Likelihood of African American Primary Caregivers and Care Recipients Receiving Assistance From Secondary Caregivers: A Rural-Urban Comparison

We examine rural-urban differences in reliance on secondary caregivers for African American female primary caregivers (250 rural, 242 urban) and their care recipients. Logistic regression was used to identify caregiver and care recipient characteristics significantly associated with the likelihood of having a secondary caregiver within rural and urban samples. Post hoc Wald chi-square tests were used to identify significant between-sample differences in regression coefficients. Secondary caregivers were more common in urban than rural contexts. Having a secondary caregiver was more strongly related to primary caregivers' poorer physical health and nonresidence with care recipients in rural than urban contexts. Findings suggest that policy initiatives, such as the National Family Caregivers Support Act and the cash and counseling model, may benefit rural and urban residents, particularly rural residents as the majority of them lacked secondary caregiver assistance.     

How Women in Late Midlife Become Caregivers for Their Aging Parents

Approximately 52 million Americans provide informal (unpaid) care to a family member or friend who is disabled or ill. The most common informal caregiving relationship is that of an adult child providing assistance to an aging parent. This article describes a qualitative study examining how adult daughters between the ages of 50 and 65 become caregivers to their parent or parent-in-law. Data were collected through in-depth, face-to-face interviews with 15 female caregivers. Analysis revealed that assistance provided to parents was initiated by one or more triggering event, after which participants became caregivers in either an emergent or deliberate manner.     

Aging children and their older parents: the coming generation of caregiving

This study uses a data set of older children and their older parents to examine caregiving relationships. Using the 1993 Panel Study of Income Dynamics and the 1993 Health Care Burden file, we examine help given by children to their parents. We distinguish between daughters who are household heads and daughters who are wives. We find parents receive substantially more care from daughters than from sons. The caregiving role of daughters who are household heads differs notably from that of wives. An analysis of caregiving, employment, and house-work shows that children who are caregivers devote more combined hours to these activities than children who do not provide care.     

Aging Children and Their Older Parents: The Coming Generation of Caregiving

ABSTRACT

This study uses a data set of older children and their older parents to examine caregiving relationships. Using the 1993 Panel Study of Income Dynamics and the 1993 Health Care Burden file, we examine help given by children to their parents. We distinguish between daughters who are household heads and daughters who are wives. We find parents receive substantially more care from daughters than from sons. The caregiving role of daughters who are household heads differs notably from that of wives. An analysis of caregiving, employment, and housework shows that children who are caregivers devote more combined hours to these activities than children who do not provide care.     

Gender differences in caregiving: a case in Chinese Canadian caregivers

This study examines the gender differences in Chinese- Canadian family caregivers providing care to elderly Chinese care receivers. A random sample of 339 Chinese-Canadian caregivers for elderly care receivers completed a telephone survey. Most of the Chinese family caregivers were females. No major gender differences were reported in the amount and types of caregiving tasks. The level of caregiving burden and predictors were generally similar for both gender groups. Contrary to common belief that sons and daughters-in-law are the key family caregivers in the Chinese culture, the daughters played a more important role in family caregiving. In addition to providing support and services to Chinese female caregivers, strategies to enhance Chinese males' involvement in family caregiving are needed and discussed in the paper.     

Who is mommy tonight? Lesbian parenting issues

Developing an identity as mother and establishing what it means to mother is a task not defined by sexual orientation. Both heterosexual and homosexual women encounter role models and the dictates of society when mothering (Nelson, 1996). The present study explores how 18 lesbian adoptive parents, 49 lesbian parents who formed their families biologically, and 44 heterosexual adoptive parents experience and perceive their parenting role, how they respond when their children seek them or their partner for particular nurturing, and how the parents negotiate the cultural expectation of a primary caregiver. Lesbian couples were more equal in their division of childcare than heterosexual parents, and lesbian adoptive parents were the most egalitarian. In all types of dual parent families, parents were sought by their child for different activities. In heterosexual adoptive and lesbian biological families, the child's parental preference was rarely a source of conflict between partners. Lesbian adoptive parents were more likely to report that this preference caused occasional conflict. Reasons for this conflict are discussed in light of societal expectations of women and the role of mother.     

Gender Differences in Caregiving: A Case in Chinese Canadian Caregivers

ABSTRACT

This study examines the gender differences in Chinese-Canadian family caregivers providing care to elderly Chinese care receivers. A random sample of 339 Chinese-Canadian caregivers for elderly care receivers completed a telephone survey. Most of the Chinese family care-givers were females. No major gender differences were reported in the amount and types of caregiving tasks. The level of caregiving burden and predictors were generally similar for both gender groups. Contrary to common belief that sons and daughters-in-law are the key family caregivers in the Chinese culture, the daughters played a more important role in family caregiving. In addition to providing support and services to Chinese female caregivers, strategies to enhance Chinese males' involvement in family caregiving are needed and discussed in the paper.     

Caregiver stressors and depressive symptoms among older husbands and wives in the United States

Framed by Pearlin’s Stress Process Model, this study prospectively examines the effects of primary stress factors reflecting the duration, amount, and type of care on the depressive symptoms of spousal caregivers over a2-year period, and whether the effects of stressors differ between husbands and wives. Data are from the 2004 and 2006 waves of the Health and Retirement Study and we included community-dwelling respondents providing activities of daily life (ADL) and/or instrumental activities of daily life (IADL) help to their spouses/partners (N = 774). Results from multivariate regression models indicate that none of the primary stressors were associated with depressive symptoms. However, wives providing only personal care had significantly more depressive symptoms than wives providing only instrumental care, while husbands providing different types of care showed no such differences. To illuminate strategies for reducing the higher distress experienced by wife caregivers engaged in personal care assistance, further studies are needed incorporating couples’ relational dynamics and gendered experiences in personal care.     

Anticipatory caregiving anxiety among older women and men

This study, based on a sample of 221 older women and men, explores factors associated with anticipatory caregiving anxiety using a scale developed by Cicirelli (1988). Results show that even the anticipation of providing care evokes anxiety. We find that women have higher levels of anxiety than men, individuals who have served as caregivers have higher levels of anxiety than individuals who have never provided care to family members, and that individuals who are in better health and have more income have lower levels of anxiety than those with less health or income. Implications for services to support caregivers and long-term care reform are discussed.     

"My mind's made up": assumptions and decision-making in accounts of caregiving women

In this qualitative study, rural women caregivers for elderly relatives or friends were interviewed about their decision-making. Women deliberating decisions differed from women implementing decisions in how they perceived their caregiving tasks and in their experience of stress. The difference in deliberative and implemental accounts suggests that mindset is a mediating factor for the women in the present study. Women in the process of implementing decisions regarding caregiving described their experiences in a more positive light and reported less stress. Deliberating decisions regarding caregiving, however, was likely to color the experience of caregiving, leaving the caregiver feeling vulnerable, doubtful about herself, and more stressed.     

Beliefs and expectations of family and nursing home care among Mexican-origin caregivers

This study examined perceptions of family care, nursing homes, and expectations of future care among 85 Mexican-origin women caregivers, some who lived in Mexico City and some who lived in East Los Angeles, California (East LA). Attitudes of Mexican-born women—living in Mexico City and in East LA—were more similar to each other than those of U.S.-born women. Most caregivers reported a preference for family care and had negative views of institutional care. In addition, despite the negative views about nursing homes, some caregivers expressed a willingness to seek nursing-home care for themselves so as to avoid burdening their children in the future. Findings lend support to the persistence of Mexican cultural values in this sample of Mexican-origin caregiving women, regardless of where they were born.     

Perceptions of Caregivers of Elderly Parents by College Students:

College students (144 females and 96 males) evaluated a briefly depicted stimulus person on 31 7-point bipolar scales that described personality traits, job performance characteristics and role overload variables. Each participant rated one of eight employed married adults who was described as either female or male, eithcr providing care for an elderly mother ("primary caregiver") or hiring someone to provide such care ("secondary caregiver"), and as having two children who either still lived or no longer lived at home. Women were viewed as experiencing more role overload than men. Primary caregivers were perceived as experiencing more role overload, as being less job-oriented, and as being more nurturant than secondary caregivers.     

A feminist model of family care: practice and policy directions

Using a feminist perspective, this article examines women's experiences in caring for older family members with chronic illnesses or disabilities. Central to this analysis are the concepts of the social construction of gender-based inequities in caring, the interconnections between generations of women as givers and receivers of care, and variations in family care by gender, race, ethnicity, social class and sexual orientation. The authors critique current practice interventions and policies and purpose models for the elimination of gender-based inequities in caregiving and the provision of caregiver choice and empowerment for women and men, including feminist models of practice with women caregivers and economic and long-term care supports.     

Generational Juggling Acts in Midlife Families: Gendered and Ethnocultural Intersections

This study draws upon a sociocultural stress and coping perspective to examine generational demands in midlife families. It examines both the predictors and family-related circumstances that contribute to perceptions of greater demand, with a focus on gendered and ethnocultural dimensions. Using mixed-methods, data are based on a sample of 236 parents collected in 2006/2007 from four cultural groups: British-, Chinese-, Southern European-, and South Asian Canadian. Key findings reveal that caregiving experiences remain highly gendered and are mediated by ethnocultural background and other work/family contextual characteristics. Recommendations for those who work directly with culturally diverse “sandwiched” generation families are highlighted.     

Daughters-in-Law as Caregivers: How and Why Do They Come to Care?

ABSTRACT

This exploratory qualitative study examines the family dynamics and socio-structural factors which explain how and why some women become caregivers to in-laws. As well, it explores prevailing attitudes about care by in-laws. Material is drawn retrospectively from three previous studies of caregivers in Montreal, Quebec, including 10 semi-structured interviews with daughters-in-law and 72 interviews with spousal and child caregivers. An exploratory framework of the factors which are determinant in becoming a daughter-in-law caregiver is proposed which includes such elements as: social and cultural norms regarding family responsibility for eldercare; social and cultural norms regarding the place and the rights of the elderly; rules of family relations, couple dynamics, gender dynamics and family availability.     

The Gendered Division of Labor in Parental Caretaking:

Public ideology dictates that families take responsibility for the care of their frail and vulnerable members. Women more than men are the unpaid, informal caregivers of family members. This gendered division of labor is examined by using the U.S. Survey of Income and Program Participation. Differences between metropolitan and nonmetropolitan sons' and daughters' parental caregiving activities are examined in order to contrast areas having more traditional, conventional or conservative values with those adopting more feminist values. Results show that in addition to daughters performing the vast majority of tasks, there is a difference between the types of care provided by metropolitan and nonmetropolitan daughters. Nonmetropolitan daughters tend to perform more caregiving tasks considered to be traditional "women's work" while metropolitan daughters perform significantly more tasks considered to be nontraditional for women. The fmdings suggest that providing care is due more to socialization to gender roles than to women's supposed natural or biological tendencies for "nurturing."     

Returns on Lifetime Investments in Children in Egypt

Parental expectations about the companionship and assistance they will receive in later life from their children are key considerations in family formation decisions. We explore patterns of parents’ investment and the support and contact they receive from adult children in Egypt, where fertility is falling and sources of support at all life stages are in flux. Using data from a survey of older adults in Ismailia governorate, we consider parents’ past investments in childbearing, child survival, and children’s education and marriage, as well as recent assistance to adult children via housing, care for grandchildren, gifts, and money. The returns from children considered include economic assistance, instrumental support, and visits. Most parental investments are associated with frequent visits from children. The assistance children provide to parents is gendered: sons tend to provide economic transfers, whereas daughters tend to provide instrumental help. A greater number of surviving children is most strongly associated with parents’ receipt of multiple types of later-life returns. Investments in children’s education and marriage are not associated with assistance, but recent assistance to children—especially economic transfers and provision of housing—is associated with receiving instrumental assistance from adult children.     

Dependency of the chinese elderly: An exploration

The paper explores the Chinese elderly’s dependency, or need for assistance, in four key functional areas: physical, mental, social and economic, based on data from the 1992 National Survey on the Old-age Support System (NSOSS). The approximate indicators, selected on data availability, show that the dependency rates of the elderly differed markedly by functional area. Only a very small proportion of the elderly were physically dependent or partly dependent. In contrast, economic dependency was a common phenomenon. The dependency rates varied by age, sex and urban-rural residence. Older people, females and rural residents were more likely to have a higher need for assistance. These findings have major policy implications in old age support and aged care programs.     

Adding aging and gender to the women's health agenda

The complex interaction of medical, social, and economic factors that affect women's wellness as they age requires a new paradigm that bridges the gap between those who are concerned about aging issues and those concerned about women's health. In this article, we begin this endeavor by advancing three interrelated themes: (1) there is a gendered relationship between socioeconomic structures and health over time; (2) there are gender-specific implications of health care financing and policy; and (3) there are health consequences to the gendered nature of caregiving.     

中国老年人临终地点及影响因素研究

文章基于2008年、2011年、2014年北京大学中国老年人健康长寿影响因素追踪调查的死亡数据对中国老年人临终地点、影响因素及变化趋势进行研究。居住在城镇、年龄较小、社会经济地位高、拥有医疗保险、患有慢性疾病的老年人更可能"临终于医院";临终照护者为配偶、生活不能自理的老年人更可能"临终在家"。从变化趋势看,中国老年人"临终于医院"的比例有所上升,但仍以"临终在家"为主。研究认为其主要原因为80岁及以上高龄老年人占老年人口比例上升,城镇化发展背景下中国大多数老年人依然生活在农村,基层医疗卫生机构(如村卫生室)的发展增强了其临终医疗服务能力。在亲人的关心和注视下离开,在自己的家中接受临终关怀是多数老年人的临终心愿,也是临终的最佳选择。基于此,文章建议在中国老年人临终地点仍以"临终在家"为主的背景下,政府应出台相关政策,进一步增强基层医疗卫生机构的临终医疗服务能力,支持"家庭照护+上门医疗服务"的居家临终照护模式,这不仅能够满足多数老年人"临终在家"的意愿,减轻临终老年人的家庭经济负担,也可以在一定程度上缓解"临终于医院"所带来的医院床位资源紧缺。