Informal caregiving and mental ill health – differential relationships by workload, gender, age and area-remoteness in a UK region

Stefanie Doebler, Assumpta Ryan, Sally Shortall, Aideen Maguire

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Informal caregiving can be a demanding role which has been shown to impact on physical, psychological and social wellbeing. Methodological weaknesses including small sample sizes and subjective measures of mental health have led to inconclusive evidence about the relationship between informal caregiving and mental health. This paper reports on a study carried out in a UK region which investigated the relationship between informal caregiving and mental ill health. The analysis was conducted by linking three datasets, the Northern Ireland Longitudinal Study, the Northern Ireland Enhanced Prescribing Database and the Proximity to Service Index from the Northern Ireland Statistics and Research Agency. Our analysis used both a subjective measure of mental ill health, i.e. a question asked in the 2011 Census, and an objective measure, whether the respondents had been prescribed antidepressants by a General Practitioner between 2010 and 2012. We applied binary logistic multilevel modelling to these two responses to test whether, and for what sub-groups of the population, informal caregiving was related to mental ill health. The results showed that informal caregiving per se was not related to mental ill health although there was a strong relationship between the intensity of the caregiving role and mental ill health. Females under 50, who provided over 19 hours of care, were not employed or worked part-time and who provided care in both 2001 and 2011 were at a statistically significantly elevated risk of mental ill health. Caregivers in remote areas with limited access to shops and services were also at a significantly increased risk as evidenced by prescription rates for antidepressants. With community care policies aimed at supporting people to remain at home, the paper highlights the need for further research in order to target resources appropriately.
LanguageEnglish
Pages987-999
JournalHealth and Social Care in the Community
Volume25
Issue number3
Early online date18 Oct 2016
DOIs
Publication statusE-pub ahead of print - 18 Oct 2016

Fingerprint

caregiving
Workload
workload
Mental Health
gender
health
Northern Ireland
mental health
Antidepressive Agents
general practitioner
caregiver
longitudinal study
census
medication
Censuses
logistics
statistics
Population Groups
Research
Sample Size

Keywords

  • Informal Caregiving
  • Mental Health
  • Multilevel Modelling
  • Population-based Study

Cite this

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title = "Informal caregiving and mental ill health – differential relationships by workload, gender, age and area-remoteness in a UK region",
abstract = "Informal caregiving can be a demanding role which has been shown to impact on physical, psychological and social wellbeing. Methodological weaknesses including small sample sizes and subjective measures of mental health have led to inconclusive evidence about the relationship between informal caregiving and mental health. This paper reports on a study carried out in a UK region which investigated the relationship between informal caregiving and mental ill health. The analysis was conducted by linking three datasets, the Northern Ireland Longitudinal Study, the Northern Ireland Enhanced Prescribing Database and the Proximity to Service Index from the Northern Ireland Statistics and Research Agency. Our analysis used both a subjective measure of mental ill health, i.e. a question asked in the 2011 Census, and an objective measure, whether the respondents had been prescribed antidepressants by a General Practitioner between 2010 and 2012. We applied binary logistic multilevel modelling to these two responses to test whether, and for what sub-groups of the population, informal caregiving was related to mental ill health. The results showed that informal caregiving per se was not related to mental ill health although there was a strong relationship between the intensity of the caregiving role and mental ill health. Females under 50, who provided over 19 hours of care, were not employed or worked part-time and who provided care in both 2001 and 2011 were at a statistically significantly elevated risk of mental ill health. Caregivers in remote areas with limited access to shops and services were also at a significantly increased risk as evidenced by prescription rates for antidepressants. With community care policies aimed at supporting people to remain at home, the paper highlights the need for further research in order to target resources appropriately.",
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Informal caregiving and mental ill health – differential relationships by workload, gender, age and area-remoteness in a UK region. / Doebler, Stefanie; Ryan, Assumpta; Shortall, Sally; Maguire, Aideen.

In: Health and Social Care in the Community, Vol. 25, No. 3, 18.10.2016, p. 987-999.

Research output: Contribution to journalArticle

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