Cost of Informal Caregiving Associated with Stroke among Elderly in the United States

Details

• Alternative Title:
  Neurology
• Personal Author:
  Joo, Heesoo ; Dunet, Diane O. ; Fang, Jing ; Wang, Guijing
• Description:
  Objectives
  
  We estimated the informal caregiving hours and costs associated with stroke.
  
  Methods
  
  We selected persons aged 65 and older in 2006 and who were also included in the 2008 follow-up survey from the Health and Retirement Study. We adapted the case-control study design by using self-reported occurrence of an initial stroke event during 2006 and 2008 to classify persons into the stroke (case) and the non-stroke (control) groups. We compared informal caregiving hours between case and control groups in 2006 (pre-stroke period for case group) and in 2008 (post-stroke period for case group) and estimated incremental informal caregiving hours attributable to stroke by applying a difference-in-differences technique to propensity-score matched populations. We used a replacement approach to estimate the economic value of informal caregiving.
  
  Results
  
  The weekly incremental informal caregiving hours attributable to stroke were 8.5 hours per patient. The economic value of informal caregiving per stroke survivor was $8,211 per year, of which $4,356 (53%) was attributable to stroke. At the national level, the annual economic burden of informal caregiving associated with stroke among elderly was estimated at $14.2 billion in 2008.
  
  Conclusions
  
  Recent changes in public health and social support policies recognize the economic burden of informal caregiving. Our estimates reinforce the high economic burden of stroke in the US and provide up-to-date information for policy development and decision-making.
  
  
• Subjects:
  Aged Aged, 80 And Over Aging Caregivers Cost Of Illness Female Humans Longitudinal Studies Male Retrospective Studies Social Support Stroke United States

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• Keywords:
  All Cerebrovascular Disease/Stroke All Rehabilitation Cost Effectiveness/Economics
• Source:
  Neurology. 83(20):1831-1837
• Pubmed ID:
  25305152
• Pubmed Central ID:
  PMC4365923
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHSUnited States/
• Volume:
  83
• Issue:
  20
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:6d00dc2e8d6794c3e45d6b6676df5560a4f24f78358109bbdfe240bbb47843ec
• Download URL:
  https://stacks.cdc.gov/view/cdc/30335/cdc_30335_DS1.pdf
• File Type:
  [PDF - 637.49 KB ]