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Mental health and self-rated health of older carers during the COVID-19 pandemic: evidence from England

Price, Debora; Di Gessa, Giorgio; (2023) Mental health and self-rated health of older carers during the COVID-19 pandemic: evidence from England. Aging & Mental Health pp. 1-9. 10.1080/13607863.2023.2236569. (In press). Green open access

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Abstract

OBJECTIVES: Older carers play a vital role supporting population health and protecting health and social care systems, yet there has been little research on understanding the effect of the pandemic on this group. In this paper, we investigate caring as a factor contributing to mental and self-rated health. METHODS: We investigate cross-sectional and longitudinal associations between provision of family care and mental health and wellbeing using longitudinal data from 5,149 members of the English Longitudinal Study of Ageing who responded to Wave 9 (2018/2019) and two COVID-19 sub-studies (June/July 2020; November/December 2020). We use logistic or linear regression models depending on outcome measures, controlling for pre-pandemic socioeconomic, demographic, and health-related variables. RESULTS: Before the pandemic, 21% of respondents cared for family or friends. Older people caring for someone inside the household mostly continued to provide care during the pandemic, with more than a quarter reporting an increase in the amount of care provided. Co-resident carers were disproportionately female, older, in the lowest wealth quintile, and more likely to report disability and chronic conditions. Both cross-sectional and longitudinal analyses suggest that, compared to those caring for people living outside the household, co-resident carers were significantly more likely to report poorer mental health and self-rated health. CONCLUSION: The health of older carers worsened disproportionately in the first year of the pandemic, a period also characterised by disruptions to support and closure of respite services. Support for carers’ mental and physical health requires greater policy attention, especially in pandemic conditions.

Type: Article
Title: Mental health and self-rated health of older carers during the COVID-19 pandemic: evidence from England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1080/13607863.2023.2236569
Publisher version: https://doi.org/10.1080/13607863.2023.2236569
Language: English
Additional information: © The Authors 2023. Original content in this thesis is licensed under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0) Licence (https://creativecommons.org/licenses/by/4.0/).
Keywords: informal care; depression; anxiety; life satisfaction; quality of life
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health
URI: https://discovery.ucl.ac.uk/id/eprint/10173930
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