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Family transfers and long-term care: An analysis of the WHO Study on global AGEing and adult health (SAGE)

BACKGROUND: Populations globally are ageing, resulting in increased need for long-term care. Where social welfare systems are insufficient, these costs may fall to other family members. We set out to estimate the association between long-term care needs and family transfers in selected low- and midd...

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Autores principales: Murphy, Adrianna, Kowal, Paul, Albertini, Marco, Rechel, Bernd, Chatterji, Somnath, Hanson, Kara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier B.V 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6282503/
https://www.ncbi.nlm.nih.gov/pubmed/30555777
http://dx.doi.org/10.1016/j.jeoa.2017.08.003
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author Murphy, Adrianna
Kowal, Paul
Albertini, Marco
Rechel, Bernd
Chatterji, Somnath
Hanson, Kara
author_facet Murphy, Adrianna
Kowal, Paul
Albertini, Marco
Rechel, Bernd
Chatterji, Somnath
Hanson, Kara
author_sort Murphy, Adrianna
collection PubMed
description BACKGROUND: Populations globally are ageing, resulting in increased need for long-term care. Where social welfare systems are insufficient, these costs may fall to other family members. We set out to estimate the association between long-term care needs and family transfers in selected low- and middle- income countries. METHODS: We used data from the World Health Organization’s Study on global AGEing and adult health (SAGE). Using regression, we analysed the relationship between long-term care needs in older households and i) odds of receiving net positive transfers from family outside the household and ii) the amount of transfer received, controlling for relevant socio-demographic characteristics. RESULTS: The proportion of household members requiring long-term care was significantly associated with receiving net positive transfers in China (OR: 1.76; p = 0.023), Ghana (OR: 2.79; p = 0.073), Russia (OR: 3.50; p < 0.001). There was a statistically significant association with amount of transfer received only in Mexico (B: 541.62; p = 0.010). CONCLUSION: In selected LMICs, receiving family transfers is common among older households, and associated with requiring long-term care. Further research is needed to better understand drivers of observed associations and identify ways in which financial protection of older adults’ long-term care needs can be improved.
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spelling pubmed-62825032018-12-13 Family transfers and long-term care: An analysis of the WHO Study on global AGEing and adult health (SAGE) Murphy, Adrianna Kowal, Paul Albertini, Marco Rechel, Bernd Chatterji, Somnath Hanson, Kara J Econ Ageing Article BACKGROUND: Populations globally are ageing, resulting in increased need for long-term care. Where social welfare systems are insufficient, these costs may fall to other family members. We set out to estimate the association between long-term care needs and family transfers in selected low- and middle- income countries. METHODS: We used data from the World Health Organization’s Study on global AGEing and adult health (SAGE). Using regression, we analysed the relationship between long-term care needs in older households and i) odds of receiving net positive transfers from family outside the household and ii) the amount of transfer received, controlling for relevant socio-demographic characteristics. RESULTS: The proportion of household members requiring long-term care was significantly associated with receiving net positive transfers in China (OR: 1.76; p = 0.023), Ghana (OR: 2.79; p = 0.073), Russia (OR: 3.50; p < 0.001). There was a statistically significant association with amount of transfer received only in Mexico (B: 541.62; p = 0.010). CONCLUSION: In selected LMICs, receiving family transfers is common among older households, and associated with requiring long-term care. Further research is needed to better understand drivers of observed associations and identify ways in which financial protection of older adults’ long-term care needs can be improved. Elsevier B.V 2018-11 /pmc/articles/PMC6282503/ /pubmed/30555777 http://dx.doi.org/10.1016/j.jeoa.2017.08.003 Text en © 2017 The Authors http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Murphy, Adrianna
Kowal, Paul
Albertini, Marco
Rechel, Bernd
Chatterji, Somnath
Hanson, Kara
Family transfers and long-term care: An analysis of the WHO Study on global AGEing and adult health (SAGE)
title Family transfers and long-term care: An analysis of the WHO Study on global AGEing and adult health (SAGE)
title_full Family transfers and long-term care: An analysis of the WHO Study on global AGEing and adult health (SAGE)
title_fullStr Family transfers and long-term care: An analysis of the WHO Study on global AGEing and adult health (SAGE)
title_full_unstemmed Family transfers and long-term care: An analysis of the WHO Study on global AGEing and adult health (SAGE)
title_short Family transfers and long-term care: An analysis of the WHO Study on global AGEing and adult health (SAGE)
title_sort family transfers and long-term care: an analysis of the who study on global ageing and adult health (sage)
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6282503/
https://www.ncbi.nlm.nih.gov/pubmed/30555777
http://dx.doi.org/10.1016/j.jeoa.2017.08.003
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