Abstract

The COVID-19 pandemic has highlighted the importance of informal care and shown that women continue to shoulder the brunt of responsibilities in this area. In this study, we analyzed differences in caregiving and self-perceived health in a group of informal male and female caregivers 1 year into the COVID-19 pandemic. We performed a cross-sectional survey of 261 informal caregivers (165 women and 96 men) in two regions of Spain using computer-assisted telephone interviewing between February and April 2021. We performed descriptive, bivariate, and multivariate analyses to calculate the odds of poor self-perceived health according to different caregiver, care recipient, and caregiving characteristics. We also analyzed the perceived effects of the pandemic on caregiving, caregiver health, and other aspects of life. Compared with male caregivers, female caregivers were more likely to experience increases in caregiving intensity and burden and a decline in self-perceived health as a result of the pandemic. Men providing high-intensity care, however, also reported deteriorated health. Men experienced fewer reductions in informal support, a factor that exerted a protective health effect. Women, by contrast, experienced a reduction in all support systems and in this case, a third-level education exerted a protective effect. Our results provide key insights that should be taken into account to design gender-based interventions aimed at supporting already stretched and burdened caregivers. A greater sharing of responsibilities and more resources are needed.

Highlights

  • The COVID-19 pandemic caused by the SARS-COV-2 coronavirus has brought about a revolution in almost all dimensions of the life of humanity as a whole

  • Our study provides the necessary framework for analyzing the effects of the COVID-19 pandemic on the health and experiences of men and women providing informal care in two regions of Spain

  • We investigated the characteristics of care and the perceived consequences of the pandemic associated with the perceived health of caregivers in both sexes

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Summary

Introduction

The COVID-19 pandemic caused by the SARS-COV-2 coronavirus has brought about a revolution in almost all dimensions of the life of humanity as a whole. The pandemic has had an unprecedented impact on health and social care systems and has brought to the fore the crucial role played by caregivers. Reduced access to formal care and support services for dependent persons and their carers has led to an increase in the number of people being cared for at home, with women shouldering a disproportionate share of the responsibilities and being exposed to a greater risk of COVID-19 [1,2]. A number of studies have analyzed the differential health effects of the COVID19 pandemic on men and women [7], with evidence showing that the accumulation of caregiving responsibilities and household chores has taken a toll on the mental health of women [8,9,10]

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