Skip to main content
Top

2018 | OriginalPaper | Chapter

8. The Long Shadow of Caregiving

Author : Li Way Lee

Published in: Behavioral Economics and Bioethics

Publisher: Springer International Publishing

Activate our intelligent search to find suitable subject content or patents.

search-config
loading …

Abstract

Caregiving seems to be a great bargain for old people, not to mention that it is probably a key to the survival of the human species. In this chapter, I visit a population in which young people give care to old people. I note that caregiving has a long shadow: Grow it a bit today, and we won’t walk out of its shadow for a much longer while. For example, a decline of death rate of the old people from 5 to 4% today will result in a rise of the caregiving burden from 0.4 to 0.5 old persons per young person. This climb will take 126 years.

Dont have a licence yet? Then find out more about our products and how to get one now:

Springer Professional "Wirtschaft+Technik"

Online-Abonnement

Mit Springer Professional "Wirtschaft+Technik" erhalten Sie Zugriff auf:

  • über 102.000 Bücher
  • über 537 Zeitschriften

aus folgenden Fachgebieten:

  • Automobil + Motoren
  • Bauwesen + Immobilien
  • Business IT + Informatik
  • Elektrotechnik + Elektronik
  • Energie + Nachhaltigkeit
  • Finance + Banking
  • Management + Führung
  • Marketing + Vertrieb
  • Maschinenbau + Werkstoffe
  • Versicherung + Risiko

Jetzt Wissensvorsprung sichern!

Springer Professional "Wirtschaft"

Online-Abonnement

Mit Springer Professional "Wirtschaft" erhalten Sie Zugriff auf:

  • über 67.000 Bücher
  • über 340 Zeitschriften

aus folgenden Fachgebieten:

  • Bauwesen + Immobilien
  • Business IT + Informatik
  • Finance + Banking
  • Management + Führung
  • Marketing + Vertrieb
  • Versicherung + Risiko




Jetzt Wissensvorsprung sichern!

Appendix
Available only for authorised users
Footnotes
1
Kim and Knight (2008), Christakis and Iwashyna (2003), Ho et al. (2009).
 
2
Burton et al. (2003), Covinsky et al. (2003), Haley et al. (2003), McCusker et al. (2007).
 
3
Hubbell and Hubbell (2002), Vitaliano et al. (2003), Gaugler et al. (2007).
 
4
Lee et al. (2003).
 
5
Schultz and Beach (1999), Christakis and Iwashyna (2003).
 
6
This is to be distinguished from the conventional definition of “intergenerational transmission of health,” which runs one way from parents to children, not from the young to the elderly (Ahlburg 1998).
 
7
I am grateful to Yong-Gook Jung for producing the graphs and for giving me the permission to use them in this chapter. He and I have written a paper that features the same population undergoing both demographic and economic changes (Jung and Lee 2012). The graphs appear in that paper as well.
 
8
The United Nations (2006, Table A.III.3) reports old-age dependency ratios. An old person is defined as anyone 65 years or older. A young person is anyone with age between 15 and 64 years.
 
Literature
go back to reference Ahlburg, Dennis. “Intergenerational Transmission of Health.” American Economic Review, 88 (2), May 1998, pp. 265–270. Ahlburg, Dennis. “Intergenerational Transmission of Health.” American Economic Review, 88 (2), May 1998, pp. 265–270.
go back to reference Burton, Lynda C., Bozena Zdaniuk, Richard Schulz, Sharon Jackson, and Calvin Hirsch. “Transitions in Spousal Caregiving.” The Gerontologist, 43, 2003, pp. 230–240.CrossRef Burton, Lynda C., Bozena Zdaniuk, Richard Schulz, Sharon Jackson, and Calvin Hirsch. “Transitions in Spousal Caregiving.” The Gerontologist, 43, 2003, pp. 230–240.CrossRef
go back to reference Christakis, Nicholas A., and Theodore Iwashyna. “The Health Impact of Health Care on Families: A Matched Cohort Study of Hospice Use by Decedents and Mortality Outcomes in Surviving, Widowed Spouses.” Social Science and Medicine, 57 (3), August 2003, pp. 465–475.CrossRef Christakis, Nicholas A., and Theodore Iwashyna. “The Health Impact of Health Care on Families: A Matched Cohort Study of Hospice Use by Decedents and Mortality Outcomes in Surviving, Widowed Spouses.” Social Science and Medicine, 57 (3), August 2003, pp. 465–475.CrossRef
go back to reference Covinsky, Kenneth E., Robert Newcomer, Patrick Fox, Joan Wood, Laura Sands, Kyle Dane, and Kristine Yaffe. “Patient and Caregiver Characteristics Associated with Depression in Caregivers of Patients with Dementia.” Journal of General Internal Medicine, 18 (12), December 2003, pp. 1006–1014.CrossRef Covinsky, Kenneth E., Robert Newcomer, Patrick Fox, Joan Wood, Laura Sands, Kyle Dane, and Kristine Yaffe. “Patient and Caregiver Characteristics Associated with Depression in Caregivers of Patients with Dementia.” Journal of General Internal Medicine, 18 (12), December 2003, pp. 1006–1014.CrossRef
go back to reference Deaton, Angus. “Global Patterns of Income and Health: Facts, Interpretations, and Policies.” Working Paper no. 12735, National Bureau of Economics Research, December 2006. Deaton, Angus. “Global Patterns of Income and Health: Facts, Interpretations, and Policies.” Working Paper no. 12735, National Bureau of Economics Research, December 2006.
go back to reference Ecob, Russell, and George D. Smith. “Income and Health: What is the Nature of the Relationship?” Social Science and Medicine, 48 (5), March 1999, pp. 693–705.CrossRef Ecob, Russell, and George D. Smith. “Income and Health: What is the Nature of the Relationship?” Social Science and Medicine, 48 (5), March 1999, pp. 693–705.CrossRef
go back to reference Eggleston, Karen N., and Victor R. Fuchs. “The New Demographic Transition: Most Gains in Life Expectancy Now Realized Late in Life.” Journal of Economic Perspectives, 26 (3), Summer 2012, pp. 137–157.CrossRef Eggleston, Karen N., and Victor R. Fuchs. “The New Demographic Transition: Most Gains in Life Expectancy Now Realized Late in Life.” Journal of Economic Perspectives, 26 (3), Summer 2012, pp. 137–157.CrossRef
go back to reference Ettner, Susan. “New Evidence on the Relationship Between Income and Health.” Journal of Health Economics, 15 (1), February 1996, pp. 67–85.CrossRef Ettner, Susan. “New Evidence on the Relationship Between Income and Health.” Journal of Health Economics, 15 (1), February 1996, pp. 67–85.CrossRef
go back to reference Gaugler, Joseph E., Anne M. Pot, and Steven H. Zarit. “Long-Term Adaptation to Institutionalization in Dementia Caregivers.” The Gerontologist, 47 (6), 2007, pp. 730–740.CrossRef Gaugler, Joseph E., Anne M. Pot, and Steven H. Zarit. “Long-Term Adaptation to Institutionalization in Dementia Caregivers.” The Gerontologist, 47 (6), 2007, pp. 730–740.CrossRef
go back to reference Haley, William E., Laurie A. LaMonde, Beth Han, Allison M. Burton, and Ronald Schonwetter. “Predictors of Depression and Life Satisfaction among Spousal Caregivers in Hospice: Application of a Stress Process Model.” Journal of Palliative Medicine, 6 (2), April 2003, pp. 215–224.CrossRef Haley, William E., Laurie A. LaMonde, Beth Han, Allison M. Burton, and Ronald Schonwetter. “Predictors of Depression and Life Satisfaction among Spousal Caregivers in Hospice: Application of a Stress Process Model.” Journal of Palliative Medicine, 6 (2), April 2003, pp. 215–224.CrossRef
go back to reference Ho, Suzanne, Alfred Chan, Jean Woo, Portia Chong, and Aprille Sham. “Impact of Caregiving on Health and Quality of Life: A Comparative Population-Based Study of Caregivers for Elderly Persons and Noncaregivers.” The Journals of Gerontological Series A: Biological Sciences and Medical Sciences, 64A (8), 2009, pp. 873–879.CrossRef Ho, Suzanne, Alfred Chan, Jean Woo, Portia Chong, and Aprille Sham. “Impact of Caregiving on Health and Quality of Life: A Comparative Population-Based Study of Caregivers for Elderly Persons and Noncaregivers.” The Journals of Gerontological Series A: Biological Sciences and Medical Sciences, 64A (8), 2009, pp. 873–879.CrossRef
go back to reference Hubbell, Larry, and Kelly Hubbell. “The Burnout Risk for Male Caregivers in Providing Care to Spouses Affiliated with Alzheimer’s Disease.” Journal of Health Human Service Administration, 25 (1), Summer 2002, pp. 115–132. Hubbell, Larry, and Kelly Hubbell. “The Burnout Risk for Male Caregivers in Providing Care to Spouses Affiliated with Alzheimer’s Disease.” Journal of Health Human Service Administration, 25 (1), Summer 2002, pp. 115–132.
go back to reference Jung, Yong-Gook, and Li Way Lee, “Longevity Transition and Economic Decline.” Draft, December 2012. Jung, Yong-Gook, and Li Way Lee, “Longevity Transition and Economic Decline.” Draft, December 2012.
go back to reference Kim, Jung-Hyun, and Bob G. Knight. “Effects of Caregiver Status, Coping Styles, and Social Support on the Physical Health of Korean American Caregivers.” The Gerontologist, 48, 2008, pp. 287–299.CrossRef Kim, Jung-Hyun, and Bob G. Knight. “Effects of Caregiver Status, Coping Styles, and Social Support on the Physical Health of Korean American Caregivers.” The Gerontologist, 48, 2008, pp. 287–299.CrossRef
go back to reference Lee, Ronald D., and Andrew Mason. “Generational Economics in a Changing World.” Population and Development Review, 37 (s1), 2011, pp. 115–142.CrossRef Lee, Ronald D., and Andrew Mason. “Generational Economics in a Changing World.” Population and Development Review, 37 (s1), 2011, pp. 115–142.CrossRef
go back to reference Lee, Sunmin, Graham A. Colditz, Lisa F. Berkman, and Ichiro Kawachi. “Caregiving and Risk of Coronary Heart Disease in U.S. Women: A Prospective Study.” American Journal of Preventive Medicine, 24 (2), February 2003, pp. 113–119.CrossRef Lee, Sunmin, Graham A. Colditz, Lisa F. Berkman, and Ichiro Kawachi. “Caregiving and Risk of Coronary Heart Disease in U.S. Women: A Prospective Study.” American Journal of Preventive Medicine, 24 (2), February 2003, pp. 113–119.CrossRef
go back to reference Lynch, John, George D. Smith, Sam Harper, Marianne Hillemeir, Nancy Ross, George A. Kaplan, and Michael Wolfson. “Is Income Inequality a Determinant of Population Health? Part 1: A Systematic Review.” Milbank Quarterly, 82 (1), March 2004, pp. 5–99.CrossRef Lynch, John, George D. Smith, Sam Harper, Marianne Hillemeir, Nancy Ross, George A. Kaplan, and Michael Wolfson. “Is Income Inequality a Determinant of Population Health? Part 1: A Systematic Review.” Milbank Quarterly, 82 (1), March 2004, pp. 5–99.CrossRef
go back to reference McCusker, Jane, Eric Latimer, Martin Cole, Antonio Ciampi, and Maida Sewitch. “Major Depression Among Medically Ill Elders Contributes to Sustained Poor Mental Health in Their Informal Caregivers.” Age and Ageing, 36 (4), 2007, pp. 400–406.CrossRef McCusker, Jane, Eric Latimer, Martin Cole, Antonio Ciampi, and Maida Sewitch. “Major Depression Among Medically Ill Elders Contributes to Sustained Poor Mental Health in Their Informal Caregivers.” Age and Ageing, 36 (4), 2007, pp. 400–406.CrossRef
go back to reference Schultz, Richard, and Scott Beach. “Caregiving as a Risk Factor for Mortality.” Journal of the American Medical Association, 282, 1999, pp. 2215–2219.CrossRef Schultz, Richard, and Scott Beach. “Caregiving as a Risk Factor for Mortality.” Journal of the American Medical Association, 282, 1999, pp. 2215–2219.CrossRef
go back to reference United Nations. World Population Ageing 2007. Population Division, 2006. United Nations. World Population Ageing 2007. Population Division, 2006.
go back to reference Vitaliano, Peter P., Jianping Zhang, and James M. Scanlan. “Is Caregiving Hazardous to One’s Physical Health? A Meta-Analysis.” Psychological Bulletin, 129 (6), 2003, pp. 946–972.CrossRef Vitaliano, Peter P., Jianping Zhang, and James M. Scanlan. “Is Caregiving Hazardous to One’s Physical Health? A Meta-Analysis.” Psychological Bulletin, 129 (6), 2003, pp. 946–972.CrossRef
go back to reference Wagstaff, Adam, and Eddy van Doorslaer. “Income Inequality and Health: What Does the Literature Tell Us?” Annual Review of Public Health, 21, 2000, pp. 543–567.CrossRef Wagstaff, Adam, and Eddy van Doorslaer. “Income Inequality and Health: What Does the Literature Tell Us?” Annual Review of Public Health, 21, 2000, pp. 543–567.CrossRef
Metadata
Title
The Long Shadow of Caregiving
Author
Li Way Lee
Copyright Year
2018
DOI
https://doi.org/10.1007/978-3-319-89779-0_8