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Effects of Caregiving on Employment and Economic Costs of Chinese Family Caregivers in Canada

  • Daniel W. L. LaiEmail author
  • Wendy Leonenko
Original Paper

Abstract

A telephone survey with 339 randomly selected Chinese Canadian caregivers examined the employment and economic costs of family caregiving for the elderly. Although the Chinese culture places a strong emphasis on filial obligation, caregiving is not without economic consequences. Caregiver’s age, financial adequacy, and employment, caring for an additional care receiver, and levels of assistance in Activities of Daily Living (ADL), were the predictors for economic costs perceived by family caregivers. Caregiver’s age, caring for an additional care receiver, and care receiver’s financial adequacy were significant predictors for male caregivers. Caregiver’s financial adequacy and higher levels of assistance in ADL were the predictors for female caregivers. Policies to support family caregivers should not just focus on the social aspect, but also the financial needs.

Keywords

Chinese immigrants Cost of caregiving Family caregiving Financial adequacy 

Notes

Acknowledgments

The authors would like to acknowledge the research funding from the Alberta Heritage Foundation for Medical Research for this study. Assistance in research and preparation of this manuscript by Erica Chan and Grace Leung is very much appreciated.

References

  1. Addington-Hall, J. M., MacDonald, L. D., Chamberlain, J., Freeling, P., & Bland, J. M., Raferty, J. (1992). Randomized controlled trail of effects of coordinating care for terminally ill cancer patients. British Medical Journal, 305(6865), 1317–1322.PubMedGoogle Scholar
  2. Arno, P. S., Levine, C., & Memmott, M. M. (1999). The economic value of informal caregiving. Health Affairs, 18(2), 182–188.PubMedCrossRefGoogle Scholar
  3. Ashley, N. R., & Kleinpeter, C. H. (2002). Gender differences in coping strategies of spousal dementia caregivers. Journal of Human Behavior in the Social Environment, 6(2), 29–46.CrossRefGoogle Scholar
  4. Baumgarten, M., Hanley, J. A., Infante-Rivard, C., Battista, R. N., Becker, R., & Gauthier, S. (1994). Health of family members caring for elderly persons with dementia. A longitudinal study. Annals of Internal Medicine, 120(2), 126–132.PubMedGoogle Scholar
  5. Biegel, D. E., Sales, E, & Schulz, R. (1991). Family caregiving in chronic illness: Alzheimer’s disease, cancer, heart disease, mental illness, and stroke. Newbury Park, CA: Sage.Google Scholar
  6. Bookwala, J., & Schulz, R. (2000). A comparison of primary stressors, secondary stressors, and depressive symptoms between elderly caregiving husbands and wives: The caregiver health effects study. Psychology & Aging, 15(4), 607–616.CrossRefGoogle Scholar
  7. Brienbaum, L. K., & Clarke-Steffen, L. (1992). Terminal care costs in childhood cancer. Journal of Pediatric Nursing, 18(3), 2858.Google Scholar
  8. Brooks, C. H. (1989). Cost differences between hospice and nonhospice care: A comparison of insurer payments and provider charges. Evaluation and the Health Professions, 12(2), 159–178.CrossRefGoogle Scholar
  9. Canadian Study of Health, Aging Working Group (1994). Patterns of caring for people with dementia in Canada: The Canadian study of health and aging. Canadian Journal of Aging, 13(4), 470–487.Google Scholar
  10. Cattanach, L., & Tebes, J. K. (1991). The nature of elder impairment and its impact on family caregivers’ health and psychosocial functioning. The Gerontological Society of America, 31(2), 246–255.Google Scholar
  11. Chappell, N. L., & Penning, M. (1996). Behavioural problems and distress among caregivers of people with dementia. Ageing and Society, 16(1), 57–73.CrossRefGoogle Scholar
  12. Chow, N. W. S. (2001). The practice of filial piety among the Chinese in Hong Kong. In I. Chi, N. L. Chappell, & J. Lubben (Eds.), Elderly Chinese in Pacific rim countries (pp. 125–136). Hong Kong: Hong Kong University Press.Google Scholar
  13. Citizenship and Immigration Canada. (2005). Facts and figure: Immigration overview—permanent and temporary residents, 2004. Ottawa, ON: Minister of Public Work and Government Services Canada.Google Scholar
  14. Cohen, D., & Eisdorfer, C. (1988). Depression in family members caring for a relative with Alzheimer’s disease. Journal of American Geriatrics Society, 36(10), 885–889.Google Scholar
  15. Covinsky, K. E., Goldman, L., & Cook, E. F. (1994). The impact of serious illness on patients’ families. The Journal of the American Medical Association, 272(23), 1839–1844.CrossRefGoogle Scholar
  16. Cranswick, K. (2002). General social services cycle 16: Caring for an aging society. Retrieved September 2, 2003, from http://www.statcan.ca:8096/bsolc/english/bsolc?catno = 89–582-x.
  17. Decima Research, Inc. (2002). National profile of family caregivers in Canada—final report. Ottawa, ON: Health Canada.Google Scholar
  18. Delgadillo, L., Sorensen, S., & Coster, D. C. (2004). An exploratory study of preparation for future care among older Latinos in Utah. Journal of Family and Economic Issues, 25(1), 51–78.CrossRefGoogle Scholar
  19. Enright, R. B., Jr., & Firss, L. (1987). Employed caregivers of brain-impaired adults: An assessment of dual role (Final report submitted to the Gerontological Society of America). San Francisco: Family Survival Project.Google Scholar
  20. Fast, J. E., Williamson, D. L., & Keating, N. C. (1999). The hidden costs of informal elder care. The Journal of Family and Economic Issues, 20(3), 301–326.CrossRefGoogle Scholar
  21. Ferris, F. D., Wodinsky, H. B., Kerr, I. G., Sone, M., Hume, S., & Coons, C. (1991). A cost- minimization study of cancer patients requiring a narcotic infusion in hospital and at home. Journal of Clinical Epidemiology, 44(3), 313–327.PubMedCrossRefGoogle Scholar
  22. Gallagher, D., Rose, J., Rivera, P., Lovett, S., & Thompson, L. W. (1989). Prevalence of depression in family caregivers. Gerontologist, 29(4), 449–456.PubMedGoogle Scholar
  23. Gibeau, J. L., & Anastas, J. W. (1989). Breadwinners and caregivers: Interviews with working women. Journal of Gerontological Social Work, 14(1–2), 19–20.CrossRefGoogle Scholar
  24. Grunfeld, E. (1997). Caring for elderly people at home: The consequences to caregivers. Canadian Medical Association Journal, 157(8), 1101–1105.PubMedGoogle Scholar
  25. Gupta, R., & Pillai, V. K. (2000). Caregiver burden in South Asian families: A systems theory perspective. Journal of Ethnic and Cultural Diversity in Social Work, 9(1–2), 41–53.CrossRefGoogle Scholar
  26. Haddock, S. A., Zimmerman, T. S., Lyness, K. P., & Ziemba, S. J. (2006). Practices of dual earner couples successfully balancing work and family. Journal of Family and Economic Issues, 27(2), 207–234.CrossRefGoogle Scholar
  27. Hayman, J. A., Langa, K. M., Kabeto, M. U., Katz, S. J., DeMonner, S. M., Chernew, M. E., et al. (2001). Estimating the cost of informal caregiving for elderly patients with cancer. Journal of Clinical Oncology, 19(13), 3219–3225.PubMedGoogle Scholar
  28. Health Action Forum of Greater Boston (1989). Eldercare: The state of the art. Boston: Health Action Forum of Greater Boston.Google Scholar
  29. Hinrichsen, G. A., Hernandez, N. A., & Pollack, S. (1992). Difficulties and rewards in family care of the depressed older adult. The Gerontological Society of America, 32(4), 486–492.Google Scholar
  30. Jones, P. S. (1995). Pay respect: Care of elderly parents by Chinese and Filipino American women. Health Care for Women International, 16(5), 385–398.PubMedCrossRefGoogle Scholar
  31. Koh, S. K., & MacDonald, M. (2006). Financial reciprocity and elder care: Interdependent resource transfers. Journal of Family and Economic Issues, 27(3), 420–436.CrossRefGoogle Scholar
  32. Kinney, J. M., & Stephens, M. A. P. (1989). Hassles and uplifts of giving care to a family member with dementia. Psychology and Aging, 4(4), 402–408.PubMedCrossRefGoogle Scholar
  33. Kosberg, J. I., & Cairl, R. E. (1986). The cost of care index: A case management tool for screening informal care providers. The Gerontologist, 26(3), 273–278.PubMedGoogle Scholar
  34. Levande, D. I., Herrick, J. M., & Sung, K. (2000). Eldercare in the United States and South Korea. Journal of Family Issues, 21(5), 632–651.CrossRefGoogle Scholar
  35. Liu, J. H., Ng, S. H., Weatherall, A., & Loong, C. (2000). Filial piety, acculturation, and intergenerational communication among New Zealand Chinese. Basic and Applied Social Psychology, 23(3), 213–223.CrossRefGoogle Scholar
  36. Livingston, G., Manela, M., & Katona, C. (1996). Depression and other psychiatric morbidity in cares of elderly people living at home. British Medical Journal, 312(7024), 153–156.PubMedGoogle Scholar
  37. Lutzky, S. M., & Knight, B. G. (1994). Explaining gender differences in caregiver distress: The roles of emotional attentiveness and coping styles. Psychology and Aging, 9(4), 513–519.PubMedCrossRefGoogle Scholar
  38. Martin-Matthews, A. (1999). Canada and the changing profile of health and social services: Implications for employment and caregiving. In V. M. Lechner & M. B. Neal (Eds.), Work and caring for the elderly: International perspectives (pp. 11–28). Philadelphia, PA: Braun/Mazel.Google Scholar
  39. McCallion, P., Toseland, R. W., & Diehl, M. (1994). Social work practice with caregivers of frail older adults. Research on Social Work Practice, 4(1), 64–88.CrossRefGoogle Scholar
  40. Metropolitan Life Insurance Company (1999). The metlife juggling act study: Balancing caregiving with work and the costs involved. Westport, CT: Metropolitan Life Insurance Company.Google Scholar
  41. Morris, R. G., Morris, L. W., & Britton, P. G. (1988). Factors affecting the emotional well-being of caregivers of dementia sufferers. The British Journal of Psychiatry 153, 147–156.PubMedCrossRefGoogle Scholar
  42. Neal, M. B., Chapman, N. J., & Ingersoll-Dayton, B. (1988). Elder care, employees, and the workplace: Findings from a survey of employees. Portland, OR: Portland State University, Regional Research Institute for Human Services and Institute on Aging.Google Scholar
  43. Ng, A. C. Y., Phillips, D. R., & Lee, W. K. M. (2002). Persistence and challenges to filial piety and informal support of older persons in a modern Chinese society: A case study in Tuen Mun, Hong Kong. Journal of Aging Studies, 16(2), 135–153.CrossRefGoogle Scholar
  44. Ory, M., Yee, J. L., Tennstedt, S. L., & Schulz, R. (2000). The extent and impact of dementia care: Unique challenges experienced by family caregivers. In R. Schulz (Ed.), Handbook on dementia caregiving: Evidence-based interventions for family caregivers (pp. 1–32). New York: Springer.Google Scholar
  45. Parker, G. (1990). With due care and attention: A review of research on informal care (2nd ed.). London: Family Policy Studies Centre.Google Scholar
  46. Picot G., & Hou, F. (2003). The rise in low-income rates among immigrants in Canada. Statistics Canada working paper. (Analytical Studies Branch Research Paper Series Catalogue No. 11F0019MIE-No.198. Analytical Studies Branch) Ottawa, ON: Statistics Canada.Google Scholar
  47. Scharlach, A. E., & Boyd, S. L. (1989). Caregiving and employment: Results of an employee survey. The Gerontologist, 29(4), 382–387.PubMedGoogle Scholar
  48. Schulz, R., Mendelsohn, A. B., Haley, W. E., Mahoney, D., Allen, R. S., Zhang, S., et al. (2003). End-of-life care and effects of bereavement on family caregivers of persons with dementia. New England Journal of Medicine, 34(20), 1936–1942.CrossRefGoogle Scholar
  49. Schulz, R., Visintainer, P., & Williamson, G. M. (1990). Psychiatric and physical morbidity effects of caregiving. Journal of Gerontology 45(5), 181–191.CrossRefGoogle Scholar
  50. Shaibu, S., & Wallhagen, M. (2002). Family caregiving of the elderly in Botswana: Boundaries of culturally acceptable options and resources. Journal of Cross-Cultural Gerontology, 17(2), 139–154.PubMedCrossRefGoogle Scholar
  51. Statistics Canada. (2003). Canada’s ethnocultural portrait: The changing mosaic. Retrieved August 9, 2006, from http://www12.statcan.ca/english/census01/products/highlight/Ethnicity/Index.cfm.
  52. Statistics Canada. (2005a). Population projections. The Daily, December 15. Retrieved August 9, 2006, from http://www.statcan.ca/Daily/English/051215/d051215b.htm.
  53. Statistics Canada (2005b). Elder care and the complexities of social networks. Canadian Social Trends. Retrieved August 9, 2006, from http://www.statcan.ca/bsolc/english/bsolc?catno = 11–008-X20050017941.
  54. Stephans, S. A., & Christianson, J. B. (1986). Informal care of the elderly. Lexington, MA: Lexington Books.Google Scholar
  55. Stommel, M., Given, C. W., & Given, B. A. (1993). The cost of cancer home care to families. Cancer, 71(5), 1867–1874.PubMedCrossRefGoogle Scholar
  56. Stone, R. I., Cafferata, G. L., & Sangl, J. (1987). Caregivers of the frail elderly: A national profile. The Gerontologist, 27(5), 616–626.PubMedGoogle Scholar
  57. Sung, K. (2002). Filial piety: The East Asian ideal of parent care in changing times. Southwest Journal on Aging, 17(1–2), 23–29.Google Scholar
  58. Wagner, D. L. (1987). Corporate eldercare project: Findings. In M. A. Creedon (Ed.), Issues for an aging America: Employees and eldercare (pp. 25–29). Bridgeport, CT: University of Bridgeport Center for the Study of Aging.Google Scholar
  59. White-Means, S. I., & Rubin, R. M. (2004). Trade-offs between formal home health care and informal family caregiving. Journal of Family and Economic Issues, 25(3), 335–358.CrossRefGoogle Scholar
  60. Wing, C. C. K. (1995). Love thy parents and care for thy children: Filial piety and intergenerational cooperation in traditional China. Journal of Socio-Economics, 24(2), 391–409.CrossRefADSGoogle Scholar
  61. Zhan, H. J., & Montgomery, R. J. V. (2003). Gender and elder care in China: The influence of filial piety and structural constraints. Gender & Society, 17(2), 209–229.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  1. 1.Faculty of Social WorkThe University of CalgaryCalgaryCanada

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