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Impact of parents’ need for care on middle-aged women’s lifestyle and psychological distress: evidence from a nationwide longitudinal survey in Japan

BACKGROUND: Many studies have separately addressed the associations of informal caregiving with coresidence, a caregiver’s work status, and health conditions, but not jointly. We examined how their parents’ need for care affects middle-aged women’s lifestyle and psychological distress, considering t...

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Autores principales: Oshio, Takashi, Kan, Mari
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5899337/
https://www.ncbi.nlm.nih.gov/pubmed/29653572
http://dx.doi.org/10.1186/s12955-018-0890-2
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author Oshio, Takashi
Kan, Mari
author_facet Oshio, Takashi
Kan, Mari
author_sort Oshio, Takashi
collection PubMed
description BACKGROUND: Many studies have separately addressed the associations of informal caregiving with coresidence, a caregiver’s work status, and health conditions, but not jointly. We examined how their parents’ need for care affects middle-aged women’s lifestyle and psychological distress, considering the potential simultaneity of decisions on caregiving and living adjustments. METHODS: We used 22,305 observations of 7037 female participants (aged 54–67 years) from a nationwide longitudinal survey in Japan conducted during 2009 and 2013. We considered the occurrence of parents’ need for care (OPNC) as an external event and estimated regression models to explain how it affected the probabilities of the participants becoming caregivers, coresiding with parents, and working outside the home. We further conducted the mediation analysis to examine how the impact of OPNC on participants’ psychological distress measured by Kessler 6 (K6) scores was mediated by caregiving and living adjustments. RESULTS: OPNC made 30.9% and 30.3% of middle-aged women begin informal caregiving for parents and parents-in-law, respectively, whereas the impact on residential arrangement with parents or work status was non-significant or rather limited. OPNC raised middle-aged women’ K6 scores (range: 0–24) by 0.368 (SE: 0.061) and 0.465 (SE: 0.073) for parents and parents-in-law, respectively, and informal caregiving mediated those impacts by 37.7% (95% CI: 15.6–68.2%) and 44.0% (95% CI: 22.2–75.4%), respectively. By contrast, the mediating effect of residential arrangement with parents or work status was non-significant. CONCLUSIONS: Results underscore the fact that OPNC tends to promote middle-aged women to begin informal caregiving and worsen their psychological distress.
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spelling pubmed-58993372018-04-20 Impact of parents’ need for care on middle-aged women’s lifestyle and psychological distress: evidence from a nationwide longitudinal survey in Japan Oshio, Takashi Kan, Mari Health Qual Life Outcomes Research BACKGROUND: Many studies have separately addressed the associations of informal caregiving with coresidence, a caregiver’s work status, and health conditions, but not jointly. We examined how their parents’ need for care affects middle-aged women’s lifestyle and psychological distress, considering the potential simultaneity of decisions on caregiving and living adjustments. METHODS: We used 22,305 observations of 7037 female participants (aged 54–67 years) from a nationwide longitudinal survey in Japan conducted during 2009 and 2013. We considered the occurrence of parents’ need for care (OPNC) as an external event and estimated regression models to explain how it affected the probabilities of the participants becoming caregivers, coresiding with parents, and working outside the home. We further conducted the mediation analysis to examine how the impact of OPNC on participants’ psychological distress measured by Kessler 6 (K6) scores was mediated by caregiving and living adjustments. RESULTS: OPNC made 30.9% and 30.3% of middle-aged women begin informal caregiving for parents and parents-in-law, respectively, whereas the impact on residential arrangement with parents or work status was non-significant or rather limited. OPNC raised middle-aged women’ K6 scores (range: 0–24) by 0.368 (SE: 0.061) and 0.465 (SE: 0.073) for parents and parents-in-law, respectively, and informal caregiving mediated those impacts by 37.7% (95% CI: 15.6–68.2%) and 44.0% (95% CI: 22.2–75.4%), respectively. By contrast, the mediating effect of residential arrangement with parents or work status was non-significant. CONCLUSIONS: Results underscore the fact that OPNC tends to promote middle-aged women to begin informal caregiving and worsen their psychological distress. BioMed Central 2018-04-13 /pmc/articles/PMC5899337/ /pubmed/29653572 http://dx.doi.org/10.1186/s12955-018-0890-2 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Oshio, Takashi
Kan, Mari
Impact of parents’ need for care on middle-aged women’s lifestyle and psychological distress: evidence from a nationwide longitudinal survey in Japan
title Impact of parents’ need for care on middle-aged women’s lifestyle and psychological distress: evidence from a nationwide longitudinal survey in Japan
title_full Impact of parents’ need for care on middle-aged women’s lifestyle and psychological distress: evidence from a nationwide longitudinal survey in Japan
title_fullStr Impact of parents’ need for care on middle-aged women’s lifestyle and psychological distress: evidence from a nationwide longitudinal survey in Japan
title_full_unstemmed Impact of parents’ need for care on middle-aged women’s lifestyle and psychological distress: evidence from a nationwide longitudinal survey in Japan
title_short Impact of parents’ need for care on middle-aged women’s lifestyle and psychological distress: evidence from a nationwide longitudinal survey in Japan
title_sort impact of parents’ need for care on middle-aged women’s lifestyle and psychological distress: evidence from a nationwide longitudinal survey in japan
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5899337/
https://www.ncbi.nlm.nih.gov/pubmed/29653572
http://dx.doi.org/10.1186/s12955-018-0890-2
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