Impact of informal caregiving on older adults' physical and mental health in low-income and middle-income countries: a cross-sectional, secondary analysis based on the WHO's Study on global AGEing and adult health (SAGE) Lambert, Sylvie D., Bowe, Steven J., Livingston, Patricia M., Heckel, Leila, Cook, Selina, Kowal, Paul and Orellana, Liliana 2017, Impact of informal caregiving on older adults' physical and mental health in low-income and middle-income countries: a cross-sectional, secondary analysis based on the WHO's Study on global AGEing and adult health (SAGE), BMJ open, vol. 7, no. 11, pp. 1-15, doi: 10.1136/bmjopen-2017-017236. Attached Files Name Description MIMEType Size Downloads bowe-impactofinformal-2017.pdf Published version application/pdf 1.98MB 35 Title Impact of informal caregiving on older adults' physical and mental health in low-income and middle-income countries: a cross-sectional, secondary analysis based on the WHO's Study on global AGEing and adult health (SAGE) Author(s) Lambert, Sylvie D. Bowe, Steven J. orcid.org/0000-0003-3813-842X Livingston, Patricia M. orcid.org/0000-0001-6616-3839 Heckel, Leila orcid.org/0000-0002-9138-1034 Cook, Selina Kowal, Paul Orellana, Liliana orcid.org/0000-0003-3736-4337 Journal name BMJ open Volume number 7 Issue number 11 Article ID e017236 Start page 1 End page 15 Total pages 15 Publisher BMJ Publishing Group Place of publication London, Eng. Publication date 2017-11-15 ISSN 2044-6055 2044-6055 Keyword(s) ageing caregiver chronic disease international health psychosocial factors Summary Objectives A high proportion of care stemming from chronic disease or disability in low-income and middle-income countries is provided by informal caregivers. The goal of this study was to determine the level of burden experienced by these caregivers, explore associated factors and assess whether caregivers’ and non-caregivers’ health differed. Design and setting This cross-sectional study was a secondary analysis of data on caregivers’ burden, health and health risk factors in Ghana, India and the Russian Federation collected as part of the WHO’s Study on global AGEing and adult health (SAGE) Wave 1. Participants Caregivers in Ghana (n=143), India (n=490) and Russia (n=270) completed the measures. Outcome measures Factors associated (ie, demographics and caregiving profile variables) with burden were explored among caregivers. Then, quality of life (QOL), perceived stress, depression, self-rated health (SRH) and health risk factors were compared between caregivers and matched non-caregivers (1:2). Results The largest caregiving subgroups were spouses and adult children. Caregivers mostly cared for one person and provided financial, social/emotional and/or physical support, but received little support themselves. Burden level ranged from 17.37 to 20.03. Variables associated with burden were mostly country-specific; however, some commonality for wealth, type of care and caregiving duration was noted. Caregivers with a moderate or high level of burden reported lower QOL and higher perceived stress than those experiencing low burden. Caregivers reported lower QOL and SRH than non-caregivers. Conclusion Given the lack of support received and consequences of the burden endured by caregivers, policy and programme initiatives are needed to ensure that caregivers in low- and middle-income countries can fulfil their role without compromising their own health. Language eng DOI 10.1136/bmjopen-2017-017236 Field of Research 111202 Cancer Diagnosis Socio Economic Objective 920202 Carer Health HERDC Research category C1 Refereed article in a scholarly journal ERA Research output type C Journal article Copyright notice ©2017, Article authors Free to Read? Yes Use Rights Persistent URL http://hdl.handle.net/10536/DRO/DU:30105111 Document type: Journal Article Collections: Faculty of Health School of Nursing and Midwifery Centre for Quality and Patient Safety Research Open Access Collection Related Links Link Description Connect to published version Go to link with your DU access privileges     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au. 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