2023-09-28 14:46:10 +00:00
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abstract: 'BackgroundProviding unpaid support to family and friends with disabling
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health conditions can limit a carer''s capacity to participate in
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employment. The emotional support needs and unpredictability of caring
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for people with mental illness may be particularly demanding. While
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previous research suggests variable employment rates across carers for
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different conditions, there are limited data on mental health carers
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specifically.MethodsThis study analysed employment patterns for
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working-age, co-resident carers of adults with mental illness in an
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Australian cross-sectional household survey, the 2015 Survey of
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Disability, Ageing and Carers.ResultsSignificantly more mental health
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carers were not employed (42.3\%, 95\% CI: 36.6-48.1) compared to
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non-carers (24.0\%, 95\% CI: 23.5-24.6). Employed mental health carers
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were more likely to work fewer than 16h per week (carers: 17.2\%, 95\%
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CI: 12.8-22.8, vs. non-carers: 11.7\%, 95\% CI: 11.3-12.1) and in lower
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skilled occupations (carers: 22.6, 95\% CI: 17.5-28.7, vs. non-carers:
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15.7, 95\% CI: 15.1-16.2). Among the sub-group of primary mental health
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carers, 25.8\% (95\% CI: 15.6-39.5) had reduced their working hours to
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care and a further 26.4\% (95\% CI: 17.2-38.2) stopped working
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altogether. In corresponding comparisons between mental health carers
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and carers for people with other cognitive/behavioural conditions, and
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physical conditions with or without secondary mental illness, there were
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no differences except that mental health carers were more likely to be
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working in a lower skilled occupation than other cognitive/behavioural
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condition carers (14.8\% of the latter, 95\% CI 10.1-21.2). Multivariate
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logistic regression analyses revealed that female mental health carers
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were less likely to be employed if they were aged 35-54, had no
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post-secondary education, had a disability, or cared for someone with
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severe activity limitations. For male mental health carers, having a
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disability or caring for someone with severe limitations or who did not
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receive paid assistance were significantly associated with not being
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employed.ConclusionsThese results highlight the employment disadvantage
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experienced by mental health carers compared to non-carers, and
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similarities in employment patterns across carers for different
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conditions. Improving the availability of paid support services for
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people with mental illness may be an important target to assist carers
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to maintain their own employment.'
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affiliation: 'Diminic, S (Corresponding Author), Univ Queensland, Fac Med, Sch Publ
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Hlth, Brisbane, Qld, Australia.
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Diminic, S (Corresponding Author), Queensland Ctr Mental Hlth Res, Policy \& Epidemiol
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Grp, Pk Ctr Mental Hlth, Locked Bag 500, Brisbane, Qld 4108, Australia.
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Diminic, Sandra; Hielscher, Emily; Harris, Meredith G., Univ Queensland, Fac Med,
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Sch Publ Hlth, Brisbane, Qld, Australia.
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Diminic, Sandra; Hielscher, Emily; Harris, Meredith G., Queensland Ctr Mental Hlth
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Res, Policy \& Epidemiol Grp, Pk Ctr Mental Hlth, Locked Bag 500, Brisbane, Qld
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4108, Australia.
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Hielscher, Emily, Univ Queensland, Ctr Clin Res, Brisbane, Qld, Australia.'
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article-number: '587'
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author: Diminic, Sandra and Hielscher, Emily and Harris, Meredith G.
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author-email: sandra\_diminic@qcmhr.uq.edu.au
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author_list:
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- family: Diminic
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given: Sandra
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- family: Hielscher
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given: Emily
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- family: Harris
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given: Meredith G.
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da: '2023-09-28'
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doi: 10.1186/s12889-019-6822-1
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eissn: 1471-2458
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files: []
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journal: BMC PUBLIC HEALTH
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keywords: 'Australia; Caregivers; Informal care; Mental disorders; Employment;
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Labour force'
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keywords-plus: 'QUALITY-OF-LIFE; OPPORTUNITY COSTS; AUSTRALIAN CARERS; WORKING CARERS;
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PROVIDING CARE; PAID WORK; CAREGIVERS; PEOPLE; HOME; PSYCHOSIS'
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language: English
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month: MAY 16
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number-of-cited-references: '50'
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orcid-numbers: 'Hielscher, Emily/0000-0002-0559-5256
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Diminic, Sandra/0000-0001-8742-8816
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Harris, Meredith/0000-0003-0096-729X
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Diminic, Sandra/0000-0001-8742-8816'
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papis_id: 797c8a61b580e4a73bf03e1a35724d85
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ref: Diminic2019employmentdisadvanta
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researcherid-numbers: 'Hielscher, Emily/T-5825-2019
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Diminic, Sandra/ABC-2127-2020
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Harris, Meredith/ABD-3049-2020
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Diminic, Sandra/O-7572-2016'
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times-cited: '4'
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title: 'Employment disadvantage and associated factors for informal carers of adults
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with mental illness: are they like other disability carers?'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000468435000008
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usage-count-last-180-days: '0'
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usage-count-since-2013: '13'
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volume: '19'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2019'
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