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Role of psychosocial work factors in the relation between becoming a caregiver and changes in health behaviour: results from the Whitehall II cohort study

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Authors:
Summary:

This investigation obtained data from the Whitehall II cohort study, which originally recruited 10,308 British civil service workers aged 35–55 years during the period 1985–1988. Follow-ups were conducted at every subsequent phase approximately every 2 years. Phase 3 (1991–1994) served as the baseline for this present investigation, which involved 5419 subjects who were not caregivers at this point. During phase 4 (1995–1996), 304 subjects became caregivers to an aged or disabled relative. Assessments of smoking, alcohol consumption and exercise at baseline and follow-up (phase 5, 1997–1999) revealed that those who became caregivers were more likely to increase frequency of alcohol consumption, but only if they also reported low decision latitude at work (OR 1.65; 95% CI, 1.15 to 2.37 vs non-caregivers with average decision latitude), or belonged to a low occupational social class (OR 2.38; 95% CI, 1.17 to 4.78 vs non-caregivers of high occupational social class). Caregivers were more likely to quit smoking if job demands were low (OR 2.92; 95% CI ,1.07 to 7.92 vs non-caregivers with low job demands), or if social support at work was high (OR 2.99; 95% CI, 1.01 to 8.86 vs caregivers with average social support). There was no effect of caregiving on reducing exercise below recommended number of hours per week, or on drinking above recommended number of units per week, regardless of job demands. Estimates were generally unchanged after the researchers adjusted for baseline long-term illness and depressive symptoms.

Comment:
Caregiving is a privilege. However, studies have confirmed the impact caregiving has on health outcomes, including increased risk for musculoskeletal injuries, heart disease and depression. This research has attempted to look beyond ‘individual choices and health behaviours’ to how environments can better support caregivers.
Reference: J Epidemiol Community Health. 2016;70:1200-6
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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