ArticlePsychological medicine2013
Cross-national differences in the prevalence and correlates of burden among older family caregivers in the World Health Organization World Mental Health (WMH) Surveys.
Article in Psychological medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.
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Who cites it
33 citing papers in PubMed, 1 synthesis or guideline pooled it, 91 citations in OpenAlex.
- Digital health interventions for informal cancer caregivers' mental health management: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Pooled it
- Community health worker and family support for addiction treatment services.Substance abuse treatment, prevention, and policy · 2026Trial
- The global cost of schizophrenia: a health economic modelling study.International journal of mental health systems · 2026Article
- Care as a Central Concept: Dimensions, Inequalities and Challenges in Chronic Care in Contemporary Societies: A Narrative Review.Healthcare (Basel, Switzerland) · 2026Review
- Article
- Family caregivers of people who use drugs in Vietnam: Perceived burden and coping.Social science & medicine (1982) · 2025Article
- Home-Based Care Outcomes: Does the Care Provider Matter?Health economics · 2025Article
- Insights Into Informal Caregivers' Well-being: A Longitudinal Analysis of Care Intensity, Care Location, and Care Relationship.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024Article
- Understanding the burden of mental and physical health disorders on families: findings from the Saudi National Mental Health Survey.BMJ open · 2023Review
- Unpaid caregiving and stress among older working-age men and women in Sweden.SSM - population health · 2023Article
- Informal Caregiving Among American Indians and Alaska Natives in the Pacific Northwest.Journal of community health · 2023Article
- Informal care and the impact on depression and anxiety among Swedish adults: a population-based cohort study.BMC public health · 2021Article
- The role, impact, and support of informal caregivers in the delivery of palliative care for patients with advanced cancer: A multi-country qualitative study.Palliative medicine · 2021Article
- Social and health-related predictors of family function in older spousal caregivers: a cross-sectional study.Dementia & neuropsychologia · 2020Article
- Predicting Caregiver Burden in Informal Caregivers for the Elderly in Ecuador.International journal of environmental research and public health · 2020Article
- Burden and Bad Days Among Mexican-Origin Women Caregivers.The journals of gerontology. Series B, Psychological sciences and social sciences · 2020Article
- A cross-sectional study on spouse and parent differences in caregiving experiences of people living with schizophrenia in rural China.BMC psychiatry · 2020Article
- COPe-support - a multi-component digital intervention for family carers for people affected by psychosis: study protocol for a randomized controlled trial.BMC psychiatry · 2020Article
- A Multicomponent eHealth Intervention for Family Carers for People Affected by Psychosis: A Coproduced Design and Build Study.Journal of medical Internet research · 2019Article
- Immediate and Lagged Effects of Daily Stress and Affect on Caregivers' Daily Pain Experience.The Gerontologist · 2018Article
Corrections and comments
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Authors and funding
26 authors at 15 institutions in 14 countries.
Funding
Abstract
backgroundCurrent trends in population aging affect both recipients and providers of informal family caregiving, as the pool of family caregivers is shrinking while demand is increasing. Epidemiological research has not yet examined the implications of these trends for burdens experienced by aging family caregivers. Method Cross-sectional community surveys in 20 countries asked 13 892 respondents aged 50+ years about the objective (time, financial) and subjective (distress, embarrassment) burdens they experience in providing care to first-degree relatives with 12 broadly defined serious physical and mental conditions. Differential burden was examined by country income category, kinship status and type of condition.
resultsAmong the 26.9-42.5% respondents in high-, upper-middle-, and low-/lower-middle-income countries reporting serious relative health conditions, 35.7-42.5% reported burden. Of those, 25.2-29.0% spent time and 13.5-19.4% money, while 24.4-30.6% felt distress and 6.4-21.7% embarrassment. Mean caregiving hours per week in those giving any time were 16.6-23.6 (169.9-205.8 h/week per 100 people aged 50+ years). Burden in low-/lower-middle-income countries was 2- to 3-fold higher than in higher-income countries, with any financial burden averaging 14.3% of median family income in high-, 17.7% in upper-middle-, and 39.8% in low-/lower-middle-income countries. Higher burden was reported by women than men and for conditions of spouses and children than parents or siblings.
conclusionsUncompensated family caregiving is an important societal asset that offsets rising formal healthcare costs. However, the substantial burdens experienced by aging caregivers across multiple family health conditions and geographic regions threaten the continued integrity of their caregiving capacity. Initiatives supporting older family caregivers are consequently needed, especially in low-/lower-middle-income countries.
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