ArticleInternational journal of geriatric psychiatry2021
Associations between spousal caregiving and health among older adults in Mexico: A targeted estimation approach.
Article in International journal of geriatric psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 13 citations in OpenAlex.
- The correlation between anger/agitation and other factors including spousal care in home-dwelling older adults with advanced cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Trajectories of physical functioning and its implication for all-cause mortality in Chinese older people: a large-scale national longitudinal study.Journal of global health · 2025Article
- Health Programmes for Older Adults Who Are the Primary Family Caregivers for Their Partners: A Scoping Review.Healthcare (Basel, Switzerland) · 2024Article
- The impact of medical insurance and old-age security on the utilization of medical services by the older population with disabilities.BMC health services research · 2024Article
- The bidirectional association between the disability in activities of daily living and depression: a longitudinal study in Chinese middle-aged and older adults.BMC public health · 2024Article
- Health Shocks and Economic Well-being of the Aging Population: Evidence from Mexico.Journal of population ageing · 2022Article
Corrections and comments
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Authors and funding
8 authors at 7 institutions in 2 countries.
Funding
Abstract
objectiveTo evaluate associations between spousal caregiving and mental and physical health among older adults in Mexico.
methodsData come from the Mexican Health & Aging Study, a national population-based study of adults ≥50 years and their spouses (2001-2015). We compared outcomes for spousal caregivers to outcomes for those whose spouses had difficulty with at least one basic or instrumental activity of daily living (I/ADL) but were not providing care; the control group conventionally includes all married respondents regardless of spouse's need for care. We used targeted maximum likelihood estimation to evaluate the associations with past-week depressive symptoms, lower-body functional limitations, and chronic health conditions.
resultsAt baseline, 846 women and 629 men had a spouse with ≥1 I/ADL. Of these, 60.9% of women and 52.6% of men were spousal caregivers. Spousal caregiving was associated with more past-week depressive symptoms for men (Marginal Risk Difference (RD): 0.27, 95% confidence internal [CI]: 0.03, 0.51) and women (RD: 0.15, 95% CI: 0.07, 0.23). We could not draw conclusions about associations with lower-body functional limitations and chronic health conditions. On average, all respondents whose spouses had caregiving needs had poorer health than the overall sample.
conclusionWe found evidence of an association between spousal caregiving and mental health among older Mexican adults with spouses who had need for care. However, our findings suggest that older adults who are both currently providing or at risk of providing spousal care may need targeted programs and policies to support health and long-term care needs.
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