Family transfers and long-term care: An analysis of the WHO Study on global AGEing and adult health (SAGE)


Murphy, A; Kowal, P; Albertini, M; Rechel, B; Chatterji, S; Hanson, K; (2017) Family transfers and long-term care: An analysis of the WHO Study on global AGEing and adult health (SAGE). The journal of the economics of ageing. ISSN 2212-828X DOI: https://doi.org/10.1016/j.jeoa.2017.08.003

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Abstract

Populations globally are ageing, resulting in increased need for long-term care. Where social welfare systems are insufficient, these costs may fall to other family members. We set out to estimate the association between long-term care needs and family transfers in selected low- and middle- income countries We used data from the World Health Organization’s Study on global AGEing and adult health (SAGE). Using regression, we analysed the relationship between long-term care needs in older households and i) odds of receiving net positive transfers from family outside the household and ii) the amount of transfer received, controlling for relevant socio-demographic characteristics. The proportion of household members requiring long-term care was significantly associated with receiving net positive transfers in China (OR: 1.76; p=0.023), Ghana (OR: 2.79; p=0.073), Russia (OR:3.50; p<0.001). There was a statistically significant association with amount of transfers received only in Mexico (B:541.62; p=0.010). In selected LMICs, receiving family transfers is common among older households, and associated with requiring long-term care. Further research is needed to better understand drivers of observed associations and identify ways in which financial protection of older adults’ long term care needs can be improved.

Item Type: Article
Faculty and Department: Faculty of Public Health and Policy > Dept of Global Health and Development
Faculty of Public Health and Policy > Dept of Health Services Research and Policy
URI: http://researchonline.lshtm.ac.uk/id/eprint/4393416

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