Health of migrant care-givers across Europe: what is the role of origin and welfare state context?

2018 ◽  
Vol 40 (5) ◽  
pp. 1084-1105
Author(s):  
Judith Kaschowitz
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Informal Care ◽  
Welfare States ◽  
Care Givers ◽  
Care Giving ◽  
Outcomes Of Care ◽  
Dependency Care ◽  
Relationship Of ◽  
The Relationship

AbstractAcross Europe a rising number of migrants are reaching higher ages. As old age is related to care dependency, care-giving within migrant families is becoming more important. To date, little research has focused on health outcomes for migrant care-givers. Theories and empirical evidence suggest differences in the relationship of care-giving and health between migrants and non-migrants due to differences in support, income, norms and values. Furthermore, across Europe the degree of formal care supply and the obligation to provide informal care vary considerably and presumably lead to different health outcomes of care-giving in different countries. Based on data from the Survey of Health, Ageing and Retirement in Europe (Waves 1, 2, 4, 5 and 6) and the English Longitudinal Study of Ageing (Waves 2–6), this paper studies the relationship between informal care-giving inside the household and health for migrant and non-migrant care-givers across Europe and analyses changes in health. In most countries migrant care-givers are in worse self-perceived and mental health compared to non-migrant care-givers. When controlling for important influences no differences in the relationship between health and care-giving for migrants and non-migrants can be found. Moreover, care-giving deteriorates mental health irrespective of origin. The country models showed that for non-migrants care-giving is most detrimental in Southern welfare states whereas for migrants care-giving is also burdening in Nordic welfare states.

scholarly journals The Association Between Patient Satisfaction and Patient-Reported Health Outcomes

2018 ◽  
Vol 6 (3) ◽  
pp. 201-209 ◽  
Author(s):  
Qinyu Chen ◽  
Eliza W Beal ◽  
Victor Okunrintemi ◽  
Emily Cerier ◽  
Anghela Paredes ◽  
...  
Keyword(s):  
Mental Health ◽  
Patient Satisfaction ◽  
Health Outcomes ◽  
Medical Expenditure Panel Survey ◽  
Emergency Department Visits ◽  
Medical Expenditure ◽  
Health Score ◽  
Patient Reported ◽  
Relationship Of ◽  
The Relationship

Objective: Although patient satisfaction is increasingly used to rate hospitals, it is unclear how patient satisfaction is associated with health outcomes. We sought to define the relationship of self-reported patient satisfaction and health outcomes. Design: Retrospective cross-sectional analysis using regression analyses and generalized linear modeling. Setting: Utilizing the Medical Expenditure Panel Survey Database (2010-2014), patients who had responses to survey questions related to satisfaction were identified. Participants: Among the 9166 patients, representing 106 million patients, satisfaction was rated as optimal (28.2%), average (61.1%), and poor (10.7%). Main Outcome Measures: We sought to define the relationship of self-reported patient satisfaction and health outcomes. Results: Patients who were younger, male, black/African American, with Medicaid insurance, as well as patients with lower socioeconomic status were more likely to report poor satisfaction (all P < .001). In the adjusted model, physical health score was not associated with an increased odds of poor satisfaction (1.42 95% confidence interval [CI]: 0.88-2.28); however, patients with a poor mental health score or ≥2 emergency department visits were more likely to report poor overall satisfaction (3.91, 95% CI: 2.34-6.5; 2.24, 95% CI: 1.48-3.38, respectively). Conclusion: Poor satisfaction was associated with certain unmodifiable patient-level characteristics, as well as mental health scores. These data suggest that patient satisfaction is a complex metric that can be affected by more than provider performance.

scholarly journals Multiple engagement: the relationship between informal care-giving and formal volunteering among Europe's 50+ population

2019 ◽  
pp. 1-25
Author(s):  
Susanne Strauss
Keyword(s):  
Informal Care ◽  
Unobserved Heterogeneity ◽  
Logistic Regression Models ◽  
Formal Volunteering ◽  
Care Givers ◽  
Care Giving ◽  
Negative Effect ◽  
Private And Public ◽  
Women's Role ◽  
The Relationship

Abstract The article investigates the conditions of multiple engagement in the private and public realm in the second half of life. More specifically, I look at the relationship between informal care-giving and formal volunteering in a country-comparative way. Based on longitudinal data from the Survey of Health, Ageing and Retirement, 2004–2015, I investigate the 50+ population in 13 European countries. Controlling for unobserved heterogeneity by using conditional fixed-effect logistic regression models, I confirm earlier findings that care-givers are more likely to volunteer than non-care-givers; this effect is independent of care-giving intensity but only true for those who care outside their own household. As to macro-level influences, I find that both care-in-kind and cash-for-care expenditures increase the likelihood of volunteering among the 50+ population. The effect of cash-for-care expenditure is even stronger for the group of those who give intensive care outside their own households than for non-care-givers. Moreover, I find effects related to family's and women's role in society. First, I show a negative effect of a country's societal norm of family orientation on volunteering participation for those giving sporadic care outside their household but also among non-care-givers. Second, in countries with higher female labour market participation among the middle-aged, the volunteering likelihood is higher for sporadic female care-givers outside their own household but also among female non-care-givers.

Mental Health and Women's Multiple Roles

1992 ◽  
Vol 73 (3) ◽  
pp. 131-141 ◽  
Author(s):  
Lisa Drago Piechowski
Keyword(s):  
Mental Health ◽  
Clinical Practice ◽  
Health Outcomes ◽  
Conceptual Framework ◽  
Multiple Roles ◽  
Mental Health Outcomes ◽  
Empirical Literature ◽  
Future Research ◽  
Relationship Of ◽  
The Relationship

The author reviews the empirical literature concerning the relationship of women's multiple roles to mental health. A conceptual framework is proposed postulating that negative mental health outcomes may result from high levels of stress and demands across roles and a low level of agency or control over those demands. Suggestions for future research within this model as well as implications for clinical practice are presented.

Relationship Between Different Types of Violence and Mental Health in High School Students From Northern Mexico

2021 ◽  
pp. 088626052110219
Author(s):  
Oscar Armando Esparza-Del Villar ◽  
Sarah Margarita Chavez-Valdez ◽  
Priscila Montañez-Alvarado ◽  
Marisela Gutiérrez-Vega ◽  
Teresa Gutiérrez-Rosado
Keyword(s):  
Mental Health ◽  
High School ◽  
High School Students ◽  
Partner Violence ◽  
Health Indicators ◽  
School Students ◽  
Social Violence ◽  
Different Types ◽  
Relationship Of ◽  
The Relationship

Different types of violence have been present in Mexico but there have been few studies that have analyzed their relationship with mental health in adolescents, especially in cities with high rates of social violence. It is important to compare different violence types and their relationship with mental health since not all relationships are the same. It appears that social violence has a stronger relationship with mental health, and for this reason it receives more attention, but other types of violence have a stronger relationship and do not receive as much attention. Chihuahua has been one of the most violent states in Mexico, and Juarez has been the most violent city in the world in 2009 and 2010. The purpose of the study is to compare the relationship of different types of violence (social, cyberbullying, partner violence, and child abuse and neglect) with mental health indicators (depression, anxiety, stress, self-esteem, and paranoid thoughts). There were 526 high school students, from the cities of Juarez ( n = 282) and Chihuahua ( n = 244). The mean age was 16.5 ( SD = 1.4) years and 50.6% reported being males. The relationships among the variables were analyzed using Pearson’s correlations and multiple linear regressions. Both cities that have experienced social violence like carjacking, kidnapping, and sexual assault, but they have very small or no relationships with mental health indicators. Other types of violence have stronger correlations. Our findings suggest that interventions should not focus only in preventing and dealing with social violence, but that other types of violence must also be addressed in adolescents.

scholarly journals Understanding the occupational identity of care-givers for people with mental health problems

2021 ◽  
pp. 030802262110181
Author(s):  
Megan L Howes ◽  
Diane Ellison
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Occupational Therapists ◽  
Occupational Identity ◽  
Care Giver ◽  
Care Givers ◽  
Care Giving ◽  
Occupational Participation

Introduction There is recognition within the literature that the role of care-giving can have a negative impact on care-givers’ general well-being. Less is understood about the role of care-giving on an individual’s occupational participation and in turn occupational identity. Occupational therapists have a unique understanding of the interplay between occupational participation and health, though this is an area that has been under researched in relation to mental health care-givers. Therefore, the current research aims to understand how the role of care-giving for an individual with a mental illness impacts on occupational participation and identity. Method A qualitative semi-structured interview the Occupational Performance and History Interview–Version 2 was utilised to understand life experiences. Six mental health care-givers were interviewed, and these interviews were transcribed for thematic analysis. Findings Three main themes were identified: being me, roles and responsibilities associated with care-giving and services. Conclusion The findings suggest being a mental health care-giver does have a detrimental impact on occupational participation and therefore occupational identity. As care-givers gained more experience in their role, they used occupational adaption as a positive coping mechanism that helped them achieve occupational balance. Using their unique understanding of occupational participation and occupational identity, occupational therapists are well placed to utilise their knowledge and skills to work in a systemic way supporting both the person with mental illness and their care-giver.

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