Anxiety symptoms among informal caregivers in 47 low- and middle-income countries: a cross-sectional analysis of community-based surveys

Smith, Lee and Shin, Jae Il and Oh, Hans and López-Sánchez, Guillermo F. and Underwood, Benjamin and Jacob, Louis and Veronese, Nicola and Soysal, Pinar and Butler, Laurie T. and Barnett, Yvonne A. and Tully, Mark A. and Koyanagi, Ai (2022) Anxiety symptoms among informal caregivers in 47 low- and middle-income countries: a cross-sectional analysis of community-based surveys. Journal of Affective Disorders, 298 (A). pp. 532-539. ISSN 1573-2517

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Official URL: https://doi.org/10.1016/j.jad.2021.11.029

Abstract

Background- There are no multi-country studies on the association between informal caregiving and anxiety from low- and middle-income countries (LMICs). Therefore, we investigated this relationship in a large predominantly nationally representative sample from 47 LMICs. Methods- Cross sectional data from the World Health Survey were analyzed. Anxiety symptoms referred to severe or extreme problems with worries or anxiety in the past 30 days. Information on caregiving in the past 12 months was obtained. Multivariable logistic regression analysis adjusting for age, sex, marital status, education, household size, employment, disability, and country was conducted. Data on 237,952 individuals aged ≥18 years [mean (SD) age 38.4 (16.0) years; 50.8% female] were analyzed. Results- After adjustment for potential confounders, caregiving was positively associated with anxiety symptoms (OR = 1.52; 95%CI = 1.40, 1.65). Greater number of caregiving activities was associated with higher odds for anxiety symptoms dose-dependently, with the OR (95%CI) for engagement in 5 activities (vs. no caregiving) being 2.19 (1.86–2.58). Conclusion- Caregiving is associated with higher odds for anxiety symptoms among adults in LMICs. Given the increasing importance of informal caregivers in long-term care provision and the fact that good health of caregivers is vital to sustain this system, interventions to address mental health of caregivers in LMICs are urgently needed.

Item Type: Journal Article
Keywords: Informal Caregiver, Anxiety, LMICs, Caregivers, Low- and middle-income countries, Epidemiology
Faculty: Faculty of Science & Engineering
SWORD Depositor: Symplectic User
Depositing User: Symplectic User
Date Deposited: 15 Nov 2021 11:58
Last Modified: 17 Jan 2022 15:22
URI: https://arro.anglia.ac.uk/id/eprint/707099

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