Inequalities in unpaid carer's health, employment status and social isolation

Health Soc Care Community. 2022 Nov;30(6):e6564-e6576. doi: 10.1111/hsc.14104. Epub 2022 Nov 12.

Abstract

Providing higher-intensity unpaid care (higher care hours or care within the household) is associated with negative impacts on people's paid employment, mental health and well-being. The evidence of effects on physical health is mixed and carer's social and financial outcomes have been under-researched. The biggest evidence gap, however, is on how outcomes vary by factors other than type or level of care provision, in particular socio-demographic factors. Our study used two waves of data (2017/19 and 2018/2020) from the United Kingdom Household Longitudinal Study for people aged 16 and older. We investigated the effects of providing care for 10 or more hours a week or within the household in interaction with people's socio-demographic characteristics. Outcomes included mental and physical health, social isolation, employment status and earnings. We found that caring responsibilities interacted with gender, ethnicity, socio-economic status (as measured by highest educational qualification), or age to affect carers differentially in a number of areas of their lives leading to, and exacerbating, key disadvantages and inequalities.

Keywords: employment and earnings; health; inequalities; social isolation; unpaid/informal care.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Caregivers* / psychology
  • Employment*
  • Health Status
  • Humans
  • Income
  • Longitudinal Studies
  • Social Isolation