Informal Caregiving Provision for Disabled or Elderly in the Families and Work Productivity: Evidence from 11 Waves of an Australian Population-Based Cohort

Article


Keramat, Syed Afroz, Hashmi, Rubayyat, Aregbeshola, Bolaji Samson and Comans, Tracy. 2023. "Informal Caregiving Provision for Disabled or Elderly in the Families and Work Productivity: Evidence from 11 Waves of an Australian Population-Based Cohort." PharmacoEconomics. 41 (9), pp. 1117-1136. https://doi.org/10.1007/s40273-023-01283-6
Article Title

Informal Caregiving Provision for Disabled or Elderly in the Families and Work Productivity: Evidence from 11 Waves of an Australian Population-Based Cohort

ERA Journal ID14835
Article CategoryArticle
AuthorsKeramat, Syed Afroz, Hashmi, Rubayyat, Aregbeshola, Bolaji Samson and Comans, Tracy
Journal TitlePharmacoEconomics
Journal Citation41 (9), pp. 1117-1136
Number of Pages20
Year2023
PublisherSpringer
Place of PublicationNew Zealand
ISSN1170-7690
1179-2027
Digital Object Identifier (DOI)https://doi.org/10.1007/s40273-023-01283-6
Web Address (URL)https://link.springer.com/article/10.1007/s40273-023-01283-6
Abstract

Background
Informal carers are family members, friends or neighbours who care for persons in need. In 2018, around one in ten Australians offered some informal care, most of which was unpaid. It is essential to comprehend how informal caregivers’ productivity at work is affected by their caregiving responsibilities. We examine the association between informal caregiving and productivity loss in Australia.

Methods
We utilised 11 waves of data drawn from the Household, Income and Labour Dynamics in Australia (HILDA) survey. Longitudinal random-effects logistic regression and random-effects Poisson regression techniques were used to assess the between-person differences in the association between informal caregiving and productivity loss (absenteeism, presenteeism and working hour tension).

Results
The results suggest informal caregiving is associated with a higher rate of absenteeism, presenteeism and working hour tension. We reveal that absence/leave rates at work are greater for those with lighter, moderate and intensive care responsibilities than those without caregiving responsibilities, given other covariates reference categories remain constant. Our findings also indicate that workers with intensive, moderate, and light caregiving responsibilities have considerably higher rates of working hour tension than their peers without caregiving commitments if other covariate reference categories are held constant. The result further shows that, on average, an individual with lighter, moderate and intensive caregiving roles had incurred AUD 276.13, AUD 246.81, and AUD 1927.16, respectively, in absenteeism costs annually compared with their counterparts without caregiving duties.

Conclusion
Our study reveals that working-age caregivers experience greater absenteeism, presenteeism and working hour tension. Adverse effects of informal caregiving are required to perform the cost effectiveness of an intervention given to caregivers to improve carer and patient health. Our findings will assist health technology assessment (HTA) practitioners in performing an economic evaluation of interventions given to caregivers by providing the indirect cost (productivity loss) of caregiving.

KeywordsInformal Caregiving; Work Productivity
ANZSRC Field of Research 20204203. Health services and systems
Byline AffiliationsUniversity of Queensland
School of Business
University of Newcastle
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Keramat, Syed Afroz, Alam, Khorshed, Gow, Jeff and Biddle, Stuart J. H.. 2020. "A longitudinal exploration of the relationship between obesity, and long term health condition with presenteeism in Australian workplaces, 2006-2018." PLoS One. 15 (8), pp. 1-17. https://doi.org/10.1371/journal.pone.0238260
Cost-effectiveness evaluations of the 9-Valent human papillomavirus (HPV) vaccine: evidence from a systematic review
Mahumud, Rashidul Alam, Alam, Khorshed, Keramat, Syed Afroz, Ormsby, Gail M., Dunn, Jeff and Gow, Jeff. 2020. "Cost-effectiveness evaluations of the 9-Valent human papillomavirus (HPV) vaccine: evidence from a systematic review." PLoS One. 15 (6), pp. 1-15. https://doi.org/10.1371/journal.pone.0233499
Gender differences in the longitudinal association between obesity, and disability with workplace absenteeism in the Australian working population
Keramat, Syed Afroz, Alam, Khorshed, Gow, Jeff and Biddle, Stuart. 2020. "Gender differences in the longitudinal association between obesity, and disability with workplace absenteeism in the Australian working population." PLoS One. 15 (5), pp. 1-14. https://doi.org/10.1371/journal.pone.0233512
Wealth stratified inequalities in service utilisation of breast cancer screening across the geographical regions: A pooled decomposition analysis
Mahumud, Rashidul Alam, Alam, Khorshed, Keramat, Syed Afroz, Renzaho, Andre M.N., Hossain, Md. Golam, Haque, Rezwanul, Ormsby, Gail M., Dunn, Jeff and Gow, Jeff. 2020. "Wealth stratified inequalities in service utilisation of breast cancer screening across the geographical regions: A pooled decomposition analysis." Archives of Public Health. 78, pp. 1-12. https://doi.org/10.1186/s13690-020-00410-5
Wealth-related inequalities of women’s knowledge of cervical cancer screening and service utilisation in 18 resource-constrained countries: evidence from a pooled decomposition analysis
Mahumud, Rashidul Alam, Keramat, Syed Afroz, Ormsby, Gail M., Sultana, Marufa, Rawal, Lal B., Alam, Khorshed, Gow, Jeff and Renzaho, Andre M. N.. 2020. "Wealth-related inequalities of women’s knowledge of cervical cancer screening and service utilisation in 18 resource-constrained countries: evidence from a pooled decomposition analysis." International Journal for Equity in Health. 19 (1), pp. 1-15. https://doi.org/10.1186/s12939-020-01159-7
Socioeconomic inequalities in mental health in Australia: Explaining life shock exposure
Hashmi, Rubayyat, Alam, Khorshed and Gow, Jeff. 2020. "Socioeconomic inequalities in mental health in Australia: Explaining life shock exposure." Health Policy. 124 (1), pp. 97-105. https://doi.org/10.1016/j.healthpol.2019.10.011
Cost-effectiveness of the introduction of two-dose bi valent (Cervarix) and quadrivalent (Gardasil) HPV vaccination for adolescent girls in Bangladesh
Mahumud, Rashidul Alam, Gow, Jeff, Alam, Khorshed, Keramat, Syed Afroz, Hossain, Md Golam, Sultana, Marufa, Sarker, Abdur Razzaque and Islam, Sheikh M. Shariful. 2020. "Cost-effectiveness of the introduction of two-dose bi valent (Cervarix) and quadrivalent (Gardasil) HPV vaccination for adolescent girls in Bangladesh." Vaccine. 38 (2), pp. 165-172. https://doi.org/10.1016/j.vaccine.2019.10.037
Obesity, long-term health problems, and workplace satisfaction: a longitudinal study of Australian workers
Keramat, Syed Afroz, Alam, Khorshed, Gow, Jeff and Biddle, Stuart J. H.. 2020. "Obesity, long-term health problems, and workplace satisfaction: a longitudinal study of Australian workers." Journal of Community Health. 45, pp. 288-300. https://doi.org/10.1007/s10900-019-00735-5
Implementation of simulation modelling to improve service planning in specialist orthopaedic and neurosurgical outpatient services
Moretto, Nicole, Comans, Tracy A., Chang, Angela T., O'Leary, Shaun P., Osborne, Sonya, Carter, Hannah E., Smith, David, Cavanagh, Tania, Blond, Dean and Raymer, Maree. 2019. "Implementation of simulation modelling to improve service planning in specialist orthopaedic and neurosurgical outpatient services." Implementation Science. 14 (1), pp. 1-11. https://doi.org/10.1186/s13012-019-0923-1
Determinants of access to eHealth services in regional Australia
Alam, Khorshed, Mahumud, Rashidul Alam, Alam, Fariha, Keramat, Syed Afroz, Erdiaw-Kwasie, Michael O. and Sarker, Abdur Razzaque. 2019. "Determinants of access to eHealth services in regional Australia." International Journal of Medical Informatics. 131, pp. 1-9. https://doi.org/10.1016/j.ijmedinf.2019.103960
Dynamic relationship among environmental regulation, innovation, CO2 emissions, population, and economic growth in OECD countries: a panel investigation
Hashmi, Rubayyat and Alam, Khorshed. 2019. "Dynamic relationship among environmental regulation, innovation, CO2 emissions, population, and economic growth in OECD countries: a panel investigation." Journal of Cleaner Production. 231, pp. 1100-1109. https://doi.org/10.1016/j.jclepro.2019.05.325
Mitii™ ABI: study protocol of a randomised controlled trial of a web-based multi-modal training program for children and adolescents with an acquired brain injury (ABI)
Boyd, Roslyn B, Baque, Emmah, Piovesana, Adina, Ross, Stephanie, Ziviani, Jenny, Sakzewski, Leanne, Barber, Lee, Lloyd, Owen, McKinlay, Lynne, Whittingham, Koa, Smith, Anthony C., Rose, Stephen, Fiori, Simona, Cunnington, Ross, Ware, Robert, Lewis, Melinda, Comans, Tracy A. and Scuffham, Paul. A. 2015. "Mitii™ ABI: study protocol of a randomised controlled trial of a web-based multi-modal training program for children and adolescents with an acquired brain injury (ABI)." BMC Neurology. 15 (140). https://doi.org/10.1186/s12883-015-0381-6