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01-08-2017 | Uitgave 3/2018

Quality of Life Research 3/2018

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

Tijdschrift:
Quality of Life Research > Uitgave 3/2018
Auteurs:
Hong Wu, Naiji Lu, Chenguang Wang, Xinming Tu
Belangrijke opmerkingen

Electronic supplementary material

The online version of this article (doi:10.​1007/​s11136-017-1665-7) contains supplementary material, which is available to authorized users.

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.

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Extra materiaal
Supplementary material 1 (DOCX 61 kb)
11136_2017_1665_MOESM1_ESM.docx
Literatuur
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