logo
Young carers face higher risks of depression, anxiety and lost futures – and most receive no support

Young carers face higher risks of depression, anxiety and lost futures – and most receive no support

Yahoo4 days ago
In developed countries, around 12% of young people provide regular, unpaid care for a family member. It's work that's essential, often invisible – and potentially devastating to their mental health. As more families rely on these young carers, many are left without legal protections, recognition, or the support they urgently need.
Across Europe, informal carers now provide up to 80% of all long-term care. This figure is rising sharply due to ageing populations, an increase in chronic illness, and advances in medical technology. Between 2000 and 2050, the demand for unpaid care is expected to grow by 50% in Europe alone, with similar trends emerging in the US and Australia.
As adult carers struggle to meet rising demand, children, teenagers and young adults are stepping into the breach. These young carers often take on domestic, emotional, practical and personal care tasks that would challenge any adult. While some report growing resilience, maturity and empathy, the long-term toll on education, mental health and physical wellbeing is increasingly hard to ignore.
Lost opportunities, lasting consequences
Globally, young carers face significant restrictions on their education and career prospects. In both the UK and Germany, research shows that young adult carers are less likely to complete university, less likely to secure employment and more likely to experience long-term unemployment than their peers. These disadvantages aren't just financial – they're linked to increased rates of depression and anxiety later in life.
The social cost is high, too. Young carers are more likely to face bullying, isolation and limited opportunities for friendship or leisure. Chronic illness in the household can increase stress, leading to economic hardship, family breakdown and domestic conflict. Mental health is caught in the crossfire: many young carers experience psychological distress, depression and even self-harm.
Along with colleagues, I published a study that underscored the urgency of this issue. Our research showed that young carers in high-income countries are significantly more likely than their peers to experience poor mental health, including anxiety, depression and severe emotional distress.
Not all care is equal – and neither are its effects. The intensity, type and duration of caregiving matter greatly. Young carers who provide personal care, dedicate more hours each week, or have cared for a longer period are at the greatest risk of mental health difficulties.
Girls and young women are particularly vulnerable. They are overrepresented among young carers and are more likely to take on intensive or prolonged responsibilities. These disparities don't end in childhood. As young adults, female carers tend to experience lower educational attainment and less workforce participation than their male counterparts – disadvantages that have ripple effects on their long-term mental and economic wellbeing.
Invisible and unsupported
Despite their growing numbers, young carers are often invisible to schools, healthcare providers and policymakers. Most European countries provide no formal recognition, rights or protections. Even though the European parliament addressed the issue in 2018 and 2022, young carers remain absent from key EU frameworks.
The UK is a notable exception, with specific rights and national interventions for young carers. But gaps remain. A 2016 report found that nearly one in three young carers identified by local authorities received no support at all.
In the US, the situation is worse: a lack of national data means young carers are missing entirely from most political conversations and care agendas.
Yet support makes a difference. Studies show that recognition and perceived support, whether from teachers, friends, professionals or government policies, can protect young carers' mental health and improve their long-term outcomes. Support can take many forms: respite care, school accommodations, financial assistance, mentoring, or even a simple acknowledgement that their role matters.
Without intervention, the personal and societal costs are substantial: deteriorating mental health, lost educational and career opportunities and increased economic dependency in adulthood.
If we fail to support young carers, we fail an entire generation of quiet caregivers – and risk undermining the sustainability of our health and care systems for decades to come.
Get your news from actual experts, straight to your inbox. Sign up to our daily newsletter to receive all The Conversation UK's latest coverage of news and research, from politics and business to the arts and sciences.
This article is republished from The Conversation under a Creative Commons license. Read the original article.
Aoife Bowman Grangel receives funding from the Irish Research Council.
Orange background

Try Our AI Features

Explore what Daily8 AI can do for you:

Comments

No comments yet...

Related Articles

'Never Seen a Drop Like This:' U.S. Politics Drive Meeting Attendees Away
'Never Seen a Drop Like This:' U.S. Politics Drive Meeting Attendees Away

Skift

time7 minutes ago

  • Skift

'Never Seen a Drop Like This:' U.S. Politics Drive Meeting Attendees Away

The sharp decline in global attendance at a recent international medical congress is more than a one-off, it's a red flag. As political rhetoric escalates, the U.S. is becoming a less viable destination for truly international meetings. Attendance at the International Society on Thrombosis and Haemostasis Congress in Washington, D.C. this June fell well below expectations, a warning to organizers who rely on the U.S. as a global meetings hub. The group expected 6,000 attendees, but just 4,500 showed up. Canadian participation alone plummeted 55% from the 2023 meeting in Montreal, while attendance from the UK, France, and the Netherlands was down nearly 30%. An additional 500 U.S.-based registrants was not enough to compensate for the decline in international participation. 'We have never seen a drop like this,' said Thomas Reiser, executive director of ISTH. 'Our numbers are very low for a truly international congress.' In total, 55% of attendees came from outside the U.S., a drop from the typical 75%. U.S. Political Climate a Deterrent A mix of factors drove the decline, said Reiser. The biggest was a growing discomfort with the U.S. political environment. In addition, some European countries as well as Canada have issued advisories for travelers to the U.S., and some international scientific organizations have recommended against sending researchers to the U.S., said Resier. 'U.S. politics, more so than geopolitics, although the Middle East conflict also played a role, particularly with the U.S.'s greater involvement in the weeks before the congress had an impact. We received information from quite a few members in particular, Canada, the UK, and Western Europe, typically some of the strongest membership and registration countries, that either they themselves did not feel comfortable attending or their institutions had travel advisories, including recommendations not to go to the U.S.,' said Reiser. Although actual travel and border entry went smoothly for those who attended, perception damage had already been done. 'Media reports about possible questioning, detentions, and refusal of entry into the U.S. did not help,' he said. Revenue Takes a Hit The consequences are not just a decline in attendees. 'We heard from several participants, exhibitors, and sponsors that they would have expected higher numbers overall,' said Reiser. 'With an overall reduction in numbers of an estimated 20 to 25%, this of course has a significant financial impact on the meeting and the society. This may also have a bit of an impact on future congresses, if sponsors and exhibitors believe our registration numbers are closer to 4,500 than 6,000.' Next year's meeting will be in Paris. The 2027 meeting, which should be in North America due to event rotation, is under review. 'We're in the midst of considering whether the U.S. is the right destination for an international meeting like ours,' Reiser said. 'It's an unfortunate situation. The way the U.S. is perceived is having a real impact in the scientific space.'

I Prescribed a GLP-1. Now What?
I Prescribed a GLP-1. Now What?

Medscape

time7 minutes ago

  • Medscape

I Prescribed a GLP-1. Now What?

This transcript has been edited for clarity. We've got another really important one today. We're going to discuss the new joint recommendations from the American College of Lifestyle Medicine, the American Society for Nutrition, the Obesity Medicine Association, and the Obesity Society around nutrition and exercise for people prescribed GLP-1 therapy for obesity. This is a critically important area, as GLP-1 receptor agonists and the GLP-1/GIP dual agonist have become one of the most common medicines that we prescribe. These medicines are powerful and can lead to 15% to 22% weight loss with semaglutide and tirzepatide, respectively. A level of weight loss that I'll venture to say we did not imagine could have been possible just a few years ago. But as Spider-Man once famously said, 'With great power comes great responsibility.' We need to make sure we're spending the time that it takes to give proper advice to patients about nutrition and exercise if we want our patients to achieve the optimal health outcomes that they can get from this class of medicines. GLP-1 receptor agonists and the GLP-1/GIP dual agonist have absolutely changed the landscape for treating overweight and obesity but also come with powerful side effects, both short- and long-term. On the good side, these medicines are clearly metabolically healthy. They lead to a decrease in LDL cholesterol and triglycerides, improvement in HDL cholesterol, decreased blood pressure and blood sugar, as well as decreased vascular events in those with existent ASCVD and even improvement in arthritis pain, resolution of obstructive sleep apnea (in half of the people with OSA and obesity that were studied in an important study), and improvement in fibrosis in MASH. Nonetheless, the GLP-1s need to be used carefully and our advice is critically important if the promise of these medicines is to be fulfilled. Prior to starting weight-loss medicines, a comprehensive weight history should be taken, including asking about identifiable influences to gaining weight. We also need to look for evidence of eating disorders, which would affect the decision of whether to start an appetite-suppressing medicine, as well as influence the way that we're going to monitor people once they're on it. In addition, we should ask about mood disorders because weight loss can either exacerbate or improve depression. Finally, ask about risk of sarcopenia and assess for risk of sarcopenia, which is more common with increasing age, chronic illness, and sedentary lifestyles. Let me now discuss symptomatic side effects. First, after starting a GLP-1 receptor agonist, about a third of people during the first 1-3 months will have some degree of nausea, vomiting, diarrhea, or constipation, which are usually described as mild to moderate in degree. In order to mitigate those GI side effects, we can remind people of a few tricks. Eat small meals frequently rather than just one or two large meals a day. Avoid greasy or fatty foods. Practice mindful eating — always has been important, still is. Things like eating slowly and making sure to stop eating when you begin to feel full. In addition, it's important to remind people to consciously stay hydrated because along with suppression of appetite, there can be alterations in thirst mechanism, which is particularly important this time of year. For people who are experiencing a lot of GI side effects, a slower dose titration can be helpful. If nausea is a challenging issue, antinausea medicines, such as prochlorperazine or ondansetron, can be prescribed to help people get through the first few months. If constipation is an issue, increasing fluids and fiber can be encouraged and medications such as polyethylene glycol can be used. Let's move on, now, to potential for nutritional deficiencies. When you decrease the amount you eat substantially, you can decrease the amount of vitamins and minerals that you get. Advise patients to eat nutrient-dense, minimally processed foods, including fruits, vegetables, whole grains, legumes, lean proteins, nuts, and seeds. Supplementation can be considered for at-risk nutrients, such as vitamin D, calcium, and B 12 — or just recommend a multivitamin with minerals. Preservation of muscle and bone is critical. Rapid weight loss can lead to loss of both fat and lean body mass (that is, muscle mass). About a quarter of all the weight that is lost on GLP-1s comes from muscle. It is not the medicines, though, that caused the loss of muscle. It's the rapid weight loss. That same thing happens with a very low-calorie diet, bariatric surgery, or medications. To mitigate the loss of lean body mass, two things are important. The first thing is nutrition. The second thing is exercise. When you're in a calorie deficit, your body needs to get sufficient amino acids to preserve and build muscle mass. While the recommended daily allowance for protein in adults is 0.8 g/kg/d, when someone is at a significant calorie deficit, a higher intake of protein is recommended. There's not clarity in the literature as to the correct amount of protein. Some recommendations actually go up to 1.2-1.6 g/kg/d during active weight reduction. Some experts recommend protein needs to be calculated based on total weight; others recommend based on lean body weight. There's a lack of clarity here. As a reasonable compromise to these varied recommendations, I usually recommend that patients take in about 0.4-0.5 grams of protein per pound of body weight during weight loss. This means that a roughly 200-pound individual should aim to get about 70 or 80 grams of protein daily. Don't fret over the exact amount, but just make sure that you're not way undershooting the right amount. The reality here is that this often requires planning in order to achieve adequate protein intake. I usually recommend to patients that they can try a protein shake in the morning to help them achieve their protein goals. The advisory emphasizes that lower-volume nutrient-dense protein foods can be encouraged. Things like fish, eggs, Greek yogurt, cottage cheese, nuts and seeds, chicken. I want to emphasize that protein alone, though, is not going to be enough to help preserve muscle mass. You need to do resistance exercises, as well. As for bone health, the relationship between GLP-1 use and bone density is complex and unclear. There's some evidence that GLP-1s may actually protect bone density, while it is clear, though, that rapid weight loss leads to a loss of bone density. What is clear is that exercise is critical for the preservation of both lean body mass — meaning muscle — and bone density. So, putting it all together: When GLP-1s or dual agonists are prescribed, in order to have optimal outcomes, they should be prescribed with an exercise program, aiming for strength training at least three times weekly, plus at least 150 minutes of moderate-intensity aerobic exercise weekly, as well, to preserve muscle and bone mass. This is not easy. I'm not saying it is. I am saying it's important. A dietitian can help with nutrition, and a personal trainer or YouTube videos are also resources for learning how to do strength training — that is, resistance exercises. Finally, for a variety of reasons, people often stop taking GLP-1s. It's clear that most people will put weight back on. Maybe not everyone and maybe not all of the weight — that's going to depend on how you approach these lifestyle issues. When you gain weight back, unless you're exercising you will not gain back muscle that has been lost. And muscle is important for health. It's important to utilize the time on the medications to reinforce healthy habits, healthy food choices, and regular exercise, because doing so increases the likelihood of success in keeping at least some of the weight off and diminishes the loss of bone and muscle over time. These are powerful medicines. And to make the best use of them, and for patients to achieve the best outcomes, requires input from us, as clinicians, for a significant commitment on the part of patients to do the work, as long as we provide the knowledge in order to achieve those outcomes. I'm interested in your thoughts. For Medscape, I'm Dr Neil Skolnik.

Linda Yaccarino Joins eMed Population Health After Departure From Musk's X Platform
Linda Yaccarino Joins eMed Population Health After Departure From Musk's X Platform

Wall Street Journal

time8 minutes ago

  • Wall Street Journal

Linda Yaccarino Joins eMed Population Health After Departure From Musk's X Platform

Linda Yaccarino is joining eMed Population Health as its chief executive officer, just weeks after stepping down as CEO of Elon Musk's social-media company X. Miami-based eMed, which focuses on health management for the GLP-1 and GIP population, said Yaccarino's experience will be critical as it expands its services to accommodate new employers and government partnerships.

DOWNLOAD THE APP

Get Started Now: Download the App

Ready to dive into a world of global content with local flavor? Download Daily8 app today from your preferred app store and start exploring.
app-storeplay-store