New Evidence on Employment Effects of Informal Care Provision in Europe

Health Serv Res. 2018 Aug;53(4):2027-2046. doi: 10.1111/1475-6773.12840. Epub 2018 Feb 22.

Abstract

Objective: To estimate how labor force participation is affected when adult children provide informal care to their parents.

Data source: Survey of Health, Ageing and Retirement in Europe from 2004 to 2013.

Study design: To offset the problem of endogeneity, we exploit the availability of other potential caregivers within the family as predictors of the probability to provide care for a dependent parent. Contrary to most previous studies, the dataset covers the whole working-age population in the majority of European countries. Individuals explicitly had to opt for or against the provision of care to their care-dependent parents, which allows us to more precisely estimate the effect of caregiving on labor force participation.

Principal findings: Results reveal a negative causal effect that indicates that informal care provision reduces labor force participation by 14.0 percentage points (95 percent CI: -0.307, 0.026). Point estimates suggest that the effect is larger for men; however, this gender difference is not significantly different from zero at conventional levels.

Conclusions: Results apply to individuals whose consideration in long-term care policy is highly relevant, that is, children whose willingness to provide informal care to their parents is altered by available alternatives of family caregivers.

Keywords: Health economics; instrumental variables; labor economics; long term care, home care.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Caregivers / statistics & numerical data*
  • Employment / statistics & numerical data*
  • Employment / trends
  • Europe
  • Home Care Services
  • Humans
  • Middle Aged
  • Models, Economic
  • Patient Care*
  • Surveys and Questionnaires