Abstract
The evidence base on the causal relation between informal care and susbjective well-being is scarce and often methodologically limited. Most research to date, using simple cross-sectional estimations or fixed-effect models, fails to consider reverse causality and unobserved heterogeneity and, thus provides biased estimates. Using panel data from the Longitudinal Internet Studies for the Social Sciences for the Netherlands over the period 2009–2018, this paper investigates the causal relationship between the informal care provision and caregivers’ life satisfaction and compares Ordinary Least Square (OLS) with Arellano-Bond system Generalized-Method-of-Moments estimates. When controlling for endogeneity biases, namely unobserved heterogeneity, reverse causality and dynamic endogeneity, the caregiving effect increases by almost 300%, highlighting that OLS with fixed-effects produces a downward biased estimation. Overall, providing care has a negative effect on life satisfaction with female caregivers being the most impacted, especially when providing housekeeping and personal support to their partners.
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Notes
Kristoffersen (2017, p. 846) referred to Ferrer-i Carbonell & Frijters (2004) and mentioned that « the assumption of cardinal comparability is often justified largely on the basis of statistical requirements, (…), rather than on reason». Thus, he followed the principle of simultaneous conjoint measurement to observe the response function's shape for subjective well-being indirectly. Using 11 waves from the HILDA survey, the author evaluated the association between life satisfaction and mental health (MH5). The results provide reasonable arguments in favour of ordinal and cardinal comparability.
Due to data limitations, we do not observe the health of the care recipient.
There are two GMM estimators. Firstly, the difference GMM, implemented by Arellano & Bond (1991), estimated one single difference equation where variables were first differentiated and instrumented by lagged variables. Secondly Arellano & Bover (1995) and Blundell & Bond (1998) developed a system GMM model in order to improve the efficiency of Arellano & Bond (1991)’s model, as lagged values were sometimes poor instruments for first differences. In this model the level equation was added to the difference equation, thus leading to additional instruments. Blundell et al. (2001) suggested a second rule-of-thumb to compare difference GMM with system GMM model efficiency. Following these authors, the autoregressive model should be initially estimated using pooled OLS and OLS with fixed-effect estimators. The pooled OLS estimate of the lagged outcome parameter should be considered as an upper-bound estimate while the one of the OLS with fixed-effects is the lower-bound estimate. A difference GMM estimate close or below the fixed-effect estimate suggests a downward bias and points to the use of the system GMM estimator (see Table B1, in Appendix for detailed results). According to Arellano & Bover (1995), the two-step GMM model provides more efficient and consistent estimates in the case of panel data than the one-step GMM model.
Standardized differences between raw and matched data are presented in Annexe D.
Full estimates are given in Appendix, see Table 23.
References
Abadie, A., & Imbens, G. W. (2006). Large sample properties of matching estimators for average treatment effects. Econometrica, 74, 235–267. https://doi.org/10.1111/j.1468−0262.2006.00655.x
Abadie, A., & Imbens, G. W. (2011). Bias-corrected matching estimators for average treatment effects. Journal of Business and Economic Statistics, 29, 1–11. https://doi.org/10.1198/jbes.2009.07333
Arampatzi, E., Burger, M., & Novik, N. (2018). Social network sites, individual social capital and happiness. Journal of Happiness Studies, 19(1), 99–122. https://doi.org/10.1007/s10902−016-9808-z
Arellano, M., & Bond, S. (1991). Some tests of specification for panel data: Monte Carlo evidence and an application to employment equations. Review of Economic Studies, 58(2), 277–297. https://doi.org/10.2307/2297968
Arellano, M., & Bover, O. (1995). Another look at the instrumental variable estimation of error components models. Journal of Econometrics, 68(1), 29–51. https://doi.org/10.1016/0304-4076(94)01642-D
Ashworth, M., & Baker, H. (2000). Time and space: Carers’ views about respite care. Health and Social Care in the Community, 8, 50–56. https://doi.org/10.1046/j.1365-2524.2000.00221.x
Barnay, T., & Juin, S. (2016). Does home care for dependent elderly people improve their mental health? Journal of Health Economics, 45, 149–160. https://doi.org/10.1016/j.jhealeco.2015.10.008
Bauer, J., & Sousa-Poza, A. (2015). Impacts of informal caregiving on caregiver employment, health, and family. Journal of Population Ageing, 8(3), 113–145. https://doi.org/10.1007/s12062−015-9116−0
Becker, S., & Ichino, A. (2002). Estimation of average treatment effects based on propensity scores. The Stata Journal, 2(4), 358–377. https://doi.org/10.1177/1536867X0200200403
Binder, M., & Coad, A. (2013). Life satisfaction and self-employment: A matching approach. Small Business Economics, 40(4), 1009–1033.
Blundell, R., & Bond, S. (1998). Initial conditions and moment restrictions in dynamic panel data models. Journal of Econometrics, 87(1), 115–143. https://doi.org/10.1007/s11187−011-9413-9
Blundell, R., Bond, S. & Windmeijer, F. (2001), Estimation in dynamic panel data models: Improving on the performance of the standard GMM estimator. Baltagi, B.H., Fomby, T.B. and Carter Hill, R. (Ed.) Nonstationary Panels, Panel Cointegration, and Dynamic Panels (Advances in Econometrics, Vol. 15), Emerald Group Publishing Limited, Bingley, pp. 53–91. https://doi.org/10.1016/S0731-9053(00)15003−0.
Bobinac, A., Van Exel, N., Rutten, F., & Brouwer, W. (2010). Caring for and caring about: Disentangling the caregiver effect and the family effect. Journal of Health Economics, 29(4), 549–556. https://doi.org/10.1016/j.jhealeco.2010.05.003
Bom, J., Bakx, P., Schut, F., & Van Doorslaer, E. (2019). Health effects of caring for and about parents and spouses. The Journal of the Economics of Ageing, 14, 100196. https://doi.org/10.1016/j.jeoa.2019.100196
Bom, J., Bakx, P., Schut, E., & Van Doorslaer, E. (2019b). The impact of informal caregiving for older adults on the health of various types of caregivers. The Gerontologist, 59(5), e629–e642. https://doi.org/10.1093/geront/gny137
Bom, J., & Stöckel, J. (2021). Is the grass greener on the other side? The health impact of providing informal care in the UK and the Netherlands. Social Science & Medicine, 269, 113562. https://doi.org/10.1016/j.socscimed.2020.113562
Bonsang, E. (2009). does informal care from children to their elderly parents substitute for formal care in Europe? Journal of Health Economics, 28(1), 143–154. https://doi.org/10.1016/j.jhealeco.2008.09.002
Bookwala, J. (2009). The impact of parent care on marital quality and well-being in adult daughters and sons. Journals of Gerontology Series B, 64(3), 339–347. https://doi.org/10.1093/geronb/gbp018
Borg, C., & Hallberg, I. (2006). Life satisfaction among informal caregivers in comparison with non-caregivers. Scandinavian Journal of Caring Sciences, 20(4), 427–438. https://doi.org/10.1111/j.1471-6712.2006.00424.x
Braithwaite, V. (2000). Contextual or general stress outcomes making choices through caregiving appraisals. The Gerontologist, 40(6), 706–717. https://doi.org/10.1093/geront/40.6.706
Caliendo, M., & Kopeinig, S. (2008). Some practical guidance for the implementation of propensity score matching. Journal of Economic Surveys, 22(1), 31–72. https://doi.org/10.1111/j.1467-6419.2007.00527.x
Chen, L., Fan, H., & Chu, L. (2019). The hidden cost of informal care: An empirical study on female caregivers´ subjective well-being. Social Science & Medicine, 224, 85–93. https://doi.org/10.1016/j.socscimed.2019.01.051
Coe, N., & Van Houtven, C. (2009). Caring for mom and neglecting yourself? The health effects of caring for an elderly parent. Health Economics, 18(9), 991–1010. https://doi.org/10.1002/hec.1512
Cohen, C., Colantonio, A., & Vernich, L. (2002). Positive aspects of caregiving: rounding out the caregiver experience. International Journal of Geriatric Psychiatry, 17(2), 184–188. https://doi.org/10.1002/gps.561
Davidson, R., & Mackinnon, J. (1992). Estimation and Inference in Econometrics. Oxford University Press USA:number 9780195060119.
Do, Y., Norton, E., Stearns, S., & Van Houtven, C. (2015). Informal care and caregiver’s health. Health Economics, 24(2), 224–237. https://doi.org/10.1002/hec.3012
Easterlin, R. (1974). Does Economic Growth Improve the Human Lot? Some Empirical Evidence. In Nations and Households in Economic Growth: 89–125. https://doi.org/10.1016/B978−0-12-205050-3.50008-7.
Easterlin, R. (2003). Explaining happiness. Proceedings of the National Academy of Sciences, 100(19), 11176–11183. https://doi.org/10.1073/pnas.1633144100
Ferrer-i Carbonell, A., & Frijters, P. (2004). How important is methodology for the estimates of the determinants of happiness? The Economic Journal, 114(497), 641–659. https://doi.org/10.1111/j.1468−0297.2004.00235.x
Flèche, S., Lepinteur, A. and Powdthavee, N. (2020). Gender norms, fairness and relative working hours within households. Labour Economics, 65.
Frey, B., & Stutzer, A. (2002). What can economists learn from happiness research? Journal of Economic Literature, 40(2), 402–435. https://doi.org/10.1257/002205102320161320
Garcìa-Castro, F., Alba, A., & Blanca, M. (2019). Association between character strengths and caregiver burden: Hope as a mediator. Journal of Happiness Studies, 21, 1445–1462. https://doi.org/10.1007/s10902−019−00138-2
Graham, L., & Oswald, A. (2010). Hedonic capital, Adaptation and resilience. Journal of Economic Behavior & Organization, 76(2), 372–384. https://doi.org/10.1016/j.jebo.2010.07.003
Hajek, A., & König, H. H. (2016). Informal caregiving and subjective well-being: Evidence of a population-based longitudinal study of older adults in Germany. Journal of the American Medical Directors Association, 17(4), 300–305.
Hessels, J., Arampatzi, E., Van Der Zwan, P., & Burger, M. (2018). Life satisfaction and self- employment in different types of occupations. Applied Economics Letters, 25(11), 734–740. https://doi.org/10.1080/13504851.2017.1361003
Jansson, W., Grafström, M., & Winblad, B. (1997). Daughters and sons as caregivers for their demented and non-demented elderly parents a part of a population-based study carried out in Sweden. Scandinavian Journal of Social Medicine, 25(4), 289–295. https://doi.org/10.1177/140349489702500412
Kalenkoski, C. M., Lòpez-Anuarbe, M., & Korankye, T. (2022). Differences in the experiential well-being of hispanics and non-hispanics engaged in elder care. Journal of Family and Economic Issues, 43(1), 128–137. https://doi.org/10.1007/s10834−021−09763-7
Kalenkoski, C. M., & Oumtrakool, E. (2017). The caregiving responsibilities of retirees: What are they and how do they affect retirees’ well-being? Applied Economics, 49(13), 1298–1310. https://doi.org/10.1080/00036846.2016.1217308
Kenny, P., King, M., & Hall, J. (2014). The physical functioning and mental health of informal careers: evidence of caregiving impacts from an Australian population-based cohort. Health & Social Care in the Community, 22(6), 646–659. https://doi.org/10.1111/hsc.12136
Kramer, B. (1997). Gain in the caregiving experience: Where are we? What next? The Gerontologist, 37(2), 218–232. https://doi.org/10.1093/geront/37.2.218
Kristoffersen, I. (2017). The metrics of subjective wellbeing data: An empirical evaluation of the ordinal and cardinal comparability of life satisfaction scores. Social Indicators Research, 130(2), 845–865. https://doi.org/10.1007/s11205−015-1200-6
Lavallee, L. F., Hatch, P. M., Michalos, A. C., & McKinley, T. (2007). Development of the contentment with life assessment scale (CLAS): Using daily life experiences to verify levels of self-reported life satisfaction. Social Indicators Research, 83(2), 201–244.
Leigh, A. (2010). Informal care and Labor market participation. Labour Economics, 17(1), 140–149. https://doi.org/10.1016/j.labeco.2009.11.005
Lewbel, A. (2012). Using heteroscedasticity to identify and estimate mismeasured and endogenous regressor models. Journal of Business and Economic Statistics, 30, 67–80.
Lin, W., Chen, L., & Li, T. (2013). Adult children’s caregiver burden and depression: the moderating roles of parent-child relationship satisfaction and feedback from others. Journal of Happiness Studies, 14(2), 673–687. https://doi.org/10.1007/s10902−012-9348−0
Llacer, A., Zunzunegui, M., Gutierrez-Cuadra, P., Beland, F., & Zarit, S. (2002). Correlates of well-being of spousal and children careers of disabled people over 65 in Spain. The European Journal of Public Health, 12(1), 3–9. https://doi.org/10.1093/eurpub/12.1.3
Maarse, H., & Jeurissen, P. (2016). The policy and politics of the 2015 long-term care reform in the Netherlands. Health Policy, 120(3), 241–245. https://doi.org/10.1016/j.healthpol.2016.01.014
McDonald, R., & Powdthavee, N. (2018). The shadow prices of voluntary caregiving: using panel data of well-being to estimate the cost of informal care. IZA Discussion Papers, No. 115545.
Nickell, S. (1981). Biases in dynamic models with fixed-effects. Econometrica, 49(6), 1417–1426. https://doi.org/10.2307/1911408
Nikolova, M., & Graham, C. (2014). Employment, late-life work, retirement, and well-being in Europe and the United States. IZA J Labor Stud, 3, 5. https://doi.org/10.1186/2193-9012-3-5
Oster, E. 2017. “Unobservable Selection and Coefficient Stability: Theory and Evidence.” Journal of Business and Economic Statistics.
Pinquart, M., & Sörensen, S. (2003). Associations of stressors and uplifts of caregiving with caregiver burden and depressive mood: A meta-analysis comparison. The Journals of Gerontology: Series B, 58(2), 112–128. https://doi.org/10.1093/geronb/58.2.P112
Pinquart, M., & Sörensen, S. (2007). Correlates of physical health of informal caregivers: A meta-analysis. The Journals of Gerontology: Series B, 62(2), 126–137. https://doi.org/10.1093/geronb/62.2.P126
Powdthavee, N. (2009). I can’t smile without you: Spousal correlation in life satisfaction. Journal of Economic Psychology, 30(4), 675–689. https://doi.org/10.1016/j.joep.2009.06.005
Roodman, D. (2009). How to do Xtabond2: an introduction to difference and system GMM in Stata. The Stata Journal, 9(1), 86–136. https://doi.org/10.1177/1536867X0900900106
Rosenbaum, P., & Rubin, D. (1983). The central role of the propensity score in observational studies for causal effects. Biometrika, 70(1), 41–55. https://doi.org/10.1093/biomet/70.1.41
Ruud, Paul A., 2000. "An Introduction to Classical Econometric Theory," OUP Catalogue, Oxford University Press, number 9780195111644.
Schulz, R., Visintainer, P., & Williamson, G. (1990). Psychiatric and physical morbidity effects of caregiving. Journal of Gerontology, 45(5), 181–191. https://doi.org/10.1093/geronj/45.5.P181
Tiefenbach, T., & Kohlbacher, F. (2015). Happiness in Japan in times of upheaval: Empirical evidence from the national survey on lifestyle preferences. Journal of Happiness Studies, 16(2), 333–366. https://doi.org/10.1007/s10902−014-9512-9
Ullah, S., Akhtar, P., & Zaefarian, G. (2018). Dealing with endogeneity bias: the generalized method of moments (GMM) for panel data. Industrial Marketing Management, 71, 69–78. https://doi.org/10.1016/j.indmarman.2017.11.010
Van Den Berg, B., & Spauwen, P. (2006). Measurement of informal care: an empirical study into the valid measurement of time spent on informal caregiving. Health Economics, 15(5), 447–460. https://doi.org/10.1002/hec.1075
Van Den Berg, B., & Ferrer-i Carbonell, A. (2007). Monetary valuation of informal care: the well-being valuation method. Health Economics, 16(11), 1227–1244. https://doi.org/10.1002/hec.1224
Van Den Berg, B., Fiebig, D., & Hall, J. (2014). Well-being losses due to caregiving. Journal of Health Economics, 35, 123–131. https://doi.org/10.1016/j.jhealeco.2014.01.008
Veenhoven, R. (2000). The four qualities of life. Journal of Happiness Studies, 1(1), 1–39. https://doi.org/10.1023/A:1010072010360
Veenhoven, R. (2012). Happiness: Also known as “life satisfaction” and “subjective well-being”. In Handbook of social indicators and quality of life research (pp. 63–77). Springer, Dordrecht.
Verbakel, E., Tamlagsrønning, S., Winstone, L., Fjær, E., & Eikemo, T. (2017). Informal care in Europe: findings from the European social survey special module on the social determinants of health. The European Journal of Public Health, 27(1), 90–95. https://doi.org/10.1093/eurpub/ckw229
Vlachantoni, A., Evandrou, M., Falkingham, J., & Robards, J. (2013). Informal care, health and mortality. Maturitas, 74(2), 114–118. https://doi.org/10.1016/j.maturitas.2012.10.013
Windmeijer, F. (2005). A finite sample correction for the variance of linear efficient two-step GMM estimators. Journal of Econometrics, 126(1), 25–51. https://doi.org/10.1016/j.jeconom.2004.02.005
Acknowledgements
We would like to thank Kelsey O'Connor and Anthony Lepinteur for their advised comments. The authors are also grateful to Agnès Gramain, Thomas Barnay, Eric Bonsang, Martjin Burger, Conchita d’Ambrosio, Florence Jusot, Bertrand Koebel, Mathieu Lefebvre and Marie-Louise Leroux for their very helpful suggestions. Additionally, we are grateful to Miranda Aldham-Breary for her proofreading. The LISS panel data were collected by CentERdata (Tilburg University, The Netherlands) through its MESS project funded by the Netherlands Organization for Scientific Research.
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Appendices
Appendix 1: Data
Different modules from the LISS panel data were combined. The personality questionnaire from the LISS Core study contains information on subjective well-being, the questionnaire background incorporates socio-demographic information, the questionnaire on social integration and leisure includes information on informal care provision, the questionnaire on work and schooling contains information on working time, and the questionnaire on health contains questions on objective health. In order to ensure consistency in our merge we made sure that for each year the selected questionnaire was the closest of the month on which the questionnaire about personality was administered as life satisfaction is the outcome. Table 13 sums up this merge procedure (see Table 14).
Appendix 2: Rule-of-Thumb (Blundell et al., 2001)
OLS | Difference GMM | |||
---|---|---|---|---|
Pooled | Fixed effects | One step | Two step | |
L.life satisfaction | 0.62*** | 0.08*** | 0.01 | 0.03 |
(0.02) | (0.02) | (0.03) | (0.03) | |
Informal | −0.03 | −0.06** | −0.35** | −0.32** |
(0.02) | (0.03) | (0.18) | (0.14) | |
Constant | 2.47*** | 7.14*** | ||
(0.21) | (0.49) | |||
Observations | 9180 | 9180 | 7888 | 7888 |
Time-fixed effects | Yes | Yes | Yes | Yes |
Controls | Yes | Yes | Yes | Yes |
No. of instruments | 197 | 197 | ||
AR1 (p-value) | 0.00 | 0.00 | ||
AR2 (p-value) | 0.24 | 0.26 | ||
Hansen-J (p-value) | 0.35 | 0.35 |
Appendix 3: Detailed results
See Tables 15, 16, 17, 18, 19, 20, 21
, 22
and 23
Appendix 4 Matching postestimation test
Standardized Differences | ||
---|---|---|
Raw | Matched | |
Life satisfaction | −0.074 | −0.011 |
Men | −0.317 | −0.062 |
Occupation | ||
Unemployed | 0.047 | 0 |
Out of the labor force | 0.281 | −0.007 |
Age | ||
15–24 | −0.273 | −0.002 |
25–34 | −0.355 | −0.004 |
35–44 | 0.041 | 0 |
45–54 | 0.178 | 0.004 |
65 and over | 0.160 | 0.001 |
Children | −0.116 | −0.019 |
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Blaise, M., Dillenseger, L. Informal Caregivers and Life Satisfaction: Empirical Evidence from the Netherlands. J Happiness Stud 24, 1883–1930 (2023). https://doi.org/10.1007/s10902-023-00663-1
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DOI: https://doi.org/10.1007/s10902-023-00663-1