The importance of the size of the social network and residential proximity in the reception of informal care in the European Union

Abstract

ABSTRACTThis paper explores which factors affect the reception of informal care among those dependent people aged 65 and over in Europe, starting from the so-called Behavioural Model of Health Service Use introduced by Andersen. The data employed are drawn from the fourth wave of the Survey of Health, Ageing, and Retirement. The final sample consists of a total of 17,284 older dependent people of which 4529 (26.2%) received informal care. The main novelty is the incorporation of different characteristics of the social network of the individual (presence of children, size and residential proximity) among the factors that enable the reception of informal care. In particular the two latter aspects are combined in one sole indicator of distance to the social network. In addition to ‘traditional factors’ like age or degree of dependency, all the characteristics of the social network are found to influence the likelihood of receiving informal care. This reveals the need for taking into consideration the role played by social networks when governments design care programmes, especially in the current scenario of rising demand for care.