Summary

Informal caregiving—unpaid assistance provided by family members or friends to individuals with chronic illness, disability or frailty—has emerged as a critical public health concern worldwide. Caregivers frequently experience elevated psychological distress, impaired physical functioning and adverse behavioural changes, with impacts modulated by age, gender, socioeconomic status and caregiving intensity. While some caregivers derive emotional fulfilment and social connectedness from their role, many contend with sustained stress, sleep disruption, musculoskeletal strain and heightened risk of chronic conditions. Evidence from both high-income and low- and middle-income settings underscores the need for early identification of at-risk caregivers, tailored mental health support and policies that integrate informal care into broader health-care planning. A balanced understanding of both detrimental and potentially protective effects of caregiving is essential for developing interventions that sustain caregiver health and thereby improve outcomes for care recipients.

Research from Nature Portfolio

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Health Impacts of Informal Caregiving publication trend

The graph below shows the total number of articles in health impacts of informal caregiving across all publications each year (not limited to Nature Index journals).

Technical terms

Propensity score matching: A method to balance observed covariates between caregiver and non-caregiver groups, reducing selection bias in observational studies.

Cross-sectional study: An observational design that examines associations between exposures and outcomes at a single point in time, useful for prevalence estimates but limited in causal inference.

Longitudinal study: Research following individuals over multiple time points to assess how exposures (e.g. caregiving) influence changes in health outcomes.

Self-rated health (SRH): A single-item measure in which respondents assess their overall health status, widely validated as a predictor of morbidity and mortality.

References

  1. Mental and physical health changes around transitions into unpaid caregiving in the UK: a longitudinal, propensity score analysis. The Lancet Public Health (2023).
  2. Mortality, Morbidity and Health-Related Outcomes in Informal Caregivers Compared to Non-Caregivers: A Systematic Review. International Journal of Environmental Research and Public Health (2022).
  3. The association between informal caregiving and behavioral risk factors: a cross-sectional study. International Journal of Public Health (2020).

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