Weiyu Mao

The Impact of Caring for Grandchildren on Grandparents’ Physical Health Outcomes The Role of Intergenerational Support

Little longitudinal data exist on grandparent caregivers and few studies have examined their physical health outcomes. This study examined the effect of caring for grandchildren on grandparents’ physical health and the role of intergenerational support from adult children. Longitudinal data derived from a survey on the well-being of older adults in China were used to conduct path analysis of previous grandparent caregivers (vs. noncaregivers) and repeated grandparent caregivers (vs. noncaregivers). The final sample was 799 grandparents aged 60 or older living in rural China. Three aspects of intergenerational support were measured: financial, emotional, and instrumental support. Repeated grandparent caregivers had better self-rated health (SRH) and fewer limitations than noncaregivers. Previous grandparent caregivers had better SRH compared to noncaregivers. Emotional support mediated the relationship between caregiving and SRH among repeated caregivers. Findings suggest that any caregiving experience (previous or repeated) provides health benefits to grandparents.

Intergenerational Relationships and Psychological Well-Being of Chinese Older Adults With Migrant Children Does Internal or International Migration Make a Difference?

Relying on a purposive sample of 550 Chinese older adults in Beijing, China, this study examined the potential influence of children’s out-migration, internally or internationally, on intergenerational relationships and parental well-being. By comparing older adults in nonmigrant, internal migrant, transnational, and hybrid (have both migrant and nonmigrant children) families, we found that children’s out-migration only compromised intergenerational contact and instrumental support, but not monetary or emotional support. Older adults of different family types had similar levels of depression and life satisfaction. Those in internal migrant families were most likely to report financial worries, and those in transnational families were most likely to worry about lack of care. The influence of children’s out-migration was further confounded by parents’ coping resources. The findings suggest that the vulnerability of the “left-behind” elderly might have been exaggerated. Future studies shall distinguish different types of migration and the diversity among older adults with migrant children.

Family Relationships, Social Connections, and Depressive Symptoms Among Chinese Older Adults in International Migrant Families

ABSTRACT This study explored whether and how family relationships and social connections influence depressive symptoms of older migrants and older adults in transnational families using the data gathered from a cross-sectional survey in Los Angeles, California, United States, and Beijing, China. Regression results showed that the older migrants reported significantly higher levels of depression than the elders in transnational families. The findings highlight the importance of maintaining close family relations and having large friendship networks for older adults in international migrant families.

End-of-Life Family Caregiving for Older Parents in China's Rural Anhui Province

Cette étude a examiné les corrélats de la prestation de soins de la fin de vie fournis par les enfants adultes à leurs parents âgés et le rôle du sexe des enfants adultes en soins familiaux dans la Chine rurale. Les données proviennent de cinq vagues de l’Étude longitudinale du bien-être des personnes âgées en milieu rural dans la province de l’Anhui, en Chine, pendant 12 ans, et d’une enquête post-mortalité. On a utilisé la modélisation linéaire hiérarchique. Les résultats ont montré que l’ordre de naissance des enfants adultes, la distance géographique antérieure, et l’échange du soutien intergénérationnel antérieur étaient significativement associés à la prestation de soins de famille de la fin de vie. Les enfants les plus âgés, par rapport à d’autres frères et sœurs, fourni les plus grand soins de fin de vie pour leurs parents. Les enfants qui cohabitent avec les parents plus âgés avant leur mort, par rapport à d’autres enfants des mêmes parents, ont offert les plus grands soins. Les enfants adultes qui avaient déjà échangé le soutien instrumental avec les parents âgés avant la mort, en particulier les fils, tendaient à fournir le plus grands soins en fin de vie, par rapport à ceux d’autres.This study examined correlates of caregiving at the end of life provided by adult children to their older parents and the role of gender of adult children in family caregiving in rural China. Data came from five waves of the Longitudinal Study of Rural Elder’s Well-Being in Anhui Province, China, over 12 years and from a post-mortality survey. Hierarchical linear modeling was used. Findings demonstrated that the birth order of adult children, prior geographic distance, and prior intergenerational support exchange were significantly associated with family caregiving at the end of life. Eldest children, compared to other siblings, provided the most end-of-life caregiving to their parents. Children cohabitating with older parents before death provided the most caregiving, compared to other siblings. Adult children who had previously exchanged instrumental support with older parents before death, especially sons, tended to provide the most caregiving, compared with that by others, at end of life.

Geographical proximity and depressive symptoms among adult child caregivers: social support as a moderator

ABSTRACT Objectives: This study examined whether geographical proximity is a predictor of depressive symptoms, and whether family and friend support can moderate the relationship between geographical proximity and depressive symptoms. Method: A survey of 557 adult child primary caregivers was conducted in Shanghai, China in 2013. Geographical proximity was measured as a categorical variable: coresidence, short distance (less than 30 minutes’ travel time), and long distance (more than 30 minutes’ travel time). Family and friend support were assessed using the Multidimensional Scale of Perceived Social Support. Depressive symptoms were evaluated using the Center on Epidemiologic Studies Depression Scale. Multiple regression analyses and interaction terms were used to test the moderating roles of family and friend support. Results: Adult child caregivers who live more than 30 minutes away from care recipients experienced higher depressive symptoms than coresiding caregivers (β = .114, p < .01). Family support (β = −.408, p < .05) and friend support (β = −.235, p < .05) were protective factors that lessened depressive symptoms for long-distance adult child caregivers. Conclusion: This study adds spatial dimension to caregiving literature and extends stress process theory. These findings have important implications for service planning and social support for adult child caregivers.

Multidimensional Intergenerational Instrumental Support and Self-Rated Health Among Older Adults in Rural China: Trajectories and Correlated Change Over 11 Years

Objectives: This study investigated the dynamic relationship between multidimensional intergenerational instrumental support and health over time. This approach is of theoretical, methodological, and practical significance in gerontological research. Method: Data came from The Well-Being of Older People in Anhui Province in 2001, 2003, 2006, 2009, and 2012. Of the 1,636 participants at baseline, a working sample of 1,557 older adults was used. Trajectories and correlated change were estimated using parallel latent growth curve modeling with maximum likelihood estimation. Results: “Received household-chore help” decreased over time, whereas “received personal-care help” increased over time. “Provided household-chore help” and “provided personal-care help” increased and then decreased over time. Increasing receipt of “household-chore help” and “personal-care help” were associated with faster decline in health over time. Discussion Findings suggest distinctive patterns of changes for different dimensions of intergenerational instrumental support and their relationship with changes in perception of health over time in later life.

Intergenerational relationships in Chinese transnational families: A typology study

ABSTRACT Using latent class analysis, this study examined the overall patterns of multifaceted intergenerational relationships of 604 parent-child dyads in 292 transnational families in Beijing, China. Three family relation types emerged: local obligatory (27%, with reciprocal support and ambivalent feelings), distant discordant (27%, with weak associations and high conflict), and distant intimate (46%, with highest filial ratings and emotional quality). Parents’ health and children’s marital status, socioeconomic status, childcare responsibilities, and sibling numbers were associated with different relation types. The findings are helpful for social workers to identify subgroups of older adults in transnational families who are at risk of having inadequate support.

Intergenerational support and functional limitations among older Chinese immigrants: Does acculturation moderate their relationship?

ABSTRACT Using a purposive sample of 236 older Chinese immigrants in Los Angeles, California, this study investigated the association between intergenerational support and functional limitations and the potential moderating effect of acculturation in such a relationship. The results of multiple regression analyses showed that receiving financial support from children and coresiding with offspring were significantly correlated with more limitations in instrumental activities of daily living. Perceived emotional cohesion with children was significantly correlated with fewer such limitations. The relationship between different dimensions of intergenerational support and functional limitations varied by acculturation. To prevent or reduce functional limitations, interventions need to consider acculturation.

Geographic distance and intergenerational relationships in Chinese migrant families

ABSTRACT This study examines the effect of adult Chinese migrants’ geographic distance from home on their intergenerational relationships with parents who remain behind. We compared monetary and family care support as well as emotional relationships among four parent-child groups: older adults and international migrant children, older adults and internal migrant children (who migrated to other cities in China), older adults and coresiding children, and older adults and local children (living in the same city as their parents). Data were derived from 332 older adults in Beijing, China, with at least one child who migrated to another country or city. Results from chi-square tests, anaylsis of variance (ANOVA) tests, and regression analyses indicate that international and internal migrant children maintain similar intergenerational relationships with their parents, and that both of those groups are less likely than coresiding and local children to have family care exchanges and emotionally close relationships with their parents. The results may help professionals develop supportive services and policies for older adults in migrant families.

Grandparenting and support from adult children: Does children’s international migration make a difference for Chinese older adults?

ABSTRACT Guided by social exchange theory, this study investigates the association between grandparenting and support from adult children, and the role of children’s international migration in moderating such association. Data were derived from a 2012 survey of older adults in Beijing, China (478 adult children nested in 300 older parents). The results of independent cluster logistic and linear regressions showed that regardless of children’s migration status, grandparenting was significantly associated with a greater likelihood of receiving household help and personal care, but not with emotional or financial support from children. Children’s migration status moderated the associations between grandparenting and receiving support from children. Theoretical implications for research and practical implications for services and policies are discussed.