoogle ScholarPubMed
Fetters, M. D., Curry, L. A. and Creswell, J. W. (2013) ‘Achieving integration in mixed methods designs – principles and practices’, Health Services Research, 48, 6, 2134–56.CrossRefGoogle ScholarPubMed
Glendinning, C., Tjadens, F., Arksey, H., Morée, M., Moran, N. and Nies, H. (2009) Care Provision Within Families and Its Socio-Economic Impact on Care Providers, Working paper No. EU2342, https://www.york.ac.uk/inst/spru/research/pdf/EUCarers.pdf [accessed 26.08.2020].Google Scholar
Gomez-Leon, M., Evandrou, M., Falkingham, J. and Vlachantoni, A. (2019) ‘The dynamics of social care and employment in mid-life’, Ageing and Society, 39, 2, 381–408.CrossRefGoogle Scholar
Gov.uk (2020) Carers Allowance, https://www.gov.uk/carers-allowance [accessed 04.02.2020].Google Scholar
Heitmueller, A. (2007) ‘The chicken or the egg?: endogeneity in labour market participation of informal carers in England’, Journal of Health Economics, 26, 3, 536–59.CrossRefGoogle ScholarPubMed
Henz, U. (2004) ‘The effects of informal care on paid-work participation in Great Britain: a lifecourse perspective’, Ageing and Society, 24, 6, 851–80.CrossRefGoogle Scholar
Ivankova, N. V., Creswell, J. W. and Stick, S. L. (2006) ‘Using mixed-methods sequential explanatory design: from theory to practice’, Field Methods, 18, 1, 3–20.CrossRefGoogle Scholar
Jacobs, J. C., Van Houtven, C. H., Laporte, A. and Coyte, P. C. (2017) ‘The impact of informal caregiving intensity on women’s retirement in the United States’, Journal of Population Ageing, 1, 2, 159–80.CrossRefGoogle Scholar
Kikuzawa, S. and Uemura, R. (2020) ‘Parental caregiving and employment among midlife women in Japan’, Research on Aging, 43, 2, 107–18.CrossRefGoogle ScholarPubMed
King, D. and Pickard, L. (2013) ‘When is a carer’s employment at risk? Longitudinal analysis of unpaid care and employment in midlife in England’, Health and Social Care in the Community, 21, 3, 303–14.CrossRefGoogle ScholarPubMed
King, N. (2004) ‘Using templates in the thematic analysis of text’, in Cassell, C. and Symon, G. (eds.), Essential Guide to Qualitative Methods in Organizational Research, London, UK: Sage, 257–70.Google Scholar
Kotsadam, A. (2011) ‘Does informal eldercare impede women’s employment? The case of European welfare states’, Feminist Economics, 17, 2, 121–44.CrossRefGoogle Scholar
Marmot Review (2010) Fair Society, Healthy Lives: The Marmot Review, http://www.instituteofhealthequity.org/resources-reports/fair-society-healthy-lives-the-marmot-review/fair-society-healthy-lives-full-report-pdf.pdf [accessed 29.10.2019].Google Scholar
McMunn, A., Bird, L., Webb, E. and Sacker, A. (2020) ‘Gender divisions of paid and unpaid work in contemporary UK couples’, Work, Employment and Society, 34, 2, 155–73.CrossRefGoogle Scholar
Meng, A. (2013) ‘Informal home care and labor-force participation of household members’, Empirical Economics, 44, DOI: doi.org/10.2139/ssrn.1515746, 959–79.CrossRefGoogle Scholar
Michaud, P. C., Heitmueller, A. and Nazarov, Z. (2010) ‘A dynamic analysis of informal care and employment in England’, Labour Economics, 17, 3, 455–65.CrossRefGoogle Scholar
Millar, J. (2021) ‘Families, work and care: qualitative longitudinal research and policy engagement’, Social Policy and Society, 20, 4, 629–34.CrossRefGoogle Scholar
Naldini, M., Pavolini, E. and Solera, C. (2016) ‘Female employment and elderly care: the role of care policies and culture in 21 European countries’, Work, Employment and Society, 30, 4, 607–30.CrossRefGoogle Scholar
Nguyen, H. T. and Connelly, L. B. (2014) ‘The effect of unpaid caregiving intensity on labour force participation: results from a multinomial endogenous treatment model’, Social Science and Medicine, 100, 115–122.CrossRefGoogle ScholarPubMed
Nowell, L. S., Norris, J. M., White, D. E. and Moules, N. J. (2017) ‘Thematic analyses: striving to meet the trustworthiness criteria’, International Journal of Qualitative Methods, 16, 1, 1–13.CrossRefGoogle Scholar
NVivo Qualitative Data Analysis Software (2015) QSR International Pty Ltd, Version 11.Google Scholar
O’Cathain, A., Murphy, E. and Nicholl, J. (2010) ‘Three techniques for integrating data in mixed methods studies’, BMJ, 341, DOI: doi.org/10.1136/bmj.c4587.Google ScholarPubMed
Olsen, K. M. (2020) ‘Employment trade-offs under different family policy constellations’, Work, Employment and Society, 35, 1, 37–56.CrossRefGoogle Scholar
Onwuegbuzie, A. J. and Johnson, R. B. (2006) ‘The validity issue in mixed research’, Research in the Schools, 13, 1, 48–63.Google Scholar
Paulson, D., Bassett, R., Kitsmiller, E., Luther, K. and Conner, N. (2017) ‘When employment and caregiving collide: predictors of labor force participation in prospective and current caregivers’, Clinical Gerontologist, 40, 5, 401–12.CrossRefGoogle ScholarPubMed
Pickard, L., Wittenberg, R., Comas-Herrera, A., King, D. and Malley, J. (2007) ‘Care by spouses, care by children: projections of informal care for older people in England to 2031’, Social Policy and Society, 6, 3, 353–66.CrossRefGoogle Scholar
Power, C. and Elliott, J. (2005) ‘Cohort profile: 1958 British birth cohort (national child development study)’, International Journal of Epidemiology, 35, 1, 34–41.CrossRefGoogle Scholar
Robards, J., Vlachantoni, A., Evandrou, M. and Falkingham, J. (2015) ‘Informal caring in England and Wales – stability and transition between 2001 and 2011’, Advances in Life Course Research, 24, 21–33.CrossRefGoogle ScholarPubMed
Schneider, U., Trukeschitz, B., Mühlmann, R. and Ponocny, I. (2013) ‘“Do I stay or do I go?”—Job change and labor market exit intentions of employees providing informal care to older adults’, Health Economics, 22, 10, 1230–49.CrossRefGoogle ScholarPubMed
Schofield, D., Shrestha, R. N., Zeppel, M. J., Cunich, M. M., Tanton, R., Veerman, J. L., Kelly, S. J. and Passey, M. E. (2019) ‘Economic costs of informal care for people with chronic diseases in the community: lost income, extra welfare payments, and reduced taxes in Australia in 2015–2030’, Health and Social Care in the Community, 27, 2, 493–501.CrossRefGoogle Scholar
StataCorp (2013) Stata Statistical Software, Release 13, College Station, TX: StataCorp LP.Google Scholar
Stewart, L. (2013) ‘Family care responsibilities and employment: exploring the impact of type of family care on work–family and family–work conflict’, Journal of Family Issues, 34, 1, 113–38.CrossRefGoogle Scholar
Strategy and Projects Team (2018) Carers Action Plan 2018-2020 - Supporting Carers Today, London: Department of Health and Social Care, https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/713781/carers-action-plan-2018-2020.pdf [accessed 10.10.2018].Google Scholar
Suitor, J. J. and Pillemer, K. (2006) ‘Choosing daughters: exploring why mothers favor adult daughters over sons’, Sociological Perspectives, 49, 2, 139–61.CrossRefGoogle Scholar
Tarum, H. and Kutsar, D. (2018) ‘Compulsory intergenerational family solidarity shaping choices between work and care: perceptions of informal female carers and local policymakers in Estonia’, International Journal of Social Welfare, 27, 1, 40–51.CrossRefGoogle Scholar
Tashakkori, A. and Teddlie, C. (2003) Handbook of Mixed Methods in Social and Behavioral Research, Thousand Oaks, CA: Sage.Google Scholar
Teddlie, C. and Tashakkori, A. (2003) ‘Major issues and controversies in the issue of mixed methods in the social and behavioral sciences’, in Tashakkori, A. and Teddlie, C. (eds.), Handbook of Mixed Methods in Social and Behavioral Research, Thousand Oaks, CA: Sage, 3–50.Google Scholar
Tomkins, L. and Eatough, V. (2014) ‘Stop ‘helping’ me! Identity, recognition and agency in the nexus of work and care’, Organization, 21, 1, 3–21.CrossRefGoogle Scholar
Van Groenou, M. I. B. and De Boer, A. (2016) ‘Providing informal care in a changing society’, European Journal of Ageing, 13, 271–9.CrossRefGoogle Scholar
Van Houtven, C. H., Coe, N. B. and Skira, M. M. (2013) ‘The effect of informal care on work and wages’, Journal of Health Economics, 32, 1, 240–52.CrossRefGoogle ScholarPubMed
Vlachantoni, A. (2010) ‘The demographic characteristics and economic activity patterns of carers over 50: evidence from the English Longitudinal Study of Ageing’, Population Trends, 141, 54–76.CrossRefGoogle Scholar
Vlachantoni, A., Evandrou, M., Falkingham, J. and Robards, J. (2013) ‘Informal care, health and mortality’, Maturitas, 74, 2, 114–8.CrossRefGoogle ScholarPubMed
Warren, T. (2007) ‘Conceptualizing breadwinning work’, Work, Employment and Society, 21, 2, 317–336.CrossRefGoogle Scholar
White, C. (2013) Census Analysis: Unpaid Care in England and Wales, 2011 and Comparison with 2001, London: Office for National Statistics, https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/healthcaresystem/articles/2011censusanalysisunpaidcareinenglandandwales2011andcomparisonwith2001/2013-02-15 [accessed 10.10.2018].Google Scholar
Wildman, J. M. (2020) ‘Life-course influences on extended working: experiences of women in a UK baby-boom birth cohort’, Work, Employment and Society, 34, 2, 211–27.CrossRefGoogle Scholar
Yeandle, S. and Buckner, L. (2017) ‘Older workers and care-giving in England: the policy context for older workers’ employment patterns’, Journal of Cross-Cultural Gerontology, 32, 303–21.CrossRefGoogle ScholarPubMed
Zohrabi, M. (2013) ‘Mixed methods research: instruments, validity, reliability and reporting findings’, Theory and Practice in Language Studies, 3, 2, 254–62.CrossRefGoogle Scholar