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Typologies of caregiving families: family congruence and individual well-being.

Data from 252 female primary caregivers, their husbands, and children living in multigenerational households were used to create family typologies based on the extent of similarity among reports of elder behaviors. Analysis of variance indicates that families characterized by high agreement and those characterized by low agreement were significantly different from one another on a number of dimensions. When the relationship between caregiver-reported stressors and mental health was examined as a function of family typology, results indicate that for high agreement families there were significant correlations between the caregiver's report of the elder's behaviors and her burden; satisfaction with caregiving; relationships with her husband, child, and elder; and depression. Similar relationships characterize data reported by husbands and children in high agreement families. For families characterized by low agreement, the majority of these relationships were not significant.

Adaptation, Psychological↗

A profile of grandparents raising grandchildren in the United States.

This article examines the prevalence of grandparent caregiving in the U.S. and presents a national profile of grandparent caregivers based on current data from the national Survey of Families and Households. More than one in ten grandparents are found to have cared for a grandchild for at least 6 months, with most of these having engaged in a far longer-term commitment. Although custodial grandparenting cuts across gender, class, and ethnic lines, single women, African Americans, and low income persons are disproportionately represented. Multivariate logistic analysis indicates that three groups--women, recently bereaved parents, and African Americans--have approximately twice the odds of becoming caregiving grandparents. Implications for further research, policy, and practice are discussed.

Adult↗

New burdens or more of the same? Comparing grandparent, spouse, and adult-child caregivers.

This study compares the health of 42 grandparent, 44 spouse, and 130 adult-child caregivers with 1,669 noncaregivers in 1994 and 1974. In 1994, all three caregiver groups had poorer mental health than the noncaregivers; grandparent caregivers also had poorer physical health and greater activity limitations. Spouse and adult-child caregivers had not differed from the noncaregivers 20 years prior, but grandparent caregivers had experienced poorer health than the noncaregivers and more stressful life events than the other caregivers. Caregiving appears to add new burdens to otherwise normal lives for spouse and adult-child caregivers, while being yet another aspect of a difficult life course for grandparent caregivers.

Aged↗

Grandmother involvement in child caregiving in an urban community.

In a community-defined, epidemiologic sample in East Baltimore, we examined grandmothers' rates of co-residence and their involvement in four parenting activities. Co-residence rates exceeded the national average. Six types of family households with grandmothers were identified, and their frequency varied by race. Neither grandmother age nor employment was associated with grandmothers' parenting involvement, although family structure was. Grandmothers who were the sole parent (21%) or co-parent with a grandfather (6.5%) were most involved in child care and had the fewest number of helpers. Grandmothers living with single mothers (41%) were the next most involved, while grandmothers in mother/father households (9%) were least involved.

Adult↗

An intergenerational program for persons with dementia using Montessori methods.

An intergenerational program bringing together older adults with dementia and preschool children in one-on-one interactions is described. Montessori activities, which have strong ties to physical and occupational therapy, as well as to theories of developmental and cognitive psychology, are used as the context for these interactions. Our experience indicates that older adults with dementia can still serve as effective mentors and teachers to children in an appropriately structured setting.

Aged↗

Grandparents today: a demographic profile.

This article presents a demographic profile of grandparents, using the National Survey of Families and Households. Specific dimensions of grandparenthood addressed include grandparents' survival, the timing of grandparenthood, grandparents' involvement in other roles, surrogate parenting, and stepgrandparents. The data indicate considerable heterogeneity among grandparents of different genders and races or ethnicities. They also suggest modifications in previous descriptions of modern grandparenthood.

Adult↗

Becoming a grandparent: a longitudinal study of expectations and early experiences as a function of sex and lineage.

First-time grandparents (N = 152) participated in a study of expectations of grandparenthood while their first grandchild was still in utero. One to 2 years after their first grandchild was born, they were asked to fill out the Thomas (1990) grandparent questionnaire again, and 103 did so. Expectations and experiences of grandparenthood were compared separating grandparents by sex and by lineage. Expectations and experiences of grandparenthood differed by both grandparent sex and lineage. In particular, grandmothers reported greater satisfaction and overall meaning in grandparenthood than grandfathers, whereas grandfathers felt more able to offer child-rearing advice to the parents. In regard to lineage, maternal grandparents were more satisfied in grandparenthood than they expected to be, whereas paternal grandparents were not.

Adult↗

Frequency of grandparent contact with grandchild sets: six factors that make a difference.

Using data from the second wave of the National Survey of Families and Households, the authors examine the determinants of frequent and infrequent visiting between grandparents and their grandchild sets. A grandchild set consists of all the children of a particular child of the grandparent, provided that the grandchildren reside in their parent's household. The 6 significant predictors of frequent or infrequent contact are geographic distance, quality of relationship between grandparent and parent of the grandchild set, number of grandchild sets, gender of grandparent, lineage of the grandchild set, and marital status of the grandparent.

Aged↗

Entitlements, generational equity, and public-opinion manipulation in Kansas City.

To sow public doubts about Social Security and other federal old-age programs, one would need to erode their bases of support. This case study describes a year-long editorial campaign by The Kansas City Star that argued repeatedly for retrenchment of federal old-age programs and essentially promoted the policy agenda of the Concord Coalition. Generational inequity was a strong series theme. Readers, especially young people, were recruited to participate in public events that manufactured quotable support for the paper's stance. Throughout, shrill and unflattering portrayals of age-group interests did little to advance civic understanding of policy issues or forestall intergenerational tensions.

Adolescent↗

Children-in-law in caregiving families.

Data were collected from 252 coresident caregiving daughters and daughters-in-law and their husbands. We hypothesized that biological children would give more care than children-in-law and that children-in-law would have very different caregiving experiences and resultant appraisals than biological children. Contrary to our hypotheses, we found that the experiences are very similar for biological children and children-in-law in caregiving families. We suggested that the important factor is not the relationship to the elder that has the impact--it is the quality of the relationship with the elder that is consistently significant.

Adult↗

The impact of new demands for assistance on caregiver depression: tests using an inception cohort.

Family caregivers of patients facing high numbers of new demands for assistance following hospital discharge were more likely to experience increased levels of depression in the following six months compared with caregivers facing similar overall demands but few new demands for assistance following hospital discharge. New demands for assistance had a significant independent effect upon the levels of depression and were independent of family relationship (spouse vs nonspouse) and caregiver gender. These findings provide insight into theories of caregiver stress, begin to specify the interaction of time following the onset of a stressful event and caregivers' subsequent reactions, and suggest which caregivers may require some assistance following discharge of their patients.

Aged↗

The effects of family conflict resolution and decision making on the provision of help for an elder with Alzheimer's disease.

This study explored how characteristics of multigeneration families of patients with Alzheimer's disease (AD) affected the family's ability to provide help to their ill elder. An intensive patient and family assessment battery was employed with 211 families with an elder with AD, and measures of the amount and kind of help offered by the family group were recorded. Above and beyond control variables, families that used a focused decision-making style and positive conflict resolution methods provided more help than families that did not use these styles and methods. These data suggest the importance of the family system of care in disease management.

Adult↗

Raising grandchildren: the experiences of black and white grandmothers.

This article contrasts the experiences of 398 White and 319 Black grandmothers raising their grandchildren in the absence of the middle generation. Similarities include age, education, familial relationship to the grandchild, age of the grandchild being raised, reasons that grandmothers are raising their grandchildren, behaviors characteristic of the grandchildren, and impacts on the grandmother's work life. Differences include marital status, work status, and income. Black grandmothers are more likely than White grandmothers to have peers who also live with their grandchildren. Black grandmothers are also more likely to come from families in which multiple generations lived together and to be receiving support from formal sources. White grandmothers experienced more burden from their caregiving role than did Black grandmothers.

Adaptation, Psychological↗

Building community for the long-term: an intergenerational commitment.

Intergenerational visitation programs have demonstrated advantages for the young and old, but few programs last more than a year or two. Weaving long-term intergenerational programs into the fabric of both school curricula and community cultural life was the goal of a project launched in 1988 in Phoenix, Arizona. Classrooms of children visit weekly or biweekly with nearby nursing home residents, developing friendships while pursuing educational activities. Carefully planned and widespread community support through board participation, donations, and publicity has allowed the program to continue to expand, while the budget has decreased. Materials are available which facilitate program replication.

Aged↗

Types of conflicts and tensions between older parents and adult children.

What are the most common themes of conflict between aging parents and their adult children? Six types emerged in a qualitative analysis of Longitudinal Study of Generations survey data: conflicts over (1) communication and interaction style; (2) habits and lifestyle choices; (3) child-rearing practices and values; (4) politics, religion, and ideology; (5) work habits and orientations; and (6) household standards or maintenance. There were generational differences: parents most often listed conflicts over habits and lifestyle choices, whereas children cited communication and interaction style. These results suggest a new agenda for gerontological research: intergenerational conflict in the context of solidarity within aging families.

Adult↗

Social contact, socioeconomic status, and the health status of older Malaysians.

We tested the applicability of the stress buffering hypothesis in a developing country setting with data from the Senior Sample of the Malaysian Family Life Survey-2. Using ordered logistic regression methods, we examined whether having daily contact with adult children moderates the effect of low socioeconomic status (SES; conceptualized as a chronic stressor) on self-assessed health status. We found that low SES is associated with poorer health for all three ethnic groups--Malay, Chinese, and Indian. Further, for Malays and Chinese, we found that the negative effects of low SES on health tend to be stronger for older people with less frequent contact with adult children than for those who have daily contact. These results provide general support for the buffering model and suggest that, as found in developed countries, active intergenerational relationships in developing country settings may have protective effects on the health of older people experiencing chronic stressors.

Adult↗