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Informal care: choice or constraint?
Hareth Al-Janabi1, Fiona Carmichael2, Jan Oyebode3
1Health Economics Unit, Institute of Applied Health Research, University of Birmingham, Birmingham, UK.
Background:
'Choice' is increasingly pursued as a goal of social policy. However, the degree to which choice is exercised when entering an informal caring role is open to debate.
Aim:
In this study, we examined the degree of choice and constraint in entering a caring role, and the relationship between choice and carers' well-being.
Methods:
Data were derived from 1100 responses to a postal survey conducted in a British city. Statistical tests of association and multivariable regression modelling were applied to study the factors associated with choice in entering a caring role and the association that choice in entering a caring role had with carers' well-being.
Results:
We found that informal care was generally perceived to be a free choice, albeit in most cases, a choice was also constrained by duty, financial or social resources. Having a sense of free choice in entering care was strongly and positively associated with the carer's well-being.
Conclusion:
The study findings are consistent with a view that enabling individuals to have more choice in their caring roles may be beneficial.
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