Gender and intimate caregiving for the elderly in Hong Kong

This paper analyzes the special challenges posed by caregiving provided by adult children to their physically impaired parents and in-laws, particularly as they relate to the issues of gendered eldercare and caregiving stress. Through the use of 16 semi-structured intensive interviews conducted in Hong Kong, we find that the discourses on sexualized and gendered bodies create formidable obstacles to the caregiving process. The sexual taboo in its various manifestations induces discomfit and even repulsion in situations where private parts of the body of the elderly are exposed and touched. Such hindrances create conflicts and stress for caregivers and care receivers alike, especially for women caregivers due to the social expectation that they are “natural” caregivers. Our study suggests that the key to overcoming such obstacles depends on a strong sense of filial gratitude, as well as the successful development of a respectful caregiving relationship between children and parents.     

Quite an encumbrance? Work-related obstacles to Finnish fathers’ take-up of parental leave

ABSTRACT

An ideal of involved fatherhood has become popular in the developed countries, but even countries like Finland that have introduced an individual father’s quota to parental leave are far from gender equality in parents’ leave practices. Lack of support and negative attitudes at workplaces or pressure at work are among the obstacles to fathers’ leave take-up. The study used survey data from fathers and interviews at workplaces to explore the role of work and workplaces among the many aspects related to fathers’ possibilities of taking leave. The results showed that fathers’ income and workplace characteristics were associated with taking leave. Few fathers mentioned employers’ objection as a hinder. Father’s recent unemployment and anticipated difficulty of taking a long time off played a more important role. At workplaces, the obstacles to taking long leave were related to fathers’ ideals about a committed worker and to the nature and organizing of work. Additionally, the leave exceeding fathers’ quota might not be understood as ‘for fathers’. The spouse’s situation and fathers’ gendered perceptions about parental responsibilities were also important for leave practices. The findings suggest that policy development towards a longer father’s quota could make fathers’ care responsibilities visible also at workplaces.     

A mediational model of workplace flexibility,work–family conflict,and perceived stress among caregivers of older adults

As an increasing number of employees become caregivers, the role of workplace resources in supporting caregivers has attracted the attention of researchers, employers, and policy-makers. Workplace flexibility is one type of resource that has attracted particular interest, with research exploring whether flexibility (that is, giving employees some control over when and/or where work gets done) is related to important outcomes for both employees and employers. This investigation develops and tests a mediational model explicating the process through which workplace flexibility – operationalized in three distinct ways – impacts caregiver stress among US employees. Using a sample of 211 caregivers from the National Study of the Changing Workforce (2008), results show that work-to-family conflict mediates the relationship between perceived workplace flexibility and caregiver stress as well as the relationship between access to flexible work options and caregivers stress. However, the mediational model is not supported when flexibility is operationalized as respondents’ formal use of flexible work options. Implications for employers and future research are discussed.     

Girls’ Family Labor in Low‐Income Households: A Decade of Qualitative Research

This article analyzes a decade of qualitative research to identify and explore an overlooked survival strategy used in low‐income families: children's family labor. Defined as physical duties, caregiving, and household management responsibilities, children’s—most often girls’—family labor is posited as a critical source of support where low wages and absent adult caregivers leave children to take over essential, complex, and time‐consuming family demands. We argue that there are lost opportunities when children are detoured from childhood to do family labor and that an intergenerational transfer of poverty is associated with those losses.     

Male kinship caregivers: Do they differ from their female counterparts?

Few studies have been conducted about male caregivers in general and even fewer about male caregivers who provide care for their relative's child when the child is in the custody of the child welfare or child- and family-serving systems. This exploratory study examined the motivations, parenting capacity, readiness, stress and strain, family support, and perceptions of child well-being of male caregivers and compared their experiences with those of their female counterparts. The study also compared the experiences of caregivers in different family roles (i.e., adult siblings, grandparents, aunts/uncles) to determine if gender differences exist. Results show a high level of capacity and ability of male caregivers and a relatively low level of stress and strain. Significant differences were not gender-defined; instead, as it pertains to caregiver capacity, stress and strain, and perceptions of child well-being, differences were distinguishable by such sociodemographic characteristics as marital status, educational attainment, number of children being cared for, ethnicity, and income. Practice, policy and research recommendations are offered.     

Cocaine-Exposed Toddler-Caregiver Dyads During Free Play at 24 Months

Some women continue to use cocaine during pregnancy, placing their fetus at risk for developmental problems. While gross problems are not evident after controlling for experimental flaws, subtle effects continue to be found. Social interactions of cocaine-exposed and nonexposed toddlers and their caregivers were assessed during a Free Play test to determine if psychobehavioral deficits were clinically observable. Risk factors were evaluated to assess whether the child’s socioemotional-behavioral behaviors were related to exposure and/or interactions with caregivers or the environment. Twenty-four-month-old cocaine-exposed and nonexposed toddlers were evaluated with the Child Behavior Check List while they played with their caregivers. Caregivers’ vocalizations were scored as contingent pairs if they occurred within 3 seconds of the child’s. The proportion of pairs was compared by group. Quality of caregivers’ vocalizations was rated as positive or negative based on approval, encouragement, and criticism. General linear model analyses indicate that cocaine-exposed children showed more dysfunctional behaviors than noncocaine-exposed children. Deficits increased when income and number of dependents were included. Caregivers in the drug group emitted fewer vocalizations during play before receiving a toy, indicating fewer opportunities for learning. No effect of quality of caregiver communication or gender by cocaine exposure interaction emerged. Cocaine exposure predicts poor developmental outcomes, but the toddler-caregiver relationship and reduced access to resources are additional risks that had previously been attributed to cocaine exposure. Early intervention services are needed to reduce the impact of low income, increase preschool readiness, and optimize functioning of these fragile families.     

Kinship care and issues in permanency planning

Kinship caregivers are a child-care resource for families experiencing stress or temporary parenting due to illness, incarceration, or death of a parent. This article examines whether and how felt caregiver burden influences the reported propensity of caregivers to want to adopt the children in their care. Kinship caregivers who were enrolled in KinNET completed the survey (N = 102) and the data were entered anonymously into SPSS for analysis. Their mean age was 57.51 years (SD = 10.13), 95% were female (SD = .19), and two-thirds were non-white (SD = .73). Using “likelihood of adopting the child in my care,” as the outcome variable in the linear regression analysis, caregiver’s age, monthly income, and total hours employed were significant predictors. Total pressures, family service needs, and physical problems scales were not statistically significant predictors. The adjusted R square was .439 and significant (.006). Understanding the factors that are predictive of adopting children in kinship care will help programs target services more effectively. Helping kinship caregivers and the children in their care is also important in promoting their health and social well-being.     

Paid family caregiving: a review of progress and policies

Policymakers in the United States have begun to examine solutions that encourage increased sharing of caregiving responsibilities between government and family. Initiatives in Sweden and the United Kingdom are now in place. Support includes a care leave policy implemented at the federal level, paying salaries to family members when caregiving is a regular job, providing job training to salaried caregivers when their personal caregiving experience ends, community-based programs for caregivers, and allowances to be used for providing care to an elderly person. In the United States, 13 states pay caregivers as Medicaid providers. Policymakers have considered tax incentives and, in 1975, U.S. Senate Bill 1161 was introduced but failed as an attempt to provide cash subsidies to families caring for the elderly. A proposal has been made to expand the Temporary Disability Model to include care of family members of all ages by providing adequate wage replacement to assist caregivers. At present, 34 states provide some type of economic support for caregivers. Research is needed to determine what types of programs are most acceptable and beneficial to caregivers as well as cost effective for government.     

The Role of Household Social Organization in the Structure of Rural Economies: Comparing Forest Resource Dependent and Agriculturally Dependent Regions in Russia

Sociologists have examined how structural economic change affects household social organization and generation of household income from different sources. The introduction of elements of a market economy into rural Russia in the early 1990s provides a unique opportunity to examine these relationships. Much of the work on this topic, however, has been conducted in black earth zone, agriculturally dependent regions. Less attention has been given to non‐black‐earth zone, forest resource dependent regions. This article addresses this limitation by comparing the relationships between household income generation strategies and household social organization in a 2009 survey of villages in three forest resource dependent regions in northwest Russia with findings from a 2006 survey of households in nine agricultural regions of Russia. Income generated from enterprises based on household social organization—household labor and social helping networks—is substantially greater in agriculturally dependent than in forest resource dependent regions. We discuss the implications of these findings for understanding intranational regional differences in the relationship between economic systems, household social organization, and rural household economies as well as the obstacles facing policymakers and environmentalists who attempt to shift household income generation strategies away from an environmentally harmful lumber industry to income generation activities that are less harmful to the environment.     

Understanding caregiving patterns, motivations, and resource needs of subsidized family, friend, and neighbor child care providers

Family, friend, and neighbor (FFN) caregivers play important roles in delivering subsidized noncustodial child care. Yet, little is known about these noncustodial caregivers. This article profiles the caregiving experiences, motivations, and resource needs of these providers, based on a survey of 301 randomly selected FFN providers in one state. Kecommendations are offered for strengthening public supports to enhance the quality of this form of caregiving.     

Toward an equitable, universal caregiver policy: the potential of financial supports for family caregivers

This article describes the fragmented array of financial supports for family caregivers currently provided by the federal government, the states, and private employers-provisions that range from direct payments to tax allowances, dependent-care tax credits, and unpaid leave. It highlights the uneven pattern of supports available to family caregivers of the elderly, the younger physically disabled, and children and adults with mental retardation and developmental disabilities that results from the welfare bias still shaping many current provisions. The article then critiques current policy and examines the potential for more explicit family caregiver financial support policy through pending initiatives of the Clinton Administration.     

Caregiver burden, dementia, and elder abuse in South Korea

The purpose of this study is to identify characteristics that would increase the likelihood that a Korean older adult with dementia being cared for by a family caregiver is at risk of being abused. This analysis was based on a sample of 481 primary family caregivers from the data of Comprehensive Study for the Elderly Welfare Policy in Seoul (2003). Multiple regression analysis was used to examine predictors among the demographic characteristics of caregivers and care recipients, the severity of cognitive impairment, functional ability, caregiver burden, and social support for the degree of elder abuse. The degree of elder abuse was significantly associated with caregiver burden, mental impairment, dependency of daily living of care recipient, and use of formal services.     

Time to care: socioeconomic,family, and workplace factors in men and women’s parental leave use

ABSTRACT

Parental leave has important benefits for women, men, and families. This study examines how individual, family, and workplace factors are associated with the length of parental leaves taken by workers in diverse jobs and work contexts, but with the same employer, focusing on gender differences in the factors associated with longer parental leaves. The data are the result of a collaboration between university researchers and a municipal employer. We find that gender was a major driver of the duration of parental leaves for these workers, who must use their accumulated paid time off or take unpaid leave for parental leave; women’s leaves were almost three times longer than men’s. We also find gender differences in the factors associated with leave duration. For women, socioeconomic status seemed to matter most, while for men, family and workplace context influenced leave length. The results indicate the centrality of financial considerations in parents’ leave decisions, reinforcing the importance of having a dedicated paid parental leave policy. We argue that paid parental leaves would help reduce disparities between and within genders at work and in the family.     

Fathers at work: explaining the gaps between entitlement to leave policies and uptake

ABSTRACT

Why are fathers in Scotland unlikely to use the full range of leave benefits available to them? Taking a capabilities approach allows us to explore the perspective that some fathers may experience an agency gap and thus not have the capabilities to utilise entitlements. This paper addresses the question empirically using a mixed-methods design which includes: analysis of data from the Growing up in Scotland study, 20 in-depth qualitative interviews with fathers of young children working in the public sector in dual-earner couples, as well as an audit of extra-statutory benefits offered to fathers by employers. We argue that the reliance on an extra-statutory leave system in the UK explains at least part of the gap between fathers’ entitlement to and uptake of statutory leave, as such benefits are not routinely available to all parents. The extra-statutory entitlement is more than just a ‘top-up’ to the statutory; it is rather a conversion factor for the take up of statutory entitlement, by fathers. Organisational cultural norms support many employed fathers in taking a couple of weeks leave post-birth, but longer leave duration for fathers is not yet a usual parenting practice in Scotland, particularly lower down the income distribution.     

An Examination of the Adult Day Services Industry Using the Resource Dependence Model within a Values Context

The adult day services (ADS) industry continues to grow and develop in providing care to larger numbers of older adults and their caregivers. Despite the growth in the number of programs and the changes in the way services are delivered, a systematic examination of the development of the ADS industry from a policy perspective has not been published since the mid-1990s. This article provides an analysis of the development of the ADS industry using the resource dependence model within a values-based context to determine whether public reimbursement opportunities are congruent with the needs of older adults and caregivers. Potential directions for the future development of the industry are presented through analysis of the collaborations of adult day providers with the providers of other services for older adults and the effort by public and private funders to connect quality outcomes and resources.     

Correlates of caregiving burden in schizophrenia:A cross-sectional,comparative analysis from India

Schizophrenia is a global mental health issue that has serious implications not only for the person with the diagnosis, but for caregivers as well. In Asian societies, the family tends to be the “natural” caregiver in such situations and the caregiving function is usually shouldered by parents or the spouse. Asian communities tend to be more closely knit, and it would be expected that more social support would be available to those facing distressing circumstances such as managing the demands of a person with mental illness. This study seeks to explore the perceived burden in family caregivers of persons diagnosed with schizophrenia, the coping strategies that come into play, as well as the extent of social support available to them. Standardized instruments were administered to collect data at a teaching cum treatment facility in south India. A quantitative methodology was used to analyze cross-sectional data from 75 primary caregivers of people with a diagnosis of schizophrenia and a reference group of caregivers of patients with general medical ailments. Results indicate higher levels of burden, low social support, and poor coping in the caregivers of people with schizophrenia than the reference group. Implications for intervention with caregivers are also discussed in this article.     

An examination of the adult day services industry using the resource dependence model within a values context

The adult day services (ADS) industry continues to grow and develop in providing care to larger numbers of older adults and their caregivers. Despite the growth in the number of programs and the changes in the way services are delivered, a systematic examination of the development of the ADS industry from a policy perspective has not been published since the mid-1990s. This article provides an analysis of the development of the ADS industry using the resource dependence model within a values-based context to determine whether public reimbursement opportunities are congruent with the needs of older adults and caregivers. Potential directions for the future development of the industry are presented through analysis of the collaborations of adult day providers with the providers of other services for older adults and the effort by public and private funders to connect quality outcomes and resources.     

Caregiver drug use and arrest as correlates of child trauma exposure

This study proposed to determine the prevalence of substance use and drug-related arrests among caregivers of children referred to Child Protective Services (CPS), examine the relationship between substance use and arrests among caregivers, and examine the main effects and interaction of substance use and arrests in predicting child trauma exposure. Secondary data was collected from CPS files for a randomly selected group of 1127 children. Findings indicated that rates of caregiver substance misuse and arrests were higher than the general population, which was expected. When controlling for demographic and other variables, there was a main effect of substance use and arrests on child trauma exposure, but no significant interaction. Implications for caregivers engaged in substance use and/or involvement with the criminal justice system are discussed, as well as clinical and research implications for children exposed to trauma related to caregiver behaviors.     

Policy is not enough – the influence of the gendered workplace on fathers’ use of parental leave in Sweden

ABSTRACT

Paid parental leave for fathers is a promising social policy tool for degendering the division of labor for childcare. Swedish fathers have had the right to paid parental leave since 1974, but they take only one-fourth of leave days parents take. There are strong cultural norms supporting involved fatherhood, so couples typically want to share leave more than they do. This article explores how workplaces can constrain Swedish fathers’ use of state leave policy, in ways that fathers can take for granted, a topic that has received less attention than individual or family-related obstacles. Based on interviews with 56 employees in five large private companies, we found that masculine workplace norms can make it difficult for fathers to choose to take much leave, while aspects of traditional workplace structure building on these norms can negatively affect fathers’ capabilities of taking much leave. Workplace culture and structure seemed to be based on assumptions that the ideal worker should prioritize work and has limited caregiving responsibilities, setting limits to fathers’ ability to share leave with mothers. Gender theorists suggest such assumptions persist because of male dominance at the workplace and the endurance of gendered assumptions about the roles of men and women.     

FATHERS’ USE OF LEAVE IN AUSTRALIA

This paper examines Australian fathers’ use of leave at the time of the birth of a child, drawing on data from The Parental Leave in Australia Survey, conducted in 2005, and a subsequent organizational case study. Our analysis shows that although most Australian fathers take some leave for parental purposes, use of formally designated paternity or parental leave is limited. This is unsurprising given the Australian policy framework, which lacks legislative provision for paid paternity or parental leave, and does not require any of the shared unpaid parental-leave entitlement to be reserved for fathers. Use of leave is shown to be influenced primarily by fathers’ employment characteristics, with those working in small organizations or non-permanent positions least likely to utilize paternity or other forms of leave. Overall, the analysis suggests that improvements in the policy framework would increase Australian fathers’ propensity to take parental leave, but highlights barriers to usage associated with labour market divisions and career pressures that will not be solved solely by the adoption of more progressive leave policies.