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Quality of Life Research
Erschienen in: Quality of Life Research 3/2018

01.08.2017

Causal effects of informal care and health on falls and other accidents among the elderly population in China

verfasst von: Hong Wu, Naiji Lu, Chenguang Wang, Xinming Tu

Erschienen in: Quality of Life Research | Ausgabe 3/2018

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Abstract

Purpose

This article analyzes the causal effects of informal care, mental health, and physical health on falls and other accidents (e.g., traffic accidents) among elderly people. We also examine if there are heterogeneous impacts on elderly of different gender, urban status, and past accident history.

Methods

To purge potential reversal causal effects, e.g., past accidents induce more future informal care, we use two-stage least squares to identify the impacts. We use longitudinal data from a representative national China Health and Retirement Longitudinal Study of people aged 45 and older in China. A total of 3935 respondents with two-wave data are included in our study. Each respondent is interviewed to measure health status and report their accident history. Mental health is assessed using CES-D questions.

Results

Our findings indicate that while informal care decreased the occurrence of accidents, poor health conditions increase the occurrence of accidents. We also find heterogeneous impacts on the occurrence of accidents, varying by gender, urban status, and past accident history.

Conclusions

Our findings suggest the following three policy implications. First, policy makers who aim to decrease accidents should take informal care of elders into account. Second, ease of birth policy and postponed retirement policy are urgently needed to meet the demands of informal care. Third, medical policies should attach great importance not only to physical health but also mental health of elderly parents especially for older people with accident history.
Vorheriger Artikel Prospective associations of social isolation and loneliness with poor sleep quality in older adults
Nächster Artikel Quality of life after hip, vertebral, and distal forearm fragility fractures measured using the EQ-5D-3L, EQ-VAS, and time-trade-off: results from the ICUROS

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Fußnoten
1
We have also conducted the same analysis on people who are 65+ and 80+, and our conclusion remains. Detailed estimation results are provided as supplementary materials.
 
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Metadaten
Titel
Causal effects of informal care and health on falls and other accidents among the elderly population in China
verfasst von
Hong Wu
Naiji Lu
Chenguang Wang
Xinming Tu
Publikationsdatum
01.08.2017
Verlag
Springer International Publishing
Erschienen in
Quality of Life Research / Ausgabe 3/2018
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-017-1665-7

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