Project Title:

Familiesm households & health: projections and implications

Project Number:

2021_005

Researchers:

Wei Xun
Rachel Stuchbury
Michael Murphy
Guoqiang Wu

Start Date:

17th May 2021

Summary:

This project is part of a wider study using comparisons between the UK and China to inform research into health and wellbeing in later life, focusing on housing.  

The project aims to examine how the provision of free personal care is related to household changes among older people (transitions to living with relatives versus transitions to institutional care), and how the health status of those making such transitions may vary with variation in access to free personal care. We will compare results from Scottish LS (SLS) with the ONS LS in E&W (as there is a difference in policy on free personal care). We will investigate whether this difference was associated with a changing differential between E&W and Scotland in transitions to live with relatives or to institutional settings, and associations with subsequent health and mortality, and socio-economic differences. The results of the project will be useful to inform policy debate on this topic.

For the work using SLS (and ONS LS, subject to a separate application), the first objective is to compare transitions from private to non-private households between 1991-2001 and 2001-11 and carry out Difference in Difference analysis to test whether the introduction in 2002 of free personal care in Scotland was associated with a divergence in trends between Scotland and England-and-Wales.

A further aim is to examine mortality during the years after each decade described above, similarly, to look for variations.   Comparisons between outcomes for the two cohorts will be made, accompanied by comparisons between England-and-Wales and Scotland.   For this latter work the option of using the eDataShield process is being considered.

References:

1. Grundy E. The living arrangements of elderly people. Rev Clin Gerontol 1992;2:353e61.
2. Tomassini C, Glaser K, Wolf D, et al. Living arrangements among older people: an overview of trends in Europe and the USA. Popul Trends 2004;115:24e34.
3. Goldscheider FK, Waite LS. New families, no families? Berkeley, CA: University of California Press, 1991.
4. Wolf DA. Population change: friend or foe of the chronic care system? Health Aff 2001;20:28e42.
5. Soldo B, Freedman V. Care of the elderly: division of labour among the family, market and state. In: Martin LG, Preston SH, eds. Demography of aging. Washington DC: National Academy Press, 1994:195e216.
6. Ogawa N, Retherford RD. Shifting the cost of caring for the elderly back to families in Japan: will it work? Popul Dev Rev 1997;23:59e96.
7. Johansson L, Sundstro¨m G, Hassing LB. State provision down offspring’s up: the reverse substitution of old age care in Sweden. Ageing Soc 2003;23:269e80.
8. Wanless D. Securing good care for older people: taking a long-term view. London: King’s Fund, 2006.
9. Grundy E Household transitions and subsequent mortality among older people in England and Wales: trends over three decades Journal of Epidemiology & Community Health 2011;65:353-359.
10. Raab GM., Dibben C. & Burton P. Running an analysis of combined data when the individual records cannot be combined: practical issues in secure computation

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