2023-09-28 14:46:10 +00:00
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abstract: 'Background Many countries worldwide have experienced reductions in
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provision of formal long-term care services amidst rising need for care.
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Provision of unpaid care, meanwhile, has grown. This includes care
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provided by young people. Care responsibilities can affect a young
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people''s health, education and employment. We aimed to investigate the
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impacts on the employment and health of young people aged 16 to 25 of
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providing care, and the associated individual and public expenditure
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costs. Methods We examined employment, earnings and health impacts for
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individuals, and a range of economic impacts for society, focusing on
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young people aged 16 to 25 providing unpaid care in England. We applied
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regression analysis to data from three waves of the UK Household
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Longitudinal Study (2013/2015, 2014/2016, and 2015/2017) to compare
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employment and health outcomes among carers and non-carers, and two-part
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Generalised Linear Models to estimate costs. To address potential
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selection bias, we then used propensity score matching methods to
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explore outcomes for a matched sub-sample of young adult carers who
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started providing care at baseline (2014/16). Results Young people aged
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16 to 25 who provided care at baseline (2014/16) were less likely to be
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in employment, had lower earnings from paid employment, and had poorer
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mental and physical health at follow-up (2015/17) compared to young
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people of the same age who were not providing care at baseline.. There
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were substantial costs to the state of young adults providing care from
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lower tax revenue, welfare benefit payments, and health service use. In
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aggregate, these costs amounted to 1048 pound million annually in 2017.
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Conclusions High individual impacts and costs to the state of providing
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unpaid care, and the potential of such impacts to compound existing
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inequalities, have many implications for policy and practice in the
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health, social care, employment and welfare benefits sectors. In
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particular, the findings reinforce the case for reducing the need for
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young people to provide unpaid care, for example through better
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provision of formal care services, and to provide ongoing support for
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those young people whodoprovide care. As impacts are seen in a number of
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domains, support needs to be multidimensional.'
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affiliation: 'Brimblecombe, N (Corresponding Author), London Sch Econ \& Polit Sci,
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Dept Hlth Policy, Care Policy \& Evaluat Ctr, London, England.
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Brimblecombe, Nicola; Knapp, Martin; King, Derek; Stevens, Madeleine; Cartagena
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Farias, Javiera, London Sch Econ \& Polit Sci, Dept Hlth Policy, Care Policy \&
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Evaluat Ctr, London, England.'
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article-number: '1115'
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author: Brimblecombe, Nicola and Knapp, Martin and King, Derek and Stevens, Madeleine
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and Cartagena Farias, Javiera
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author-email: n.s.brimblecombe@lse.ac.uk
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author_list:
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- family: Brimblecombe
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given: Nicola
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- family: Knapp
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given: Martin
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- family: King
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given: Derek
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- family: Stevens
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given: Madeleine
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- family: Cartagena Farias
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given: Javiera
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da: '2023-09-28'
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doi: 10.1186/s12889-020-09166-7
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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: 'UK; Unpaid; informal care; Long-term care; Young adult; Economic impact;
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Health; Employment; Inequalities'
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keywords-plus: MODELS; PREVALENCE; ONSET; WORK
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language: English
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month: AUG 5
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number: '1'
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number-of-cited-references: '57'
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orcid-numbers: 'Brimblecombe, Nicola/0000-0002-6147-5726
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Cartagena-Farias, Javiera/0000-0002-5984-0317
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Stevens, Madeleine/0000-0003-3540-3494
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Knapp, Martin/0000-0003-1427-0215'
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papis_id: ee247b266207082dc96c972feb45c3df
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ref: Brimblecombe2020highcost
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researcherid-numbers: 'Knapp, Martin RJ/G-3011-2011
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'
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times-cited: '19'
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title: The high cost of unpaid care by young people:health and economic impacts of
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providing unpaid care
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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:000560163400001
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usage-count-last-180-days: '5'
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usage-count-since-2013: '25'
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volume: '20'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2020'
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