This article is a U.S. Government work and is in the public domain in the U.S.A.
Caring for mom and neglecting yourself? The health effects of caring for an elderly parent†
Article first published online: 6 JUL 2009
This article is a U.S. Government work and is in the public domain in the U.S.A. Published in 2009 by John Wiley & Sons, Ltd.
Special Issue: 18th Annual European Workshop on Econometrics and Health Economics
Volume 18, Issue 9, pages 991–1010, September 2009
How to Cite
Coe, N. B. and Van Houtven, C. H. (2009), Caring for mom and neglecting yourself? The health effects of caring for an elderly parent. Health Econ., 18: 991–1010. doi: 10.1002/hec.1512
- Issue published online: 17 AUG 2009
- Article first published online: 6 JUL 2009
- Manuscript Accepted: 30 APR 2009
- Manuscript Received: 3 OCT 2008
- depressive symptoms;
- heart conditions;
- elderly parents;
- informal care
We examine the physical and mental health effects of providing care to an elderly mother on the adult child caregiver. We address the endogeneity of the selection in and out of caregiving using an instrumental variable approach, using the death of the care recipient and sibling characteristics. We also carefully control for baseline health and work status of the adult child. We explore flexible specifications, such as Arellano–Bond estimation techniques. Continued caregiving over time increases depressive symptoms and decreases self-rated health for married women and married men. In addition, the increase in depressive symptoms is persistent for married women. While depressive symptoms for single men and women are not affected by continued caregiving, there is evidence of increased incidence of heart conditions for single men, and that these effects are persistent. Robustness checks indicate that these health changes can be directly attributable to caregiving behavior, and not due to a direct effect of the death of the mother. The initial onset of caregiving has modest immediate negative effects on depressive symptoms for married women and no immediate effects on physical health. Negative physical health effects emerge 2 years later, however, suggesting that there are delayed effects on health that would be missed with a short recall period. Initial caregiving does not affect health of married men. Published in 2009 by John Wiley & Sons, Ltd.