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Published in: BMC Health Services Research 1/2023

Open Access 01-12-2023 | Mood Disorders | Research

The effect of widowhood on depression of caregivers

Authors: Jiahui Pang, Dachuan Liang, Yuanyang Wu

Published in: BMC Health Services Research | Issue 1/2023

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Abstract

Background

It is known that caregivers are more likely to be depressed compared to those without caregiving burden. The disappearance of caregiving burden after widowhood may alleviate depression, but at the same time the diminishment of marital resources caused by widowhood may exacerbate depression. So, what effect does widowhood have on depression among caregivers?, which was valuable for promoting the mental health of caregivers in the context of China’s aging.

Methods

China Health and Retirement Longitudinal Study (CHARLS), a longitudinal data, was selected and the effect of widowhood on depression among middle-aged and elderly caregivers was explored by using Ordinary Least Squares and Propensity Score Matching methods based on 2018 CHARLS data. The channels and subgroup difference were also analyzed.

Results

Widowhood significantly increased CES-D scores of caregivers, and there were higher CES-D scores among women, the middle-aged, rural residents, and those with higher levels of education. Widowhood increased depression of caregivers through reducing personal economic resources, and increasing possibilities to live with children and participate in social activities.

Conclusions

Caregivers who experienced widowhood tend to be depressed and concerted efforts are needed. On the one hand, more social security measures and economic subsidy policy should focus on the middle-aged adults and elderly who experienced widowhood. On the other one hand, it is helpful to relieve depression by providing more social support from society and families to the middle-aged adults and elderly who experienced widowhood.
Appendix
Available only for authorised users
Footnotes
1
CHARLS database does not contain data from Hainan, Taiwan, Hong Kong, Macao, Ningxia, and Tibet, and this study defines Guangdong, Yunnan, Guangxi, Guizhou, Jiangxi, Fujian, Jiangsu, Anhui, Hunan, Hubei, Sichuan, Chongqing, Shanghai, and Zhejiang regions were defined as the south and assigned a value of 1, and Heilongjiang, Jilin, Liaoning, Inner Mongolia, Beijing, Tianjin, Hebei, Henan, Shandong, Xinjiang Hebei, Henan, Shandong, Xinjiang, Gansu, Qinghai, Shaanxi, and Shanxi regions were defined as the north and assigned a value of 0.
 
2
By the end of 2017, the number of insured people in the national basic medical insurance exceeded 1.3 billion, and the coverage rate of the insured was above 95%. Data source: Zang WB, Chen C and Zhao SY. 2020. Social Health insurance, Heterogeneity of Disease and Medical Expenditures. Economic Research. 55(12):64–79.
 
3
By the end of 2021, the number of insured persons in the national basic pension insurance had reached 1.029 billion. Data source: Ministry of Human Resources and Social Security of the People's Republic of China:Statistical Bulletin on the Development of Human Resources and Social Security for the Year 2021,http://​www.​mohrss.​gov.​cn/​SYrlzyhshbzb/​zwgk/​szrs/​tjgb/​202206/​t20220607_​452104.​html.
 
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Metadata
Title
The effect of widowhood on depression of caregivers
Authors
Jiahui Pang
Dachuan Liang
Yuanyang Wu
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2023
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-023-09746-4

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