The health effects of caregiving by grandparents in Taiwan: an instrumental variable estimation

Previous research on the health effects of caring for grandchildren has had variable findings, including both positive and negative effects on the health of grandparents. The estimated effects of caregiving may be affected by selection, with the health of grandparent affecting the likelihood of undertaking caregiving. The health effects of caregiving also likely differ according to the cultural motivations for caregiving by grandparents. This paper assesses whether selection into caring for grandchildren affects the estimated effects of caregiving on the health of Taiwanese grandparents. We used four waves (1993?C2003) of the Survey of Health and Living Status of the Elderly in Taiwan to estimate the effect of grandparent caregiving on self-rated health, mobility, and depression. To control for unobserved selection into caregiving, we employed time-varying instrumental variables (the number of grandchildren and marital status of adult children) in addition to person fixed effects. After adjusting for baseline differences, caregivers had better self-rated health, fewer mobility limitations, and fewer depressive symptoms compared to the non-caregivers, which suggest evidence of health improvement for grandparents. Instrumental variable analysis showed that caring for grandchildren was endogenously determined with grandparents?? mobility limitations, and grandparent caregivers benefited from a significant reduction in the number of mobility limitations. Our finding suggests that caring for grandchildren can be beneficial for the health of Taiwanese grandparents and supports our hypothesis that a culturally expected role of caregiving results in role enhancement.     

Regular provision of grandchild care and participation in social activities

Against the background of rapid population ageing, studying social participation in later life is of particular relevance within the framework of active ageing. Although caring for grandchildren has taken a central role for older persons due to unprecedented overlap between grandparents’ and their grandchildren’s lives, whether the relationship between grandparental childcare and social activities is characterised by cumulation or competition remains under-explored. Grandparental childcare may increase the purpose in life for grandparents, stimulating their social participation, or it may impose time and energy constraints on it. This study aims to assess the effect of providing grandchild care on participation in social activities for people aged 50–85 in Europe. Using an instrumental variable approach on data from the Survey of Health, Ageing and Retirement in Europe, we find no significant negative effects of grandchild care on engagement in at least one social activity. However, regular provision of grandchild care has a significant negative effect on the number of activities in which grandmothers participate. When considering the activities separately by type we also find, for grandmothers only, a negative effect on volunteering, engagement in educational or training courses and participation in political or community-related organisation.     

Missing Grandchildren: Grandparents’ Lost Contact and Implications for Social Work

The critical importance of maintaining family contact and intergenerational relationships for ongoing wellbeing is known to social work. Equally known is the damage caused by severed relationships. Recent literature has suggested an increased incidence of grandparents raising their grandchildren, often after family breakdown. Less evident in the literature is grandparents’ experience of reduced, lost, or denied contact with their grandchildren. In the qualitative, exploratory study reported here, the lived experiences of 21 Queensland grandparents were documented through in-depth interviews. The overall findings suggest that disrupted, lost, or denied contact with grandchildren was very distressing and impacted on grandparents’ health; that seeking to safeguard and support grandchildren could result in damaged family relationships and denied contact; and that a cycle of lost and regained contact can occur in some circumstances. These findings indicate that an increased role for social workers may be warranted, in listening to and including grandparents when working with families, and recognising grandparents’ need for support.     

Grandparents,kinship ties,and belonging after migration: the perspective of second‐generation grandchildren

In this article, I investigate the roles of grandparents for second‐generation immigrants who live with their parents in a different country from their grandparents. I draw on in‐depth interviews with second‐generation Vietnamese immigrants living in the Czech Republic, where they are very often raised by Czech caregivers. The carers and the children are joined through the process of caregiving and become grandmothers and grandchildren to each other. The analysis focuses on how the interviewees make sense of, interpret, and understand their roles as grandchildren vis‐à‐vis their Czech and Vietnamese grandmothers. It shows how, after migration, the kinship ties are performed, negotiated, and reproduced on a micro level of everyday life, with tasks of caring, homeland visits, and a transnational/face‐to‐face maintenance of intimacy. The article concludes that grandparents play an important role in the grandchildren's sense of belonging both to their family kin and to the homeland.     

Grandparents Raising Grandchildren: Formation,Disruption and Intergenerational Transmission of Attachment

Abstract

Nationally and internationally, grandparents support their children and grandchildren by caring for those children who may be at risk in their own home, often in the contemporary context for extended periods. Attachment theory provides a framework to consider how the lives of children, parents and grandparents are affected when grandchildren come to live with their grandparents, whether it be on a shared basis or as a long-term arrangement. The concept also provides a guide to supporting each generation in the contemporary context, as formal or informal arrangements.     

Grandparent-Headed Families in the United States

Abstract

Grandparents are returning to the role of parents in ever-increasing numbers. Custodial grandparents often find themselves isolated from sources of support as they face unique emotional, physical, and financial challenges on a daily basis. Nearly half are grandparents without partners and the majority are caring for two or more young children. Children in the care of grandparents are more likely to experience cognitive, emotional, and physical challenges. Their early traumatic experiences may lead to difficulties in communication and forming attachments.

The Parent Topics Questionnaire is a standardized assessment measure designed to provide parent education group facilitators with specific information about needs, desires, and expectations of participants. Administration of this instrument to four parent groups revealed a high readiness for information among the custodial grandparent population. Based on information obtained from this measure, a holistic program was developed which simultaneously provided services to care-giving grandparents, their young grandchildren, and educational professionals.

Grandparent and grandchildren's groups met weekly and emphasized topics and activities aimed at meeting common needs within these populations. Educational professionals participated in a series of inservice meetings aimed at increasing awareness of needs and strengths of grandparent-headed families, modifying curriculum to more effectively meet grandchildren's needs, and enhancing knowledge of existing resources. Pre- and post-test analysis demonstrate significant positive effects for all involved populations. Grandparents were found to increase in parenting knowledge, perceived levels of social support, willingness to utilize existing resources, and enjoyment of time with their grandchildren. Levels of isolation and perceived depression were decreased. Participating grandchildren demonstrated increased abilities to interact effectively with peers and adults and perceived their interactions with grandparents more positively. Educational professionals reported feeling more informed about custodial grandparent family issues, more confident about interacting with grandparents, and more knowledgeable about existing resources.     

Context and Surrogate Parenting Among Contemporary Grandparents

This paper provides a conceptual discussion of the relationship between the surrogate parenting role of contemporary American grandparents and temporal, developmental, and ethnic/ra- cial contexts of the life course. Grandparents who are surrogate par- ents, either operate as co-parents by assisting their adult children in the rearing of their offspring, or they assume total responsibility for providing the necessary care and socialization their grandchildren re- quire when their parents cannot. The surrogate parenting responsibili- ties of grandparents are hypothesized to be affected by: (1) temporal context, which concerns the sequencing and synchronization of the assumption of surrogate parenting responsibilities by grandparents relative to their age, peer relationships, and other social role responsibilities; (2) developmental context, which focuses on how grand- parents personal development is hindered or facilitated by the as- sumption of the surrogate parenting role; and (3) ethnic/racial context, which refers to the cultural influences grandparents bring to the surrogate parenting role. The implications of these contexts for the surrogate parenting role of grandparents relative to research, policy, programs, and education are discussed.     

New Grandparents’ Mental Health: The Protective Role of Optimism,Self-Mastery,and Social Support

The current study examines the contribution of optimism, self-mastery, perceived social support, and background variables (age, physical health, economic status) to mental health following the transition to grandparenthood. The sample consisted of 257 first-time Israeli grandparents (grandmothers and grandfathers, maternal and paternal) who were asked to complete a series of self-report questionnaires. The results indicate the importance of internal and external resources, as well as of health and economic status, for mental health of new grandparents. The value of designing relevant preventive interventions by family social workers to assist grandparents in coping with their new role is discussed.     

Intergenerational Ties in Context: Grandparents Caring for Grandchildren in China

Guided by theories and empirical research on intergenerational relationships, we examine the phenomenon of grandparents caring for grandchildren in contemporary China. Using a longitudinal dataset (China Health and Nutrition Survey), we document a high level of structural and functional solidarity in grandparent-grandchildren relationships. Intergenerational solidarity is indicated by a high rate of coresidence between grandchildren and grandparents, a sizable number of skipped-generation households (no parent present), extensive childcare involvement by non-coresidential grandparents, and a large amount of care provided by coresidential grandparents. Multivariate analysis further suggests that grandparents' childcare load is adaptive to familial needs, as reflected by the characteristics of the household, household members, and work activities of the mothers.     

The Role of Federal Policies in Supporting Grandparents Raising Grandchildren Families

Abstract

Grandparents caring for their grandchildren is among the oldest practices in child rearing with roots embedded in the traditions across many cultures. However, in recent years, the issue of “grandparents raising their grandchildren” has garnered the attention of researchers, advocates, service providers and even the popular press. Dynamic changes in family life, related social trends and child welfare policies in the United States have resulted in dramatic growth of intergenerational care giving among this population. The 2000 United States Census shows that there are 6 million children living in grandparent- and other relative-maintained households, which represents a thirty-percent increase from the last Census. This growth has created the need for effective federal policies that support and insure the well-being of these families.

This paper examines some of the reasons grandparents raising grandchildren are capturing public attention, and the growing needs for effective federal policies that support this burgeoning population. We will (1) provide a brief demographic sketch of grandparent-headed families, (2) identify some of the challenges faced by these families, and (3) explore some of the most effective federal public policies, in particular the new National Family Caregiver Support Program, which are emerging from an intergenerational agenda directed at assisting these families. We conclude by noting that the issue of “grandparents raising their grandchildren” presents a unique opportunity to develop coalitions and policies that cross sometimes rigidly defined age-based policy structures.     

Grandparent-Grandchild Relationships in Israel: A Comparison between Different Jewish Religious Groups

This article is a review of studies concerning the effect of religiosity on the relationships between grandparents and grandchildren in Israeli Jewish society. The main findings of the studies indicated that religious grandparents are more involved with grandchildren in the context of transmitting traditions, knowledge, values, and behaviors. However, secular grandparents provided more instrumental support for their grandchildren than Haredi grandparents. In addition, adult religious grandchildren provided more assistance to their grandparents than secular grandchildren. The few differences that were found between religious and secular grandparents indicate the universality of the grandparenthood role and its importance for all grandparents.     

Grandparents-An Intergenerational Resource for Families

Abstract

This paper briefly outlines the context and role of grandparents as an intergenerational resource for families in the UK. It is based upon a literature review and practical work being undertaken by the Beth Johnson Foundation with grandparents and partner organizations locally and nationally. The paper remarks upon the ‘rediscovery’ of grandparents in the research literature. The emergence of the beanpole family, the pivot generation, family breakdown and grandparents raising grandchildren, are highlighted as being significant demographic and social factors influencing the position of grandparents. The roles of grandparents are described in terms of practical, emotional and financial support given to families. Both positive and negative feelings of grandparents and their families towards these roles being undertaken are identified. Longstanding deficits in legislation, policy and provision to support grandparents are highlighted, along with some signs of progress being made, particularly in Wales. It concludes with four key messages on visibility, heterogeneity, strategy and the family.     

Teenagers' reported interaction with grandparents: Exploring the extent of alienation

The perceived significance of grandparents in the lives of teenagers was explored. A sample of 225 predominately working class adolescents aged 13–18 years (X=15.48; SD=2.54) responded to a survey instrument that assessed the nature of their voluntary interaction with grandparents. Results challenged the assumption that teenagers view grandparents as playing confidant and companion roles in their lives. Adolescents were found to share regularly a variety of recreational activities with grandparents and expressed positive feelings about spending leisure time with grandparents. Findings also suggested that the onset of adolescence may result in a positive change in the nature of the grandchild-grandparent relationship. Future research was suggested which views the family as a system and explores the role parents play in determining the quality of teenagers' relations with grandparents.Mary Dellmann-Jenkins is Assistant Professor of Individual and Family Studies and Gerontology, Kent State University, Kent, Ohio. Dr. Dellmann-Jenkins earned her Ph.D. from the University of Wisconsin in Madison. Diane Papalia is Professor of Child and Family Studies at the University of Wisconsin at Madison. She holds a Ph.D. from West Virginia University at Morgantown. Both authors are currently involved in research in the area of older adult's psychological and social functioning. Martha Lopez collected the data for the study. She is currently a high school home economics teacher.     

Grandparent Carers,Child Protection Practice,and the Best Interests of Children: A Case Study

Increasingly, grandparents are involved in the care of grandchildren, particularly after child safety concerns. Some grandparents, because of changed circumstances, relationships, or decisions made, can experience reduced or lost contact with grandchildren. A recent qualitative, collaborative study explored how relationships between grandparents and their grandchildren could be optimised after child safety concerns. Many grandparents in that study spoke of the frustration of being overlooked in decision-making about their grandchildren, even when they had been providing primary care for the grandchildren. The purpose of this article is to provide a brief background study context, before presenting a case study of one family's ongoing struggles to maintain the children in the grandparents’ care. The presented case study has relevance for social work education and training and more widely, for all students and practitioners in the child protection field.     

Affectionate Communication Is Associated With Emotional and Relational Resources in the Grandparent-Grandchild Relationship

Grounded in affection exchange theory (AET; Floyd, 2006), this study examined the extent to which affection received from grandparents is associated with grandchildren’s perceptions of their grandparents and their grandparent-grandchild relationship (in the form of emotional closeness, shared family identity, and perceived availability of social support). Young adult grandchildren (N = 171) completed several instruments in reference to their relationship with a specific grandparent. The results of multiple regression analyses generally supported the hypotheses that received affection is associated positively with grandchildren’s perceptions of their grandparents and their grandparent-grandchild relationship. These findings support AET’s utility in the grandparent-grandchild relationship and the notion that grandparents often influence their grandchildren’s perceptions of their family.     

Parental Divorce,Residence Arrangements,and Contact Between Grandchildren and Grandparents

When parents divorce, grandparents can play a supportive role in the lives of their grandchildren, but a parental divorce may also put grandchild–grandparent ties under pressure. In this study the authors investigated how grandchildren of married and divorced parents differ in the frequency of face‐to‐face contacts with grandparents and how this is mediated by postdivorce residence arrangements. Based on the multi‐actor survey “Divorce in Flanders,” they used reports of contact provided by more than 1,000 grandchildren and compared them with more than 1,100 grandparent reports for validation. The results showed that grandchildren from divorced parents have fewer contacts with their grandparents than grandchildren whose parents are married but that it is the postdivorce residence arrangement of grandchildren that produces this result. When grandchildren live with their divorced father or in a shared residence arrangement, they even see paternal grandparents more often than grandchildren with married parents.     

Personal and Community Empowerment for Grandparent Caregivers

This article describes an empowerment training program that the author developed for grandparent caregivers. The program consists of 14 classes that focus on empowering grandparents, within the family and in the community. It strengthens their parenting skills, feelings of competency, and ability to advocate in the community for their own needs. Social workers play important roles as facilitators in the learning process, helping grandparents to recognize their own strengths and capabilities. As grandparents become empowered, they also become strong role models for the children they are raising.     

The Contextual Experiences of Rural Custodial Grandparents and Opportunities for Social Work

Rural custodial grandparents have been understudied. As the grandparent caregiving population increases, more attention is needed to understand custodial grandparents in rural settings. This article explores the state of knowledge of the experiences of rural grandparents. A systematic review of the caregiving literature is conducted to understand the issues affecting this caregiving population. The results suggest that rural grandparents often are minority grandmothers with limited resources who provide care to older grandchildren in isolated environments. Attention is given to the social ecological framework as one model that can help to inform how social workers intervene with this population. Recommendations are offered for social work research, practice, and policy.     

‘My grandchild has a disability’: Impact on grandparenting identity, roles and relationships

Being a grandparent is an important and valued role for many older adults, who often have strong views about the type of grandparent they will be and what they will teach their grandchild. When their grandchild has a disability, grandparents may have to significantly adjust their expectations and interactions. This research explores if and how having a grandchild with a disability influences grandparents' sense of identity and enactment of the grandparent role. Using qualitative purposive sampling, semi-structured interviews were conducted with 22 grandparents of children with an intellectual and/or physical disability residing in Brisbane, Australia. A thematic analysis identified three key themes characterising grandparent's views: formation of grandparenting identity, styles of grandparenting, and role enactment. The results highlight the critical role of grandparents when a child has a disability, illustrating that the grandparenting experience and role enactment may be universal with only the context and delivery varying.     

Granny as Nanny: Positive Outcomes for Grandparents providing Childcare for Dual-Income Families. Fact or Myth?

The proliferation of dual-income families has led to the prevalence of grandparents providing child care in Singapore. The Chinese culture and values have tasked grandparents to fill the role of providing child care while mothers seek employment. Literature on grandparents providing informal care posits this situation to be a rewarding experience and a protective factor for grandparents’ stability in old age. This study uses the Social Relational Theory framework to examine the experiences of Chinese grandparents who provide care for dual-income families in Singapore. In-depth interviews were conducted to understand the experiences of the grandparents and common themes guided by the framework. Through the exploration of the narratives of grandparents, this study sieves out the issues they face in the Singaporean context and analyzes the motivations that spur grandparents to provide care for their grandchildren. Despite informal caregiving being positively framed in many studies, this study found that grandparents also faced a variety of challenges. Chinese grandparents were bound to the caregiving roles by cultural and familial obligations despite the high costs associated with providing care.