The “Costs” of Informal Care: An Analysis of the Impact of Elderly Care on Caregivers' Subjective Well-being in Japan

Niimi, Yoko (2015): The “Costs” of Informal Care: An Analysis of the Impact of Elderly Care on Caregivers' Subjective Well-being in Japan.

Abstract

This paper examines the impact of providing informal care to elderly parents on caregivers’ subjective well-being using unique data from the “Preference Parameters Study” of Osaka University, a nationally representative survey conducted in Japan. The estimation results indicate heterogeneous effects: while informal elderly care does not have a significant impact on the happiness level of married caregivers regardless of whether they take care of their own parents or parents-in law and whether or not they reside with them, it has a negative and significant impact on the happiness level of unmarried caregivers. These findings call for more attention to be paid to unmarried caregivers, who presumably receive less support from family members and tend to be more vulnerable to negative income shocks than their married counterparts.

• Item Type: MPRA Paper
• Language: English
• Keywords: Aging; Caregiving; Elderly Care; Happiness; Informal Care; Japan; Long-term Care Insurance; Parental Care; Subjective Well-being
• Subjects: D - Microeconomics > D1 - Household Behavior and Family Economics > D10 - General; I - Health, Education, and Welfare > I1 - Health > I18 - Government Policy ; Regulation ; Public Health; I - Health, Education, and Welfare > I3 - Welfare, Well-Being, and Poverty > I31 - General Welfare, Well-Being; J - Labor and Demographic Economics > J1 - Demographic Economics > J14 - Economics of the Elderly ; Economics of the Handicapped ; Non-Labor Market Discrimination

References

Adams, R., H. Almeida and D. Ferreira (2009), “Understanding the Relationship between Founder-CEOs and Firm Performance,” Journal of Empirical Finance, 16(1), pp. 135-150.

Bauer, J. M. and A. Spousa-Poza (2015), “Impacts of Informal Caregiving on Caregiver Employment, Health, and Family,” Journal of Populating Ageing, 8(3), pp. 113-145.

Bernheim, B. D., A. Shleifer and L. H. Summers (1985), “The Strategic Bequest Motive,” Journal of Political Economy, 93(6), pp. 1045-76.

Bobinac, A., N. J. A. van Exel, F. F. H. Rutten and W. B. F. Brouwer (2010), “Caring for and Caring About: Disentangling the Caregiver Effect and the Family Effect,” Journal of Health Economics, 29(4), pp. 549-556.

Bolin, K., B. Lindgren and P. Lundborg (2008), “Informal and Formal Care among Single-living Elderly in Europe,” Health Economics, 17(3), pp. 393-409.

Bonsang, E. (2009), “Does Informal Care from Children to Their Elderly Parents Substitute for Formal Care in Europe?” Journal of Health Economics, 28(1), pp. 143-154.

Clark, A. E., P. Frijters and M. Shields (2008), “Relative Income, Happiness, and Utility: An Explanation for the Easterlin Paradox and Other Puzzles,” Journal of Economic Literature, 46(1), pp. 96-144.

Campbell, J. C., N. Ikegami and M. J. Gibson (2010), “Lessons from Public Long-Term Care Insurance in Germany and Japan,” Health Affairs, 29(1), pp. 87-95.

Charles, K. K. and P. Sevak (2005), “Can Family Caregiving Substitute for Nursing Home Care,” Journal of Health Economics, 24(6), pp. 1174-1190.

Coe, N. B. and C. H. Van Houtven (2009), “Caring for Mom and Neglecting Yourself? The Health Effects of Caring for an Elderly Parent,” Health Economics, 18(9), pp. 991-1010.

Do, Y. K., E. C. Norton, S. C. Stearns and C. H. Van Houtven (2015), “Informal Care and Caregiver’s Health,” Health Economics, 24(2), pp. 224-237.

Ferrer-i-Carbonell, A. and P. Frijters (2004), “How Important is Methodology for the Estimates of the Determinants of Happiness?” Economic Journal, 114(497), pp. 641-659.

Frey, B. S. and A. Stutzer (2002), “What Can Economists Lean from Happiness Research?” Journal of Economic Literature, 40(2), pp. 402-435.

Frey, B. S. and A. Stutzer (2000), “Happiness, Economy and Institutions,” Economic Journal, 110(466), pp. 918-938.

Ganong, L. and M. Coleman (2005), “Measuring Intergenerational Obligations,” Journal of Marriage and Family, 67(4), pp. 1003-1011.

Gans, D. and M. Silverstein (2006), “Norms of Filial Responsibility for Aging Parents Across Time and Generations,” Journal of Marriage and Family, 68(4), pp.961-976.

Hanaoka, C. and E. Norton (2008), “Informal and Formal Care for Elderly Persons: How Adult Children’s Characteristics Affect the Use of Formal Care in Japan,” Social Science and Medicine, 67(6), pp. 1002-1008.

Hansen, T., B. Slagsvold and R. Ingebretsen (2013), “The Strains and Gains of Caregiving: An Examination of the Effects of Providing Personal Care to a Parent on a Range of Indicators of Psychological Well-being,” Social Indicators Research, 114(2), pp. 323-343.

Horioka, C. Y. (2014), “Are Americans and Indians More Altruistic than the Japanese and Chinese? Evidence from a New International Survey of Bequest Plans,” Review of Economics of the Household, 23(3), pp. 411-437.

Kan, M. and S. Kajitani (2014), “The Impact of Public Long-term Care Insurance on Time Spent on Informal Care among At-home Caregivers: Findings from Japanese Micro Data,” (in Japanese), The Economic Review, 65(4), pp. 345-361.

Kumamoto, K., Y. Arai and S. H. Zarit (2006), “Use of Home Care Services Effectively Reduces Feelings of Burden among Family Caregivers of Disabled Elderly in Japan: Preliminary Results,” International Journal of Geriatric Psychiatry, 21(2), pp. 163-170.

Kurasawa, S., K. Yoshimasu, M. Washio, J. Fukumoto, S. Takemura, K. Yokoi, Y. Arai and K. Miyashita (2012), “Factors Influencing Caregivers’ Burden among Family Caregivers and Institutionalization of In-home Elderly People Cared for by Family Caregivers,” Environmental Health and Preventive Medicine, 17(6), pp. 474-483.

Layard, R. (2005), Happiness: Lessons from a New Science. London: Penguin Books.

Leigh, A. (2010), “Informal Care and Labor Market Participation,” Labour Economics, 17(1), pp. 140-149.

Long, S. O., R. Campbell and C. Nishimura (2009), “Does It Matter Who Cares? A Comparison of Daughters versus Daughters-in-Law in Japanese Elder Care,” Social Science Japan Journal, 12(1), pp. 1-21.

Nakamura, J. and S. Sugawara (2014), “A Fallacy of a Decreasing Rate of Parents-Children Coresidence: Increase of Childless Elders and Their Long-term Care in Japan,” (in Japanese), CIRJE Discussion Paper J-Series, No. 265, Center for International Research on Japanese Economy, Faculty of Economics, University of Tokyo.

National Institute of Population and Social Security Research (2012), Population Projections for Japan (January 2012): 2011 to 2060, available online (http://www.ipss.go.jp/site-ad/index_english/esuikei/gh2401e.asp, accessed on September 18, 2015).

Niimi, Y. (2015), “Can Happiness Provide New Insights into Social Inequality? Evidence from Japan,” MPRA Paper, No. 64720, Munich Personal RePEc Archive.

Ohtake, F. (2012), Unemployment and happiness. Japan Labor Review, 9(2), pp. 59-74.

Organisation for Economic Co-operation and Development (OECD) (2013), Health at a Glance 2013: OECD Indicators, Paris: OECD.

Oshio, T. (2014), “The Association between Involvement in Family Caregiving and Mental Health among Middle-aged Adults in Japan,” Social Science and Medicine, 115, pp. 121-129.

Oshio, T. (2015), “How is an Informal Caregiver’s Psychological Distress Associated with Prolonged Caregiving? Evidence from a Six-wave Panel Survey in Japan,” Quality of Life Research, 24(12), pp. 2907-2915.

Sakai, T. and K. Sato (2007), “Kaigo ga Koreish no Shugyo/Taishoku Kettei ni Oyobosu Eikyo (in Japanese) (The Impact of Caregiving on the Employment and Retirement Decisions of the Aged),” JCER Economic Journal, 56, Japan Center for Economic Research.

Shimizutani, S., W. Suzuki and H. Noguchi (2008), “The Socialization of At-home Elderly Care and Female Labor Market Participation: Micro-level Evidence from Japan,” Japan and the World Economy, 20(1), pp. 82-96.

Stiglitz, J. E., A. Sen and J. Fitoussi (2009), Report by the Commission on the Measurement of Economic Performance and Social Progress, available online (http://www.stiglitz-sen-fitoussi.fr/en/index.htm, accessed on January 27, 2015).

Stock, J. H. and M. Yogo (2005), “Testing for Weak Instruments in Linear IV Regression,” in Andrews, D. W. K and J. H. Stock (eds) Identification and Inference for Econometric Models: Essays in Honor of Thomas Rothenberg, New York: Cambridge University Press.

Sugawara, S. and J. Nakamura (2014), “Can Formal Elderly Care Stimulate Female Labor? The Japanese Experience,” Journal of the Japanese and International Economies, 34, pp. 98-115.

Sugihara, Y., H. Sugisawa, Y. Nakatani and G. W. Hougham (2004), “Longitudinal Changes in the Well-being of Japanese Caregivers: Variations Across Kin Relationships,” Journal of Gerontology: Psychological Sciences, 59B(4), pp. 177-184.

Tsutsui, T. and N. Muramatsu (2005), “Care-Needs Certification in the Long-Term Care Insurance System in Japan,” Journal of American Geriatrics Society, 53(3), pp. 522-527.

Tsutsui, T. and N. Muramatsu (2007), “Japan’s Universal Long-Term Care System Reform of 2005: Containing Costs and Realizing a Vision,” Journal of American Geriatrics Society, 55(9), pp. 1458-1463.

Tsutsui, T., N. Muramatsu and S. Higashino (2014), “Changes in Perceived Filial Obligation Norms among Coresident Family Caregivers in Japan,” The Gerontologist, 54(5), pp. 797-807.

Tsutsui, Y., F. Ohtake and S. Ikeda (2009), “The Reason Why You Are Unhappy,” Osaka Daigaku Keizaigaku (Osaka Economic Papers), 58(4), pp. 20-57 (in Japanese).

Van den Berg, B. and A. Ferrer-i-Carbonell (2010), “Monetary Valuation of Informal Care: The Well-being Valuation Method,” Health Economics, 16(11), pp. 1227-1244.

Van den Berg, B., D. G. Fiebig and J. Hall (2014), “Well-being Losses due to Care-giving,” Journal of Health Economics, 35, pp. 123-131.

Van Houtven, C. H. and E. C. Norton (2004), “Informal Care and Health Care Use of Older Adults,” Journal of Health Economics, 23(6), pp.1159-1180.

Van Houtven, C. H. and E. C. Norton (2008), “Informal Care and Medicare Expenditures: Testing for Heterogeneous Treatment Effects,” Journal of Health Economics, 27(1), pp. 134-156.

Van Houtven, C. H., M. R. Wilson and E. C. Clipp (2005), “Informal Care Intensity and Caregiver Drug Utilization,” Review of Economics of the Household, 3(4), pp. 415-433.

Van Praag, B. M. S. (1991), “Ordinal and Cardinal Utility: An Integration of the Two Dimensions of the Welfare Concept,” Journal of Econometrics, 50(1-2), pp. 69-89.

Wooldridge, J. M. (2002), Econometric Analysis of Cross Section and Panel Data. Cambridge: The MIT Press.

Yamane, C., S. Yamane and Y. Tsutsui (2008), “Koufukudo de Hakatta Chiikikan Kakusa (in Japanese) (Regional Disparities as Measured by Happiness),” Koudou Keizaigaku (Journal of Behavioral Economics and Finance), 1(1), pp. 1-26.