Involving underrepresented groups: How unpaid carers influenced our data analysis

Objectives The recent census found that five million people in England and Wales provide unpaid care. With social services struggling, unpaid carers face increasing pressure. The North West London Networked Data Lab aimed to understand unpaid carers’ needs, health issues, and care pathways through...

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Main Authors: Anna Lawrence-Jones, Jodie Chan, Evgeniy Galimov, Roberto Fernandez Crespo, Sandeep Prashar, Clare McCrudden, Thomas Lewis, Shereen Aloysius, Jacob Oguntimehin, Rachel McCarthy, Helena Gavrielides, Melanie Leis, Alex Bottle, Matthew Chisambi
Format: Article
Language:English
Published: Swansea University 2023-09-01
Series:International Journal of Population Data Science
Online Access:https://ijpds.org/article/view/2253
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author Anna Lawrence-Jones
Jodie Chan
Evgeniy Galimov
Roberto Fernandez Crespo
Sandeep Prashar
Clare McCrudden
Thomas Lewis
Shereen Aloysius
Jacob Oguntimehin
Rachel McCarthy
Helena Gavrielides
Melanie Leis
Alex Bottle
Matthew Chisambi
author_facet Anna Lawrence-Jones
Jodie Chan
Evgeniy Galimov
Roberto Fernandez Crespo
Sandeep Prashar
Clare McCrudden
Thomas Lewis
Shereen Aloysius
Jacob Oguntimehin
Rachel McCarthy
Helena Gavrielides
Melanie Leis
Alex Bottle
Matthew Chisambi
author_sort Anna Lawrence-Jones
collection DOAJ
description Objectives The recent census found that five million people in England and Wales provide unpaid care. With social services struggling, unpaid carers face increasing pressure. The North West London Networked Data Lab aimed to understand unpaid carers’ needs, health issues, and care pathways through public involvement and analysis of linked datasets. Methods We used the Discover dataset containing primary, secondary, mental health, and social care data of 2.5 million North West Londoners to explore our aims. To ensure the questions asked of the data mattered locally, we interviewed five unpaid carers to understand the issues they faced. One carer worked more closely with the data analyst to define the questions. The interim results were presented to a diverse group of unpaid carers to see whether anything resonated with them, surprised them, or required further research. The group also helped develop an engaging and accessible infographic to communicate our findings. Results The unpaid carer cohort in our dataset were, on average, older females from deprived areas, highlighting gender and socioeconomic inequities in caring responsibilities. Unpaid carers had a higher prevalence of long-term conditions before they were identified as a carer (e.g. hypertension, depression, anxiety and diabetes) and were more likely to use healthcare services than non-carers. Through speaking to unpaid carers, we learned that many hadn’t identified as a carer or mentioned it to their GP for many years. In fact, they had only had their carer status recorded after visiting their GP for an issue linked to their caring responsibilities. Our public involvement helped to highlight a major limitation of the data, particularly as men are less likely to interact with their GPs. Conclusion Our analysis found unpaid carers were more likely to have certain conditions and more likely to have multiple long-term conditions. Public involvement was critical in making sense of these findings and identifying policy and practice recommendations. Giving people a meaningful voice in population data research can also build public trust.
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spelling doaj.art-fc78c9cffe314b168de7a8d3644d81bd2023-12-03T11:27:59ZengSwansea UniversityInternational Journal of Population Data Science2399-49082023-09-018210.23889/ijpds.v8i2.2253Involving underrepresented groups: How unpaid carers influenced our data analysisAnna Lawrence-Jones0Jodie Chan1Evgeniy Galimov2Roberto Fernandez Crespo3Sandeep Prashar4Clare McCrudden5Thomas Lewis6Shereen Aloysius7Jacob Oguntimehin8Rachel McCarthy9Helena Gavrielides10Melanie Leis11Alex Bottle12Matthew Chisambi13Institute of Global Health Innovation, Imperial College London, London, United KingdomInstitute of Global Health Innovation, Imperial College London, London, United KingdomImperial College Health Partners, London, United KingdomInstitute of Global Health Innovation, Imperial College London, London, United KingdomImperial College Health Partners, London, United KingdomInstitute of Global Health Innovation, Imperial College London, London, United KingdomResearch Governance and Integrity Team, Imperial College London, London, United KingdomImperial College Health Partners, London, United KingdomImperial College Health Partners, London, United KingdomImperial College Health Partners, London, United KingdomImperial College Health Partners, London, United KingdomInstitute of Global Health Innovation, Imperial College London, London, United KingdomSchool of Public Health, Imperial College London, London, United KingdomImperial College Health Partners, London, United Kingdom Objectives The recent census found that five million people in England and Wales provide unpaid care. With social services struggling, unpaid carers face increasing pressure. The North West London Networked Data Lab aimed to understand unpaid carers’ needs, health issues, and care pathways through public involvement and analysis of linked datasets. Methods We used the Discover dataset containing primary, secondary, mental health, and social care data of 2.5 million North West Londoners to explore our aims. To ensure the questions asked of the data mattered locally, we interviewed five unpaid carers to understand the issues they faced. One carer worked more closely with the data analyst to define the questions. The interim results were presented to a diverse group of unpaid carers to see whether anything resonated with them, surprised them, or required further research. The group also helped develop an engaging and accessible infographic to communicate our findings. Results The unpaid carer cohort in our dataset were, on average, older females from deprived areas, highlighting gender and socioeconomic inequities in caring responsibilities. Unpaid carers had a higher prevalence of long-term conditions before they were identified as a carer (e.g. hypertension, depression, anxiety and diabetes) and were more likely to use healthcare services than non-carers. Through speaking to unpaid carers, we learned that many hadn’t identified as a carer or mentioned it to their GP for many years. In fact, they had only had their carer status recorded after visiting their GP for an issue linked to their caring responsibilities. Our public involvement helped to highlight a major limitation of the data, particularly as men are less likely to interact with their GPs. Conclusion Our analysis found unpaid carers were more likely to have certain conditions and more likely to have multiple long-term conditions. Public involvement was critical in making sense of these findings and identifying policy and practice recommendations. Giving people a meaningful voice in population data research can also build public trust. https://ijpds.org/article/view/2253
spellingShingle Anna Lawrence-Jones
Jodie Chan
Evgeniy Galimov
Roberto Fernandez Crespo
Sandeep Prashar
Clare McCrudden
Thomas Lewis
Shereen Aloysius
Jacob Oguntimehin
Rachel McCarthy
Helena Gavrielides
Melanie Leis
Alex Bottle
Matthew Chisambi
Involving underrepresented groups: How unpaid carers influenced our data analysis
International Journal of Population Data Science
title Involving underrepresented groups: How unpaid carers influenced our data analysis
title_full Involving underrepresented groups: How unpaid carers influenced our data analysis
title_fullStr Involving underrepresented groups: How unpaid carers influenced our data analysis
title_full_unstemmed Involving underrepresented groups: How unpaid carers influenced our data analysis
title_short Involving underrepresented groups: How unpaid carers influenced our data analysis
title_sort involving underrepresented groups how unpaid carers influenced our data analysis
url https://ijpds.org/article/view/2253
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