Informal caregiving and mortality-Who is protected and who is not? A prospective cohort study from Japan
Bibliographic Data
| ID | 3640336 |
|---|---|
| Authors | Atsushi Miyawaki (0000-0001-6126-1464, The University of Tokyo, corresponding author), Hirokazu Tanaka (0000-0002-3153-8802, The University of Tokyo), Yasuki Kobayashi (0009-0006-4262-3128, The University of Tokyo), Ichiro Kawachi (0000-0003-3579-4456, Harvard University) |
| Year | 2019 |
| Volume | 223 |
| Pages | 24-30 |
| Publication date | 2019-02-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Social Science & Medicine (JOURNAL) |
| Journal identifiers | ISSN: 0277-9536 • E-ISSN: 1873-5347 |
| Publisher | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.socscimed.2019.01.034 |
| PMID | 30703696 |
| OpenAlex | W2911682911 |
| Language | EN |
| Citations received | 5 |
| References cited | 41 |
Informal caregiving is linked to psychological stress. However, recent studies have suggested a protective association between informal caregiving and mortality among caregivers. We sought to test the association between caregiving and survival in the Komo-Ise study, a prospective cohort of community-dwelling residents aged 44-77 years living in two areas in Gunma prefecture, Japan. Caregiving status was assessed in 2000, and 8084 individuals were followed for ten years. All-cause mortality was ascertained from official registers. Using multivariate Cox proportional hazards models, we found no statistically significant overall association between informal caregiving and all-cause mortality for either combined sexes, (HR 0.97, 95% CI 0.79, 1.19), men (HR 0.98, 95% CI 0.76, 1.27), or women (HR 0.95, 95% CI 0.68, 1.34). The propensity score matched model also showed no increased risk of all-cause mortality across all caregivers, male caregivers, and female caregivers. The association with all-cause mortality was not observed regardless of the presence of support for activities of daily living (ADLs)/instrumental activities of daily living (IADLs) or the relationships to the care recipients. In subgroup analyses, informal caregiving was not associated with increased risk of all-cause death across subgroups for combined sexes, men, or women, except for increased mortality among female caregivers in the lowest-income group (HR 1.75, 95% CI 1.03, 3.00). An increase in the risk of mortality was not observed among male caregivers. In conclusion, informal caregiving did not increase mortality as a whole, nor for most subgroups, while some sub-groups such as women in the lower socioeconomic status groups may be vulnerable to the adverse health effects of caregiving
Activities of daily living · Cohort · Cohort study · Multivariate analysis · Physical therapy · Proportional hazards model · Prospective cohort study · Demography · Health disparities and outcomes · Health, psychology, and well-being · Intergenerational Family Dynamics and Caregiving · Medicine · Gerontology · Internal Medicine
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| Unique citing works | 5 |
|---|---|
| Citations per year | 0.71 |
| Citation span | 2019 - 2025 (7) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 5 |