Exposing the Value of Receiving and Giving Help across 12 European Countries: A Longitudinal Analysis of Self-Perceived Health

The act of receiving and giving help is commonly expected to improve older people’s health. In this article, this expectation is explored through a longitudinal analysis of a representative sample of 29,995 respondents aged 59 to 89 in 2011 from 12 European countries documented in the Survey of Health, Ageing and Retirement in Europe (SHARE) for the period 2011 to 2022. An unordered correlated random-effects Mundlak (CRE), an ordered fixed-effects logistic (FEO), as well as an ordered random-effects Mundlak logistic panel estimator (REO), all with longitudinal calibrated weights, are used to estimate the relationship between self-perceived health and receiving and giving help. Additionally, a stereotype ordered logistic estimator (SO) is included to document the cross-sectional significance of the interaction effect between receiving and giving help. Overall, the study supports the positive impact on self-reported health status of income, doing activities and being satisfied with life, as well as the negative impact of age, having limitations and being permanently sick or disabled. The Danish older people report the best health status, while the Swedish, Belgian, and Dutch jointly hold the second-best health status. Moreover, the study highlights that receiving help relates to worse self-perceived health, and that giving help relates to better self-perceived health. Above all, the study reveals the potential of the act of giving help to improve the self-perceived health status of those who receive help.