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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.

Adult↗

Young single women's experiences of pregnancy, adjustment, decision-making and ongoing identity construction.

OBJECTIVE: To explore young pregnant women's experiences of embodiment, ongoing identity construction, decision-making processes and the way in which these are influenced by contemporary discourse, information sources and interaction with health professionals and others. DESIGN: An exploratory descriptive pilot study. Data were collected via diaries kept during pregnancy, two face-to-face, open-ended interviews, one in the second trimester of pregnancy and one six to eight weeks after the birth of the baby, and a brief telephone interview conducted six months post birth. SETTING: A major metropolitan hospital for women in Melbourne, Victoria, Australia, and the community. PARTICIPANTS: Five English speaking participants, aged between 17 and 23 years. FINDINGS: All the young women accepted, even welcomed, the physical changes of pregnancy. Acceptance of pregnancy and an evolving positive sense of identity was assisted by support from families, particularly mothers, access to sympathetic and expert health professionals, exposure to a range of opinions through classes, books and the media, general acceptance from society at large, support from friends, and choices and opportunities in relation to ongoing education and employment.

Adaptation, Psychological↗

Is the relationship between fertility of parents and children really weak?

The relationship between fertility of parents and children has been designated as "weak" by most investigators. This paper reviews the evidence over the past century and argues that, even allowing for problems with available data sources, the relationship was probably close to zero for pre-transitional populations. However, over time, the relationship has tended to become more substantial and is now of a similar order of magnitude in developed countries as other widely used explanatory variables. Possible mechanisms for the observed relationship are discussed, especially the roles of socialization and inherited factors. The types of data used are compared to the scientific questions posed, and the limitations of the common comparison of married-mother/married-daughter pairs are considered. Finally, some evidence from recent large-scale surveys in Britain and the United States is presented to show changes over recent periods and the relative effects of sibship size of fathers and mothers.

Adult↗

Grandparenthood: factors influencing frequency of grandparent-grandchildren contact and grandparent role satisfaction.

OBJECTIVES: Symbolic interaction theory suggests that self processes motivate individual behaviors and responses to roles. In this study, we explore the influence of self processes on grandparenthood. METHODS: Data were collected in 1997 from 203 middle-aged grandmothers and grandfathers living in the Raleigh-Durham-Chapel Hill, North Carolina, metropolitan area. We are especially interested in whether three self factors, grandparent identity meanings, grandparent centrality, and self-esteem, are related to frequency of contact with grandchildren and grandparent role satisfaction. RESULTS: Results indicate that there are gender differences in the factors that influence the frequency of contact between grandparents and grandchildren. The self variables influenced frequency of contact for grandfathers but not for grandmothers. Stronger support for our expectation emerged in the analysis of factors that influence grandparent satisfaction. All three self factors are positively related to grandparent role satisfaction for both grandmothers and grandfathers. DISCUSSION: More research is needed on the expectations and experiences of the grandparent role. In this study, we focused attention on self processes. The finding that grandparent identity meanings, grandparent centrality, and self-esteem influence grandparent role satisfaction suggests that self factors should be included in comprehensive investigations of grandparenthood. The next step is to explore the grandparent identity in more detail and investigate how it relates to other identities and to the well-being of older persons.

Child↗

Are expectations for care related to the receipt of care? An analysis of parent care among disabled elders.

This investigation explores the relationship between the degree to which older parents expect assistance from their children and the actual amount of care they receive from their children. Combining the theories of reasoned action and intergenerational solidarity, we hypothesize that global expectations (social norms about receiving care) influence specific expectations (behavioral intentions to seek care), but that it is specific expectations that influence the amount of care received from children. Data were collected at three points over a 12-month period among a sample of impaired older parents (65+) who lived independently in community settings (n = 334). Using structural equation models, the results were consistent with the hypothesis. We conclude that the theory of reasoned action is a useful adjunct to the theory of intergenerational solidarity by proposing that parents adjust their global expectations to reflect the specific realities of the lives of their children.

Adult↗

Reciprocity in parent-child relations over the adult life course.

OBJECTIVES: This research assessed how parents' transfers of sentiment, time, and financial assets to their adolescent/young adult children affect the children's propensity in middle age to provide social support to their aging parents. We tested whether the mechanism of long-term intergenerational exchange is better modeled as a return on investment, an insurance policy triggered by the longevity or physical frailty of parents, or the result of altruistic (or other nonreciprocal) motivations on the part of adult children. METHODS: Models were examined with 6 waves of data from the University of Southern California Longitudinal Study of Generations. The sample consisted of 501 children who participated in the 1971 survey and who had at least 1 parent surviving in 1985. Growth curve modeling was applied to predict average levels and rates of change in social support provided to mothers and fathers between 1985 and 1997 as a function of early parental transfers of affection, association, and tangible resources to their children. RESULTS: Children who spent more time in shared activities with their mothers and fathers in 1971 provided more support to them on average. Receiving greater financial support from parents in 1971 raised the marginal rate at which support provided by children increased over time. Maternal health operated synergistically with early affection to produce greater levels of support. Both levels and rates of increase in support from children were positive, even for children who received no early transfers from their parents. DISCUSSION: The results offer some support for investment, insurance, and altruistic models of intergenerational exchange. Sharing time in activities provides a direct return to the parent that is characteristic of an investment strategy, whereas financial transfers provide a time-contingent return that is characteristic of an insurance mechanism. That affection triggers greater support to more functionally impaired mothers suggests that emotionally investing in children as a health insurance mechanism may be based on the greater moral equity accorded to mothers. The motivation of adult children to provide social support to their older parents is partially rooted in earlier family experiences and guided by an implicit social contract that ensures long-term reciprocity.

Adolescent↗

Enhancing communication with older adults: overcoming elderspeak.

Because communication behaviors are difficult to change, practicing speech without elderspeak is helpful in preparing for actual clinical situations. The Communication Enhancement Model describes potential benefits of eliminating elderspeak in speech to older adults. Minimizing the use of elderspeak is hypothesized to reduce stereotype-based messages that older adults are incompetent and dependent. An improved communication environment promotes the cognitive and functional abilities of older adults. Achieving optimal communication environments may contribute to higher levels of well-being for older adults and to increased quality of life. Young adult care providers also may benefit from increased job satisfaction if they relate closely with care recipients.

Aged↗

"These young chaps think they are just men, too": redistributing masculinity in Kgatleng bars.

In the 19th century the BaKgatla polity was a chiefdom with a redistributional economy based on mixed agriculture. Sorghum beer was symbolic not only of the patrilineal core of their descent system and of the ideologies of reciprocity and redistribution, but also of masculinity and patriarchal control. With the establishment of a market economy, an industrial brewery and individual access to income, both beer and the act of drinking have been symbolically reconstructed. The ideology of redistribution was well suited to the support of the BaKgatla gerontocracy via alcohol production and consumption. The limits on production and consumption of beer inherent in the agricultural cycle and the control of young men's access by elders made alcohol an effective symbol of managerial competence from the limited context of household authority to that of the chiefdom as a whole. Today, young men's greater control of cash income has given them access to beer beyond the control of elders. As a result, the contrasting ideology of market exchange and competitive distribution of beer has contributed to the degradation of the power of seniors. After reviewing the historical background, this paper explores those changes. It argues that while the observed infrastructural changes have had a predictable impact on drinking behaviors and the symbolic structure of "seniority/masculinity", constructions of the "masculine community" in BaKgatla bars demonstrate continuity in key areas of mens' identities. If as anthropologists we see obvious discontinuities in behavior and ideology, the BaKgatla build selective bridges to "tradition" which seemingly ground the experience of change in relatively seamless continuity.

Adult↗

Adolescent mothering: child-grandmother attachment.

This study explored the involvement of maternal grandmothers with children of adolescent mothers and child-grandmother attachment. In a sample of 32 children whose grandmothers were involved in child care, 44% were securely attached to mothers and 72% securely attached to grandmothers. Of the 18 children insecurely attached to mothers, 82.4% were securely attached to grandmothers. A significant relationship existed between attachment security and the time the child was with grandmother, sleeping time excluded. In contrast, time with mother was not related. Based on attachment theory, findings are presented and implications for nursing practice are made.

Adolescent↗

Perceptions of ceremonial and nonceremonial uses of tobacco by American-Indian adolescents in California.

BACKGROUND: American-Indian adolescents have the highest tobacco use prevalence of all ethnic groups in the United States. Although much has been written about the role of tobacco in traditional Native-American cultures, little is known about modern-day perceptions of tobacco among American-Indian adolescents. METHODS: This study conducted focus groups of 40 American-Indian adolescents in urban and rural areas of Southern California. Participants discussed the role of traditional ceremonial tobacco use in their lives, the use of commercial tobacco as a substitute for sacred tobacco, the perceived safety of traditional versus commercial tobacco, and the perceptions of American-Indian imagery in tobacco advertising. RESULTS: Many American-Indian adolescents may be introduced to traditional tobacco use at early ages. Smoking is viewed as a sign of respect for the elders, but there are acceptable ways for adolescents to participate in ceremonies without inhaling smoke. Commercial cigarettes often are substituted for homegrown tobacco at ceremonies and events. Traditional tobacco was perceived as less dangerous than commercial tobacco because it does not contain chemical additives. However, respondents still perceived that smoking traditional tobacco and breathing tobacco smoke conferred health hazards. Participants found the use of American-Indian imagery in tobacco advertising offensive and stereotypical. Indian casinos were mentioned frequently as places where smoking occurred. CONCLUSIONS: Continued health education efforts are needed to decrease habitual use of commercial tobacco products and secondhand smoke exposure among American-Indian youth. Further research is needed to identify ways for American-Indian youth to participate in their cultural traditions while minimizing their risk for tobacco-related diseases.

Adolescent↗

Older adults in sub-Saharan Africa living with children and grandchildren.

Using data from Demographic and Health Surveys, we examine the composition of households containing older adults in 24 countries of sub-Saharan Africa, with a focus on those living with children and grandchildren. Overall, 59 per cent live with a child and 46 per cent with a grandchild. Men are more likely to live in nuclear households and women in extended households and alone. Regression analyses show that individual-level determinants of household composition differ by sex. For example, living with children and grandchildren is tied to living with a spouse for men, but for women the effect is either not significant or in the opposite direction. Households with an older adult and a grandchild, but no adult children, are common. Usually the adult child lives elsewhere, though about 8 per cent of older adults live with a grandchild who has at least one deceased parent. Older adults are more likely to be living with double-orphans in countries with high AIDS-related mortality.

Africa South of the Sahara↗

Second generation to Holocaust survivors: enhanced differentiation of trauma transmission.

"Second generation to Holocaust Survivors" is a description of a segment of society, as well as an attempt at characterizing these individuals. It is common to speak of mechanisms of transmission of trauma as characterizing the dynamics of the second generation. This paper intends to advance differentiation between two kinds of transmission of trauma: direct transmission (also called transposition) and indirect transmission. There seems to be some confusion in this realm, since there is some discrepancy between clinical and the experimental publications: Whereas the first usually presents evidence of direct transmission of trauma in the second generation, the second mostly demonstrates indirect transmission. We shall present a clinical account of group therapy demonstrating indirect transmission, proposing a distinction between second-generation individuals owing to the relative dominance of each of the mechanisms in their mental structuring. This distinction has significant clinical consequences.

Adult↗

Grandparents raising grandchildren: the role of social support in coping with caregiving challenges.

In this investigation of 133 grandparents with primary responsibility for their grandchildren, we examined the potential moderating role of social support in the association between caregiver stressors and grandparents' general well-being. Enacted formal support buffered the association between grandchild health problems and both grandparent caregiving stress and life satisfaction. Enacted formal support also buffered the association between parenting daily hassles and life satisfaction. Compensatory or main effects of perceived informal and formal social support were found for both grandparent caregiving stress and life satisfaction. Findings highlight the importance of professional assistance and community services in minimizing the negative impact of child-related challenges on grandparents' well-being.

Adolescent↗

The psychotherapy of genetics.

The evolution of genomic science and its effect on medicine and health care offer opportunities for family therapists to participate in the comprehensive care of patients and families with genetic disorders. This article provides an overview of what we now know about the psychological and interpersonal experience of patients and families facing some of these illnesses. Case examples illustrate the process of decision-making about testing and treatment, and the importance of understanding developmental issues and transgenerational family dynamics in any related psychotherapy. Challenging emotional issues include managing anger, ambivalence, and guilt; challenging interpersonal issues include dealing with differing coping and communication styles, decisions about disclosure and secrets, and conflict resolution. Family-oriented interventions include individual, couple, and family therapy, and psychoeducational groups. Recommendations are made for family therapists to participate as part of the genetic healthcare team.

Adolescent↗

Does parenting differ based on social class?: African American women's perceived socialization for achievement.

Research has provided some evidence of ethnic group, gender, and class differences in the socialization for achievement. However, there is little research on African American women with the exception of the studies of low-income, single mothers. To understand the similarities and differences in socialization for achievement based on social class, middle-class African American women from working- and middle-class backgrounds were studied using qualitative and quantitative methods to compare them on issues related to achievement socialization. Women from middle-class backgrounds reported that their parents had higher expectations for them and were more involved in their education than did women from working-class backgrounds. More middle-class parents expected their daughters to be successful in careers than did working-class parents. Women from working-class families did receive support from their parents but they did not have as much support as did the women from middle-class backgrounds. Women from working-class families perhaps made use of other sources to support their desire to succeed. There were no differences in perceived race-related socialization based on social class. Implications of these findings for future research are discussed.

Achievement↗

Health of grandmothers: a comparison by caregiver status.

OBJECTIVES: In this cross-sectional study, stress, coping, social support, and health were compared in 86 primary caregiver grandmothers, 85 partial/supplemental caregiver grandmothers in multigenerational homes, and 112 noncaregiver grandmothers. Whether support and coping reduced effects of stress on the physical and mental health of grandmother caregivers, including mediating and moderating effects, was examined. METHODS: A convenience sample completed a mailed questionnaire that included measures of stress, health, support, and coping. RESULTS: Primary caregivers reported worse self-assessed health, but partial/supplemental caregivers reported a tendency toward more depression and more instrumental support. Noncaregivers reported the least stress and less active and avoidant coping. Coping and subjective support added to the variance of depression and self-rated health. Subjective support and avoidant coping mediated between stress and health, and active coping moderated the effects of stress on health. DISCUSSION: Implications of these findings relative to the health of grandmothers by caregiver status are discussed.

Adaptation, Psychological↗

Parent-child value transmission among Chinese immigrants to North America: the case of traditional mate preferences.

Parent-child similarities in traditional mate preferences were examined in Chinese immigrants to North America. Adult children (n = 63) rated their preferred mate characteristics. Children then completed measures of interdependence, family allocentrism, Chinese identity, and Asian values. Their parents (n = 63) also rated their own preferences for their child's spouse and their own Asian values. Parents reported greater preference for traditional mate characteristics than did their children. Parents' preferences were related to parents' own Asian values. Children's traditional mate preferences were predicted by their parents' preferences and their own family allocentrism. Family allocentrism was a marginally significant partial mediator of parent's influence on children's preferences. Family connectedness may, therefore, facilitate intergenerational transmission of values in immigrant Asian families.

Acculturation↗

An empirical study of object relations in adult children of depressed elderly mothers.

This study used a psychodynamic perspective on psychological functioning, object relations, for understanding coping and emotional distress in (N = 50) sons and daughters providing assistance to an elderly mother hospitalized for major depression. Hypotheses that better maternal object relations would be related to more adaptive coping and less emotional distress received partial support. The hypothesis that an elderly mother's history of depression when a son or daughter was a child would be associated with adult children's poorer object relations received support. Results indicate that object relations may be a useful framework for studying family issues in late life depression.

Adult↗