Aging and the Family: Understanding Changes in Structural and Relationship Dynamics: Volume 17

Purpose: The aim is to explore how family relations are affected by societal changes in relation to informal and formal caregiving and self-determination of older adults.

Design/methodology/approach: Care managers (CMs)/social workers (SWs) (N = 124) participated in a comparative vignette study including Japan, South Korea, and Sweden. Systems theory was used.

Findings: Japanese CMs/SWs clearly describe their efforts to create networks in a relational way between formal and informal actors in the community. South Korean CMs/SWs balance between suggesting interventions to support daily life at home or a move to a nursing home, often acknowledging the family as the main caregiver. In Sweden, CMs/SWs highlight the juridical element in meeting the older adult and the interventions offered, and families primarily give social support. Regarding self-determination, the Japanese priority is for CMs/SWs to harmonize within the family and the community. South Korean CMs/SWs express ambivalent attitudes to older adults’ capability for self-determination in the intersection between formal and family care. Swedish CMs/SWs adhere to the older adult’s self-determination, while acknowledging the role of the family in persuading the older adult to accept interventions. The results suggest emerging defamilialization in South Korea, while tendencies to refamilialization are noticed in Japan and Sweden, albeit in different ways.

Research limitations/implications: In translation, nuances may be lost. A focus on changing families shows that country-specific details in care services have been reduced. For future research, perspectives of “care” need to be studied on different levels.

Originality/value: Using one vignette in three countries with different welfare regimes, discussing changing views on families’, communities’ and societal caregiving is unique. This captures changes in policy, influencing re- and defamilialization.

Purpose: To explore emotional support, daily housework assistance, and economic support for older adults provided by the Vietnamese family within the context of the impacts of socio-economic, demographic, and other factors.

Methodology: (1) The researchers used data from censuses taken from 1989 to 2019; national surveys of Internal Migration, Labor and Employment and other topics; and recent large sample sociological surveys (2) adapted a modified Diamond Care Model (Ochiai, 2009) to analyze effects of the characteristics of older adults; and of the country’s laws, policies, and socio-economic changes, on the families’ caregiving activities supporting the older adults.

Findings: The family is still the most important institution providing care for older adults in Viet Nam. Most older people live with their children and see this as an age-old security solution despite differences related to lifestyles and interests. However, when the average number of working-age people per older person decreases, as older adults live longer, household sizes are smaller, and there is increased large migration, the demand for non-family caregiving for older adults will increase. Since social services to help meet this demand are limited, the traditional family support system for the elderly in Viet Nam will face many challenges as families try to assure the quality of care needed in the very near future.

Value: This chapter shows systematically a relationship between elderly care in the Vietnamese family and socio-economic, demographic, and associated factors based on comprehensive data sources. The results can help us think about how to create an appropriate future model for taking care of older adults in Viet Nam that combines the efforts of families and the support of comprehensive social policies by the community.

Paid and unpaid care in the home are closely intertwined, but a lack of outside supervision and support often forces paid and unpaid caregivers to negotiate care tasks, responsibilities, and boundaries alone, leading to role conflict and role ambiguity. This analysis draws on two existing qualitative studies of home health aides (S1 n = 27, S2 n = 26) to better understand aides’ perceptions of their relationships with family caregivers by exploring (1) aides’ perceptions of their caretaking role; (2) aides’ perceptions of co-producing care with family members; and (3) factors affecting these perceptions. Data were analyzed through grounded theory and thematic analysis. We found that aides viewed themselves and their clients as the core care “team” and identified three relationship dynamics with family caregivers: independent, where aides and families provided care separately; competitive, where aides and families struggled over control of care tasks; and carative, where aides considered family part of the unit of care. The authors propose strategies, suggested by our participants, for employer agencies to better support paid and unpaid caregivers in negotiating boundaries and co-producing care in the home care setting.

Purpose: Caregivers are at risk of increased burden, and caregivers who provide care for a long duration may be at higher risk than short-term caregivers. The purpose of this study was to examine the relationship between caregiving duration and caregiver burden, as well as whether the relationship was moderated by paid leave.

Design/methodology/approach: We utilized a sample of employed caregivers from the Caregiving in the US 2015 dataset (n = 585) collected by the American Association of Retired Persons. Using a structural equation modeling approach, we examined the study relationships.

Findings: The authors found that caregiving duration was associated with increased burden. Although there was no direct relationship between paid leave and caregiver burden, paid leave buffered the association between caregiving duration and caregiver burden.

Research limitations/implications: This study is limited by a cross-sectional design. Longitudinal data collection efforts are needed to further examine the possible effects of paid leave on well-being and health outcomes.

Practical implications: Findings indicate a potential need to consider developing support programs for caregivers based on how long they need to provide care.

Societal implications: Policies are needed to decrease the burden felt by caregivers, especially those who provide care for a long period of time.

Originality/value: The current study is the first to explore the interrelationships among caregiving duration, paid leave, and caregiver burden.

Purpose: Grandparents are common providers of childcare within the Caribbean region. Yet research on the implications of grandparent caregiving for older adults’ well-being is limited. This study examined gender differences in the relationship between grandparent caregiving and the life satisfaction of older adults in Jamaica.

Methodology: Using a sample of 1,622 grandparents 60 years and older drawn from the 2012 study “The Health and Social Status of Older Jamaicans,” we estimated binary logistic regression models to examine the association between the frequency of grandparent caregiving and the life satisfaction of grandparents.

Findings: Grandmothers were more likely than grandfathers to provide care. We did not find a statistically significant gender difference in the life satisfaction of caregiving grandparents. Yet, gender differences in the patterns of association between grandparent caregiving and life satisfaction were evident. Among grandmothers, both occasional and regular caregiving was associated with higher life satisfaction relative to non-caregivers. Among grandfathers, however, only regular caregiving was positively associated with life satisfaction.

Originality: This is the first population-based study within the Caribbean to examine gendered patterns of grandparent caregiving and the association with grandparents’ well-being. The findings of this study suggest that grandparent caregiving is beneficial to the well-being of older Jamaican men and women. This study challenges assumptions of gender norms that typically do not position men to be involved in caregiving roles, and to derive satisfaction from such roles, within Caribbean households. The authors suggest more attention should be given to interventions to encourage men to be actively involved in family caregiving.

Purpose: In recent decades, it has been a burgeoning trend in South Korea that older women are more actively engaged in grandparenting (i.e., caring for grandchildren) as they are living longer and healthier lives. The present study examines how grandparenting is associated with the mental health of grandmothers.

Design/methodology/approach: Drawing from the Korean Longitudinal Study of Aging (2008–2012, N = 2,814), we used growth curve models to estimate the trajectories of grandmothers’ depressive symptoms by grandparenting type.

Findings: The results show that caregiving grandmothers in multigenerational households experience a decline in depressive symptoms with age, despite having a higher mean level of depressive symptoms than non-caregiving grandmothers at age 47; whereas the non-caregiving grandmothers experience an increase in depressive symptoms with age. Grandmothers who provide non-coresident grandparenting (i.e., babysitting) are not significantly different from non-caregiving grandmothers in the rate of increase in depressive symptoms.

Originality/value: Grandparenting in multigenerational households may have a beneficial effect on older women’s mental health over time in South Korea. This finding is robust after we control for socioeconomic status, health behaviors, and social support.

Purpose: Despite the significance of filial piety in intergenerational relationships and its important influence on parental health and well-being, few studies have explored the personal meaning of filial piety to older parents. This qualitative study aims to address this question.

Design: Responses to an open-ended question of “What makes a filial child in your view?” from a sample of 432 older parents in a rural Chinese county were collected face-to-face and analyzed using content analysis.

Findings: The personal meaning of filial piety varies. Seven broad themes emerged. These include widely persistent traditional filial piety beliefs (Be obedient, Respect, and Maintain frequent contact and show emotional care), filial piety values similar to filial obligations described in Western cultures (Help older parents when in times of need and Be a good citizen and take good care of themselves and their families), and traditional filial piety norms in the absolute form (Take care of every aspect of the parents’ life and Provide financial and material support to parents). Themes were also compared with dimensions of the intergenerational solidarity model.

Originality: Findings reflect the coexistence of traditional and modern filial values in relation to participants’ interpretation of filial piety, indicating that traditional filial piety beliefs are fading even in one of the least developed areas in China. Implications for interventions enhancing offspring’s filial performance are discussed.

Research limitations: Future studies on the understanding of filial piety from the perspective of offspring are warranted to draw a holistic picture of this topic.

Purpose: This chapter focuses on the relations between aging and the perception about the families’ quality of life in a medium-sized Portuguese city. Departing from the descriptions of individuals living with at least one child under 14 years of age, particular emphasis is put on how young adults perceive and incorporate into their speeches the presence and role of non-cohabiting elderly, namely their parents and in-laws, as an expression of the quality of life they experience.

Design/methodology/approach: Data rely on episodic interviews conducted with both men and women with young children (3–14 years old), within a broader sociological research devoted to the study of family rituals. The data collected was analyzed using qualitative techniques of content analysis with the help of NVivo software (QSR). The data is presented recurring to contextualized narratives.

Findings: Data analysis allows to conclude that geography matters in the perception that young adults have when reflecting upon the role of the elderly surrounding them, either their parents or in-laws. The presence and coexistence of generations are perceived as “priceless,” a “fortune,” and a “privilege,” possible in a medium-sized city, where everything is close enough to thicken the informal intergenerational solidarities between grandparents, parents, and grandchildren. Behind the scenes, data, furthermore, discloses unpredictable tensions arising mainly regarding children’s education, rules, and behavior.

Originality/value: This chapter contributes to shed light into the daily life of elderly people who are still independent and active, and the seemingly invisible presence and unimportant role they play in their children and grandchildren’s lives.

Family as a domestic group is seen to be crucial for the production and replenishment of human capital from generation to generation. With the consequences of demographic aging process, there is a rethinking into the structure and function of the institution for critically analyzing the contemporary challenges. In India, graying of the population became one among the major reason for scholars to pay more attention to interpret family attributes. Women’s social status, autonomy, and entitlements had marked serious shifts according to subsequent changes that happened. Using mixed methodology, aged women from Hindu families in India were studied. An examination of the existing structure, functions, social duties, and responsibilities in Hindu families, sociocultural constructions of identities within the sphere of family, and the impacts of age identities in determining the health-related quality of life and subjective well-being of aged women were the objectives of the study. While Bourdieu’s concept of habitus was used as a theoretical basis for the study, the researcher gives prepositions for sociocultural constructions of age identities through the concepts of Reverse Metamorphosis and Identity Cocoons. The study reveals that the self and social identity constructs explain interactive behavior as well as the interplay of personal meanings, family dynamics, and informal factors across the life span under the sociocultural underpinnings in a multicultural society like India.

The study was conducted to investigate the association between nonsexual predictors (personal, interpersonal, and dyad variables) and sexual satisfaction in the long-term marriages. The theoretical model was created according to the socio-ecological model proposed by Huston (2000), including 12 personal, 8 interpersonal, and 3 dyad variables as predictors. The model treated personal and interpersonal variables as level 1 variables, while dyad variables were defined as level 2. The research was performed in 14 counties of Croatia and in Zagreb, the capital of Croatia. The sample included 315 marital couples. Marital partners were interviewed individually and separately, at their home. The analysis was performed using the MLM statistical procedure. Four models were tested: (1) personal, (2) interpersonal without gender variable as predictor, (3) interpersonal with gender variable, and (4) final model made up of all groups of predictors together. In Model 1, Self-esteem and Physical attraction turned out to be predictive of sexual satisfaction. In Model 2, Emotional and Recreational intimacy were positive, while Marriage duration proved to be negative predictor. Model 3 generated same predictive variables as Model 2 plus the variable Gender. Model 4 yielded Gender, Physical Attraction, Emotional Intimacy, Participation in key decision-making, and Marital Quality as positive predictors, while Anxiety and Depression proved to be negative predictors. Obtained results are showing that in long-term marriages not only sexual variables are good predictors of marital sexual satisfaction but some nonsexual variables such as emotional intimacy, recreational intimacy, physical attractiveness, participation in key decision-making, and marital quality are also important. The results are discussed and study limitations are emphasized at the end.

Purpose: This study examines how parental divorce impacts the social support network dynamics of adult children. Research has explored long-term consequences of divorce and the impact of biographical disruption on network dynamics. Despite the long-term impact of parental divorce on social networks, these literatures have not been integrated.

Design/methodology/approach: Using survey data from 21- to 30 and 50- to 70-year-old adults in the San Francisco Bay area through the University of California Social Networks Study, or UCNets, the author explores hypotheses related to biographical disruption and characteristics of social support networks.

Findings: The impact of parental divorce is varied. Parental divorce is unrelated to total number of network ties but is significantly related to number of confidant network ties and marginally related to practical help network ties. Parental divorce is associated with higher overlap across network dimensions, or multiplexity, but this association is stronger for younger compared to older adults.

Research limitations/implications: This study is limited to compositional network dynamics. Future research should explore the impact of parental divorce on clusters of social support and their relationship to network multiplexity in addition to constrained versus preferential multiplexity. These findings are limited to perception of social support in networks, as questions vary by recall period and behavior.

Originality/value: This chapter extends research on long-term consequences of parental divorce and extends biographical disruption models in social networks to processes in family structure, highlighting how age effects shape how parental divorce impacts support strategies, perceptions, and experience at the network level in early compared to later adulthood.

Purpose: The present study examines how relationship status and gender are associated with social network experiences among older adults. Two relationship status groupings were examined: comparisons of (1) marrieds, divorced, and widowed individuals and (2) never marrieds, cohabiters, and daters.

Methodology: Data from the second wave of the National Social Life, Health, and Aging Project (NSHAP), a nationally representative dataset, was used. Of the final sample of respondents, 10.3% identified as Black, 6.8% identified as Hispanic, 52.9% identified as female, and the mean age of respondents was 72.54 (SD = 7.52). Linear mixed models were conducted.

Results: Overall, men reported talking less and received less family and friend support than women. For only those who were divorced, widowed, or married, men were less close with their social networks and had less friend support than women. Widows were closer to their social networks than married and divorced individuals. Among women, divorced women were less close to their social network than married or widowed women. Those who were married talked less to their social networks than those who were divorced or widowed and cohabiters talked less than daters. Widows reported receiving greater family support than those who were married. Cohabiters had lower neighborhood social ties than those who were dating. Several significant interaction effects between gender and relationship status also occurred.

Value: The present study found that both gender and relationship status plays a role in how social network experiences and lends some support to marriage and cohabitation serving as “greedy” institutions.

Purpose: This study examines the relationship between marital satisfaction and sexual satisfaction, as well as other contributing factors, in the lives of older American adults.

Design/methodology/approach: Data from a restricted sample (N = 1,278) from the second wave of the National Social Life, Health, and Aging Project (NSHAP) was analyzed. Regression models were used to examine associations with marital satisfaction.

Findings: Within ordinary least squares regression gender, education level, mental health, self-rated happiness, the absence of sexual quality, physical satisfaction, and emotional satisfaction were each statistically significant. Females reported higher marital satisfaction than males. Higher educated individuals expressed less satisfaction within their marriages than those with less formal education. Those that rated their mental health, happiness, and physical and emotional satisfaction high also reported higher marital satisfaction. Participants that reported an absence of sexual quality generally rated their marital satisfaction lower.

Originality/value: Most studies focus on the experiences of younger and middle-aged adults, often excluding older adults. Further, while there have been efforts to focus more research on the relationships of adults in midlife to late life, sexuality is still largely ignored.