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Cultural aspects of ageing: gender and inter-generational issues.

A broad review is made of the economic, social and political developments that accompanied the 20th century demographic transition in the developed industrialized societies of Europe and North America and their implications for older people, emphasizing changes in work patterns, the position of women, family and household structures. The denigration of older people is not new, but there is greater consciousness of the disadvantaging aspects of ageist expressions. The different stages of economic development and family systems and norms in developing societies now undergoing the demographic transition in Asia and elsewhere are likely to make the lives of older people there very different from those experienced during the transition period in Europe.

Age Distribution↗

The genogram: a strategy for assessment.

One of the strongest components of the role of the pediatric nurse practitioner (PNP) is that of assessing pediatric clients and their families. Many tools have been developed to assist the PNP in assessing family relationships and dynamics to formulate plans of care that promote physical and mental health. This article explores the use of the genogram as a tool for successful family assessment. A case study is presented to guide the PNP to incorporate the technique into the practice setting.

Adult↗

Grandmother co-residence, parenting, and child development among low income, urban teen mothers.

PURPOSE: To examine the relationships among grandmother co-residence, parenting, and early child development among low income, urban families with teen mothers whose children vary in growth (adequate versus failure to thrive [FTT]). METHODS: Seventy-nine adolescent mothers of infants and toddlers (42 with adequate growth and 37 with FTT) recruited from a primary care clinic. Data collected during a laboratory evaluation included a videotaped session of mother and child during feeding, developmental assessment (Bayley Scales), and questionnaires on family support, perceived parenting stress, and maternal perception of child's temperament. ANALYSIS: Multivariate analyses of covariance. Independent variables were growth (adequate/FTT) and grandmother co-residence (present/absent). Dependent variables were maternal warmth during feeding, maternal perception of child's temperament, child's mealtime behavior, and child's cognitive and motor development. Covariates were child's age, maternal age, maternal education, parity, family support, and perceived stress. RESULTS: Teen mothers living with grandmothers were younger (mean age = 17.4 versus 18.6, p = .03) and had fewer children (mean parity = 1.2 versus 1.7, p = .001). Mothers displayed more warmth when not living with grandmothers (p = .01). Among adequately growing children, grandmother co-residence was associated with better motor skills (106 versus 98, p = .039). In contrast, among children with FTT, grandmother co-residence was associated with lower motor skills (90 versus 100, p = .017). CONCLUSIONS: Although multigenerational families may be protective for some teen parents and their young children, grandmother co-residence was not associated with maternal warmth. With the added stress of a poorly growing child, grandmother co-residence was associated with less optimal motor development.

Adolescent↗

Parenting style, individuation, and mental health of Egyptian adolescents.

Three questionnaires that measure parenting style, adolescent-family connectedness, and mental health were administered to 351 Egyptian adolescents. Results show that in rural communities the authoritarian style is more predominant in the parenting of male adolescents, while the authoritative style is more predominant in the parenting of female adolescents. In urban communities, on the other hand, the authoritarian style was more predominant in the parenting of female adolescents. The connectedness of all female adolescents with their family was stronger than that of male adolescents. The connectedness of girls was found to be more emotional and financial in villages and to be more functional in town. Female adolescents reported a higher frequency of psychological disorders. Mental health was associated with authoritative parenting, but not with authoritarian parenting. It seems that authoritarian parenting within an authoritarian culture is not as harmful as within a liberal culture.

Adolescent↗

Factors associated with future offending: comparing youth in grandparent-headed homes with those in parent-headed homes.

This study examined risk factors for reoffending by youth in grandparent-headed homes and those in parent-headed homes. Using data abstracted from the juvenile justice records of youth in a variety of living arrangements, we compared the records of 29 youth living in grandparent-headed homes with those of 37 youth living in parent-headed homes. Youth in grandparent-headed homes were significantly more likely to have risk factors and needs associated with reoffending. The findings suggest that youth in grandparent-headed homes are at greater risk for reoffending and that factors predisposing youth in grandparent-headed homes to reoffend may differ from those that predispose youth in non-grandparent-headed homes.

Adolescent↗

Influence of grandparents on eating behaviors of young children in Chinese three-generation families.

AIM: To investigate how grandparents influence their young grandchildren's eating behaviors in Chinese three-generation families. METHODS: This qualitative study used semi-structured in-depth interviews with 12 parents (3 male and 9 female) and 11 grandparents (4 male and 7 female) in Beijing, China. RESULTS: Three domains emerged in this study: (1) grandparents were the primary caretakers of children in the three-generation families. They played an important role in planning and cooking family meals; (2) grandparents' attitudes influenced young children's nutrition and eating habits. They held the belief that children being heavy at a young age would assure that they had a good nutrition status and would become tall in the future. They showed a tendency towards urging the children to eat more meals and larger portions at served meals; (3) grandparents used food as an educational and emotional tool. They shaped the behavior of their grandchildren and expressed love and caring through food. CONCLUSIONS: Grandparents were dominant in shaping children's eating behavior in some three-generation families in Chinese urban areas. Nutrition education involving grandparents is a potential framework for developing a healthy dietary behavior in young children.

Child↗

Intergenerational transmission of subthreshold autistic traits in the general population.

BACKGROUND: Autistic disorder (AD) is a disabling oligogenic condition characterized by severe social impairment. Subthreshold autistic social impairments are known to aggregate in the family members of autistic probands; therefore, we conducted this study to examine the intergenerational transmission of such traits in the general population. METHODS: The Social Responsiveness Scale (SRS), a quantitative measure of autistic traits, was completed on 285 pairs of twins (by maternal report) and on their parents (by spouse report). RESULTS: Correlation for social impairment or competence between parents and their children and between spouses was on the order of .4. In families in which both parents scored in the upper quartile for social impairment on the SRS, mean SRS score of offspring was significantly elevated (effect size 1.5). Estimated assortative mating explained approximately 30% of the variation in parent SRS scores. CONCLUSIONS: Children from families in which both parents manifest subthreshold autistic traits exhibit a substantial shift in the distribution of their scores for impairment in reciprocal social behavior, toward the pathological end. As has been previously demonstrated in children, heritable subthreshold autistic impairments are measurable in adults and appear continuously distributed in the general population.

Adolescent↗

The intergenerational spectrum: an innovative approach to end-of-life care.

Our experiences color our practice lens, motivating and guiding our efforts. They define our need to renew and refocus interventions and energies. The unique nature of these efforts prompts us to validate the individuality of issues faced with clients. My respect for this principle of self-determination drives my case management practice in how I approach that intimate world of client systems during their death and dying processes. From the earliest phase of awareness to anticipatory grief and mourning, through death itself and then bereavement, the critical importance of examining the course of themes from an intergenerational perspective sets a tone for practice-a tone that embraces age-specific concepts for our clients and their support community, including the professionals involved.

Adaptation, Psychological↗

Examining the intergenerational transmission of violence in a New Zealand birth cohort.

OBJECTIVE: This paper examines whether exposure to interparental violence in childhood predicts subsequent involvement in interpartner violence and violent crime after controlling for potentially confounding factors. METHOD: The investigation analyses data from the Christchurch Health and Development Study, a prospective, longitudinal study of a birth cohort of over 1000 New Zealand young adults studied at multiple assessment points from birth to the age of 25. RESULTS: After controlling for potentially confounding risk factors, observed associations between exposure to interparental violence in childhood and increased risks of both (a) psychological interpartner violence perpetration and victimization and (b) violent crime, were reduced to statistical non-significance. No statistically significant associations were observed between exposure to interparental violence in childhood and increased risk of physical interpartner violence perpetration or victimization. CONCLUSIONS: It is concluded that the effects of childhood exposure to interparental violence on subsequent interpartner violence are weak and largely explained by the psychosocial context within which childhood exposure to interparental violence occurs.

Adolescent↗

Intimate partner violence and child maltreatment: understanding intra- and intergenerational connections.

OBJECTIVE: The purpose of this study is to assess the extent to which intimate partner violence and different forms of child maltreatment occur within and across childhood and adulthood for a high-risk group of women. METHOD: Low-income adult women were interviewed, retrospectively, regarding their experiences with intimate partner violence and child maltreatment in childhood and adulthood, and intra- and intergenerational relationships between multiple forms of family violence were identified. RESULTS: Analyses demonstrated weak to moderate associations between various forms of violence within generations. Only weak support was found for the transmission of violence hypothesis that maltreated children are more likely to grow up to maltreat their own children. Stronger support was found for the theory of learned helplessness, whereby children maltreated or witness to violence during childhood are more likely to be victimized as an adult. CONCLUSION: The results from this study suggest that interventions with children who are identified for one form of victimization should be assessed for other forms of victimization, and interventions should also address learned behaviors or beliefs associated with continued or future victimization.

Child↗

Cross-generational effects on gender differences in psychoactive drug abuse and dependence.

BACKGROUND: Studies of patients with cocaine and heroin use disorders have shown gender differences in prevalence, course, and outcome. These differences may be decreasing in successive generations. Less is known about gender differences in course and symptomatology for other illicit drug use disorders, especially in community samples. METHOD: Participants (1323 men and 1384 women) who were biological or step-parents of twins and born in the 1940-1960s, from the Minnesota Twin-Family Study (MTFS) were divided into two cohorts based on the median birth year. A structured interview was used to assess DSM-III-R cannabis, amphetamine, cocaine and hallucinogen use disorders. RESULTS: There was a higher prevalence of each of these drug disorders and earlier onset of cannabis and amphetamine use disorders in later-born participants. For most drug use disorder categories, men and women were similar with respect to age of onset and severity of disorder but women had a shorter course of drug use disorders. Women with amphetamine disorders were atypical with respect to having a higher frequency of use but similar number of lifetime uses compared to men, and more emotional effects of amphetamine intoxication than men. In addition, women with amphetamine disorders were more likely to have anorexia nervosa than those without amphetamine disorders. CONCLUSIONS: These results have several implications for prevention, etiology and treatment.

Adult↗

The relationship between parental eating problems and children's feeding behavior: a selective review of the literature.

This review describes the research evidence linking parental eating problems with processes that affect children's food selection and rejection, including child feeding difficulties, and child dieting practices and attitudes. First, studies that assess the relationship between parental eating disorder and child feeding are reviewed. Secondly, research that examines the relationship between parent and child dieting behavior and attitudes is reviewed. Finally, the eating characteristics of parents whose children have feeding difficulties are discussed. There is no consensus in the literature about the relationships between parent and child feeding and eating disturbance, and mechanisms for the intergenerational transmission of these behaviors have yet to be established.

Adult↗

A double concern: Danish grandfathers' experiences when a small grandchild is critically ill.

This paper addresses grandfathers' lived experiences when a new-born or small grandchild is critically ill. Grandfathers are marginal in nursing research in spite of the fact that intensive care nursing has broadened its perspective from being patient-centred to include family-oriented care. A convenience sample of seven grandfathers was interviewed once. Using Van Manen's phenomenological methodology, the essence of the phenomenon was found to be "a double concern". Main themes in this essential theme were: "Being a father and a grandfather" and "being in the midst of life and death". Six sub-themes expanded and clarified the meaning of these themes. Overall the grandfathers experienced worry and loving concern for parents and grandchildren. In life-threatening situations grandfathers were scared and felt helpless; they were prepared to console and comfort; they always hoped for the best; and they felt like being in the inner circle if the health personnel included them when informing about the infant. Information and presence generally were of importance for the wellbeing of grandfathers. The findings constitute a systematic and thematic description of Danish grandfathers' experiences and therefore add to a family-oriented body of knowledge for intensive care nursing.

Adaptation, Psychological↗

Protecting elders: regulating intergenerationally transmitted debt in Australia.

Australia, like other western nations, is facing the prospect that in the decades ahead the overall population will age dramatically. This article considers legal issues associated with the aged and intergenerationally transmitted debt. It will be argued that the present legal regulation of guarantees is a complex amalgam of case law, statute and finance industry self-regulatory codes which does not necessarily or adequately take into account the particular vulnerabilities of the aged and the very old or the intergenerational pressures which they may confront. It may be necessary to take significant steps to protect vulnerable elders while still recognizing their rights to exercise personal autonomy. Some proposals for reform are made.

Aged↗