Pacific Islands Families Study: Factors associated with living in extended families one year on from the birth of a child*

Abstract

Using data from the “Pacific Islands Families: the first two years of life (PIF) study”, this paper explores the factors associated with the living arrangements of mothers with a one‐year‐old Pacific child. Three living arrangements are considered: (1) those children who live with immediate family members only; (2) children who live with extended family members including at least one of their grandparents; and (3) children who live with extended family members but do not live with any of their grandparents. Findings of interest include: mothers who were born in New Zealand are much more likely to live in an extended family with the child's grandparent(s) compared to those who came to New Zealand as an adult; and mothers with high New Zealand identity and low Pacific identity being more likely to live with extended family members other than the child's grandparent(s) relative to those with low New Zealand and high Pacific identity.     

Family Support and Health Status of the Elderly in Imo State of Nigeria

This article highlights ageing issues in a community in a developing African nation. This exploratory study uses quantitative and qualitative methods. Seventy–five elders were sampled from Imo State, Nigeria. Results indicate that family support is potentially available at a ratio of 3 to 1 with most of the elderly depending on their children, wives, in–laws,and God. The elderly express satisfaction with family care and they rarely live alone. The elders attach greater value to non–material (physical presence/emotional) support. The most prevalent acute and chronic illnesses of the elderly are respectively malaria, followed by severe headache, flu, sleeping problems; and rheumatism/arthritis, followed by failing vision, general weakness and hip problems. The implications of these findings for policy are considered.     

Caring for elderly parents and adult children living at home: interactions of the Sandwich Generation family

The study presented here analyzed the patterns of demands made on 66 middle-aged women by their elderly parents and their adult children who were living at home. Factor analyses of the reports of family interactions revealed the presence of five adult children-middle-aged parents interaction factors and four elderly parents-middle-aged parents interactions. These patterns were considerably more complex than previous studies of the Sandwich Generation suggested. As expected, socioeconomic status and health of the elderly parents were related to these family interaction factors.     

Informal support and psychological well-being of older Chinese community residents

Social support is a critical factor in the well-being of older Chinese adults. Studies have found positive relationships between social support and psychological well-being. The findings, however, vary by kind of support. This article examines the relationships among objective and subjective social support from family members and close friends and three measures of psychological well-being, including loneliness, depression, and life satisfaction. The study sample consisted of 298 elderly Chinese community residents from Chongqing, China. The relationships between objective social support from family and friends and psychological well-being were, for the most part, not statistically significant. The relationships between subjective social support and well-being were fairly robust and statistically significant.     

Surviving social support: Care challenges facing Taiwanese centenarians

In Taiwan, centenarians are the fastest growing demographic among the 65+ population. However, the general population knows little about the country's oldest citizens. There is an urgent need for research to focus on the ‘super old’ community in order to allocate sufficient public and private resources towards their care. This study explored the living conditions of Taiwanese centenarians as well as their care and support systems through a quantitative questionnaire and in‐depth interviews with the centenarians or their caregivers. The total sample size of the study was 100. Sample characteristics regarding age, gender, living arrangement, physical and mental health status, daily functioning and overall life satisfaction are presented. It was found that a much higher percentage of Taiwanese centenarians lived with family members in their own homes, while their counterparts in Western societies were institutionalised. This study also identifies the concept of symbiotic care grounded in a family network.     

Multidimensional life satisfaction,stressful events and social support network of Brazilian children in out‐of‐home care

In 1990, the Child and Adolescents' Statute was passed in Brazil which led to important changes in shelter homes for children who have been removed due to child maltreatment. However very few studies have been conducted on this population since this policy change; the goal of this study is to assess the multidimensional life satisfaction, stressful life events and social network of children living in shelters compared with those living with their families. The sample consists of 155 children ages 7–16 years living in shelters and 142 children living with their families. Data were collected using a structured interview, the Multidimensional Life Satisfaction Scale, the Stressful Life Events Inventory and the Five Field Map. The shelter sub‐sample had many at‐risk characteristics; they also had significantly greater average scores on stressful life events and social support network, while they had lower than average scores on multidimensional life satisfaction. Factors that significantly contributed to predicting life satisfaction were stressful life events, social support network and conflicts with family members. The findings highlight differences between children living in shelters compared to those living with their families; this article also discusses the policy implications of these findings for child welfare practice in Brazil.     

Reciprocity in Parent–Child Exchange and Life Satisfaction among the Elderly: A Cross-National Perspective

This study explores the role of intergenerational exchange relationships in the life satisfaction of a cross-national sample of older people. Specifically, it replicates and extends the study by Lee, Netzer, and Coward (1995) , which examined the effects of aid exchanged between generations—older parents and their adult children. Social exchange and equity theories serve as the theoretical frameworks for the present research. The current research is based on data collected in the OASIS cross-national five countries project from 1,703 respondents (75+) living in urban settings. The main results are that the capacity to be an active provider in exchange relations enhances elders' life satisfaction. Being mainly a recipient of help from adult children is related to a lower level of life satisfaction. Filial norms are negatively related to life satisfaction. The study also underscores the importance of the emotional component in intergenerational family relations to the well-being of the older population. Intergenerational family bonds reflect a diversity of forms related to individual, familial, and social structural characteristics. The research highlights the importance of reciprocity in intergenerational relations between older parents and their adult children.     

Ageing-in-place in studio apartments in Singapore: maintaining independence in community living

Abstract

Living alone in later life is increasingly a common style of living in Singapore. We investigated the extent of maintaining independent living in a studio apartment using a survey of older residents (n = 925), focusing on three aspects of coping strategies: self-care management, social support, and use of social services. As compared to older adults who lived with others, those who lived alone had better self-care management, tended to rely more on friends and neighbours, and indicated higher use of social services. Those living alone also showed higher awareness in managing their health. This study provides valuable insights to understand the issues on coping strategies involved with living alone in later life.     

Sources of social support,job satisfaction,and quality of life among childcare teachers

Although literature has suggested a link between social support and well-being, relatively little research has examined the association of social support with job satisfaction and quality of life for employees. This study aimed to investigate whether and how different sources of social support influenced quality of life in conjunction with job satisfaction among teachers. Two-hundred and eighty-one childcare teachers in Korea completed measures of social support, job satisfaction, and quality of life. The results revealed that while director and colleague support predicted job satisfaction, director and family support predicted quality of life after controlling for age and marital status. Furthermore, results showed that job satisfaction mediated the relationship between director support and quality of life. The findings suggest the protecting role of different sources of social support in teachers’ job experience and evaluation of life domains. Suggestions for future research and implications for improving childcare teachers’ quality of life are discussed.     

Depression,Hopelessness, and Suicidal Ideation Among the Elderly

Abstract

This study attempts to compare levels of depression, hopelessness, and suicidal ideation among elderly males and females, in reference to their living arrangement, i.e., community vs. nursing homes. For many elderly people, old age is characterized by various losses: physiological, functional, social, cognitive, financial, etc. The outcomes of such losses often include, more often than not, environmental isolation, a subjective feeling of loneliness, anxiety, depression, and frequently, loss of motivation to continue living. In light of the rise in life expectancy and the multitude of losses which can be associated with the aging process, it is probable that one out of five elderly persons will spend part of his/her life in a long term care institute. Such living arrangements may have negative effects on the mental health of its residents, because placement is often accompanied by feelings of lack of control over one's own life, and inability to make decisions regarding daily issues. Elderly persons living in the community (227: 78 men, 149 women) and 91 living in nursing homes (33 men, 58 women), in both independent and frail functional status (ADL), participated in the study. Findings show significantly more hopelessness, helplessness, and depression among residents of nursing homes compared to those living in the community, differences between men and women living in both environments, and a correlation between other demographic variables and the three dependent variables of the study. The conclusions of the study indicate a need to pay interdisciplinary attention to the mental health of elderly residents of nursing homes, particularly in the preliminary stages of placement and adjustment.     

A Groupwork Approach with Adult Children of Institutionalized Elderly:

It has been the experience of the authors, through individual and family counseling, that adult children of institutionalized aged live through a series of stressful experiences with the elderly parent. It appears that this living through process not only exists during the initial adjustment period, but endures throughout the institutionalization of the parent. A groupwork approach is suggested as a means of sharing and mutual support.     

The Role of Family Care and Living Arrangements in Acute Care Discharge Recommendations

This study examined placement recommendations of elderly acute care patients who are identified by hospital discharge planners as vulnerable to institutionalization. The purpose of the research was to determine the role of available family care and living arrangements prior to hospitalization in the placement recommendations made by discharge planners. Results indicated that elderly who lived with family compared to those who lived alone were in poorer mental, physical and functional health but had considerably more available family care and fewer service needs that could not be met in the community. Additionally, available family care was found to be significantly related to nursing home recommendations, even with living arrangements controlled. Analysis of placement recommendations by prior living arrangements indicated that family care may be especially important in mitigating the consequences of deficient activity of daily living skills and mental complications. Implications of this research to the role of family care in placement decisions are discussed.     

The roles of social support and family resilience in accessing healthcare and employment resources among families living in traditional public housing communities

This study relied on theories of family resilience to examine and differentiate the roles of community social support and family resilience in regards to access and utilization of healthcare and employment resources for public housing residents. The study assessed 234 public housing residents and used structured regressions to test the role of family resilience, internal and external community social support on outcomes associated with economic mobility. Results suggest that external community social support is associated with increased access to and use of health and employment resources. Additionally, residents with higher levels of resilience sought social support from outside of their communities to a greater degree, thereby increasing their access and use of resources. Increases in internal community support were associated with increases in external community support, but alone, limited access to and use of resources. Implications of the findings for policy, interventions, and future research are discussed.     

Grandparent Caregivers

Abstract

Currently, one-fifth of Americans over age 65 have no children. Demographic predictions estimate that almost one-third of the baby-boom generation, when they reach age 65, will have no children. Given the extensive supportive roles played by adult children, this increase in adults without children has implications for social policy and social work practice. Social integration patterns are examined among four groups: no children (N = 237), no proximal children (N = 436), one proximal child (N = 701), and two or more proximal children (N = 531). Findings show elders without children are older, female, black, unmarried, living alone with lower incomes and more physical health problems than their counterparts. Differences between groups were found in family, confidant and mutual support dimensions of social networks.     

Social Support and its Correlation with Loneliness and Subjective Well-being: A Cross-cultural Study of Older Nepalese Adults

Population aging in Nepal is a recent phenomenon, due more to demographic changes than to socio-economic development. The study had three goals: to analyze the social support exchange among elderly men and women; to discover the main sources of support in loneliness and subjective well-being in the elderly; and to study the cross-cultural differences in support among elderly Chhetri ( N  = 137, mean age = 69.1 [7.2] years) and Newar people ( N  = 195, mean age = 68.8 [7.7] years) in one ward in Kathmandu. The data were collected using face-to-face interviews. The dependent variables were loneliness and subjective well-being (SWB). The results for both ethnic Chhetri and Newar respondents show that their major support comes from their children living in the same household and their spouses. I conclude that the sources of social support and social support exchange are similar between the two castes/ethnicities and that there are no cross-cultural differences between them in terms of support for loneliness and SWB-life stability, although there are cross-cultural differences in their SWB-life satisfaction. Providing social support to friends and neighbors appears to be related to less loneliness and increased SWB in both castes/ethnicities.     

农村老年人进城养老：挑战及社会工作干预

农村老年人进城养老是随着中国城市化和农村老年人口分化而出现的社会养老新问题。农村老年人进城养老对现行的家庭养老、机构养老、社区照顾等养老模式形成挑战。应对农村老年人进城养老问题,在制度层面需取消城乡二元户籍限制;在养老服务理念和方式上则需社会工作的介入和干预。     

儿子养老还是女儿养老？：基于家庭内部的比较分析

本文使用2010年中国家庭追踪调查数据,通过家庭内部比较,从经济支持和生活照料两个方面对儿子和女儿的赡养行为进行系统的比较研究。结果发现,在当代中国家庭中,儿子在赡养父母时的总效应依然显著大于女儿,这主要是因为他们更可能与父母同住。一旦控制子女与父母的居住方式,儿子的直接效应就仅在经济支持方面大于女儿。在生活照料方面,女儿的直接效应已经显著超过儿子。从城乡对比来看,这种“儿子出钱、女儿出力”的性别分工模式主要出现在农村。在城市,女儿在经济支持和生活照料两个方面的直接效应都超过儿子。所以,中国传统的以儿子为核心的赡养方式虽然没有彻底瓦解,但已发生明显变化,快速的人口转变和女性社会经济地位的提高是导致这些变化的重要原因。     

East Asian welfare model refocus? A case study on economic support for the elderly living alone in Taiwan

This article argues that the concept of the East Asian welfare regime can be further developed by examining the changing role of the family in welfare provision. Beginning with a brief literature review of the East Asian welfare model, the family has been regarded as the main welfare provider among East Asian societies. Nevertheless, from a policy‐centred perspective, the oversimplified picture of the East Asian welfare model does not reveal how families actually perform in welfare provision or how the dynamic change in the welfare mix for vulnerable groups under the welfare regime has been accommodated. This article presents a case study and shows that while most elderly people in Taiwan still live with their children, who are also their main means of support, a significant number of them are living alone and that much of the economic support they used to receive from nongovernmental organisation now comes from the state.     

Social Ties and Life Satisfaction of Older Persons:

Social ties, including family relationships, friendship ties, and community involvement are expected to inhance the life satisfaction of older people. But relationships among the social ties and the relative importance of these ties to life satisfaction remain unclear. To examine these relalionships, we analyzed data from more than 2,300 small-town Iowa respondents who were 50 years of age or older. Our results tended to support those reported in a previous article in this journal, particularly on the success of friendship ties and the failure of family relationships to predict life satisfaction. We found an even stronger relationship between community involvement and dissatisfaction with life, however. In addition, we analyzed data from four communities separately and found relationships varying substantially among them, thus influencing our conclusions.     

Utilization of Community-Based Social and Health Services Among Foreign Born Hispanic American Elderly

ABSTRACT

This study examined factors associated with the utilization of community-based social and health services among foreign born elderly Hispanic Americans. The data came from a nationwide probability sample of Hispanic Americans age 65 and older including 296 Mexico-born Mexican Americans, 571 Cuba-born Cuban Americans, and 247 respondents from other Hispanic countries. Being a Cuba-born Cuban American, living alone, having poorer self-rated health and living below poverty level were positively related with the utilization of community-based social services. Cuban Americans with more limitations in activities of daily living (ADL) used more community-based health services. Among Mexico-born Mexican Americans, those who lived alone used more social as well as health services while those who were married used more social services. Those with greater limitations in ADL used more health services. Among other foreign born Hispanic Americans, going to church, living alone and living below poverty status, were positively correlated with the utilization of social services. Respondents with better English language ability were less likely to use community based health services. Elderly men and people who rated their health as poorer or had more ADL limitations were more likely to use these services. Implications of these findings for health and social services are discussed.