Older Parents Research Articles

Physical and mental well-being of older adults: examining the impact of financial support from male migrant children on Indian left-behind parents.

Amid high youth out-migration, India's older parents face severe social, economic, psychological, and health crises due to their children's separation. However, remittances from their migrant children alleviate economic hardships, improve healthcare access, and partially compensate for their absence. So, this study examines how adult-child migration affects older parents' physical and mental health and how remittance support helps mitigate these challenges. This study used the 2011 Building a Knowledge Base on Population Ageing in India (BKPAI) dataset, the current study (n = 5122) employs bivariate statistics, logistic regression, and mediation analysis to address the objectives. Logistic regression determines the factors of self-rated health and depression, while mediation analysis is implied to understand the intermediate effect of financial support i.e. remittance on left-behind older adult health. The findings indicate that approximately 43% of the study populations were left behind, meaning they have at least one migrant child. Notably, 20% of these left-behind older adults report poor health conditions, and 17% exhibit depressive symptoms, while the poor health and having depressive symptoms were lower among the non-left-behind older adults i.e., 13% and 12% respectively. The mediation analysis indicates that the likelihood of good self-rated health increased 1.35 times through the effect of remittance, which compensates for around 55% of the total adverse effect of migration. The consistent inflow of remittances serves to alleviate the impact on household finances, ensure food security, and address medical expenses. However, it is crucial to recognize that while remittances contribute significantly to economic stability, they cannot fully replace the physical presence of adult children, especially in terms of caregiving.

Intergenerational Value Discordances and Affectual and Associational Solidarity Between Older Parents and Adult Children

Intergenerational Value Discordances and Affectual and Associational Solidarity Between Older Parents and Adult Children

Changes in care provision to older parents during COVID-19 and the well-being of adult children: The moderating roles of the child-parent relationship and pandemic-related measures

Objective: The study addresses the associations between changes in care provision to older parents since the pandemic and worsened depression and anxiety in adult children. It also explores whether pandemic-related control measures and child-parent relationships moderated these associations. Background: Changes in informal care during the pandemic, such as increased or decreased caregiving frequency, may have affected caregivers’ psychological well-being. Limited research exists on how stressors and resources shape the well-being of adult children caregivers. Method: Data from 740 respondents in the first SHARE Corona Survey (SCS) who provided care for their parents during the pandemic were analyzed. Changes in depression and anxiety were assessed using data from SCS and pre-pandemic Wave. Logistic regression analyses were conducted, with added interactions between the moderators - pandemic measures and child-parent relationship characteristics - and changes in care frequency. Results: Increased caregiving frequency during the pandemic was associated with worsened depression. Stricter pandemic measures intensified this effect but also reduced the likelihood of anxiety for those who provided care less often. A higher quality of relationship with the mother in childhood was marginally associated with lower depression among those increasing caregiving but worsened depression for those decreasing it. Conclusion: To address post-pandemic caregiving challenges, efforts should focus on reducing caregiver stress and considering the enduring influence of early child-parent relationships.

Adult intergenerational proximity and parents’ depressive symptoms: A bidirectional approach

To date, only a few studies have investigated the bidirectional relationship in the intergenerational proximity-health nexus, specifically how geographic proximity affects older parents' depressive symptoms and vice versa. Drawing on eight waves (2004–2018) of the U.S. Health and Retirement Study (n = 17,671), we examine several mechanisms (‘mobilization’, ‘social support’, and ‘social breakdown’) that drive the complex relationship between intergenerational proximity and parental depressive symptoms. Dynamic panel models with fixed effects in a structural equation modeling context provided some weak evidence of a ‘mobilization effect’ (that is, parents', especially fathers', depression triggering greater proximity, including coresidence) and somewhat clearer evidence for a ‘social breakdown effect’ of coresidential transitions on parents' depressive symptoms (particularly among ‘Whites’ and fathers). We found no evidence to support the notion of a ‘social support mechanism’ (predicting that greater proximity or the transition to coresidence would decrease the number of parents' depressive symptoms).

Digital and other forms of contact between older European parents and children: the role of internet use, digital skills, emotional and geographical distance

ABSTRACT Guided by the intergenerational solidarity model and leveraging rich data from the European Social Survey round 10 (2020–2022), we examine the role of internet use, digital skills, emotional and geographical distance in influencing various forms of contact between parents aged 60 or above and their children. Emotional closeness emerges as a universal driver of contact of all forms. Geographical proximity is positively associated with face-to-face interactions, but negatively with video calls. Internet use and digital skills positively associate with digital contact. Our findings suggest that fostering digital inclusion among older adults is crucial, emphasizing the role of digital literacy in maintaining family connections in a digital world. Overall, our study provides insights into adapting familial bonds amidst the digital transformation.

A study of intergenerational support and the health relationship of the elderly population: Evidence from CHARLS

BackgroundCurrently, the relationship of intergenerational support on health is mainly focused on physical health and mental health, and there are fewer studies on the relationship of intergenerational support on self-assessed health. Therefore, this paper discusses and analyzes the possible relationship of intergenerational support on the self-assessed health of older adults in terms of the bidirectional support of various forms of support between older parents and their adult children in terms of financial, living, and emotional support(CHARLS). MethodsThis study was conducted on participants aged 65 and over, using the CHARLS 2020 survey, involving 6359 (3069 men and 3290 women) elderly people.Health was measured in three dimensions: physical, psychological, and self-assessment; intergenerational support was measured in three dimensions: financial, life care, and spiritual comfort; and regression models analysed the relationship between intergenerational support and the health of the elderly population. ResultsChildren's life care support (p < 0.05) had a significant positive association on physiological health, but a significant negative association on the elderly's psychological and self-assessed health, children's spiritual comfort support (p < 0.05) had a positive association on the elderly's physiological health, psychological health, and self-assessed health, and children's financial support (p < 0.05) was positively correlated with the elderly's psychological, and children's financial support had a positive association, but not related to physical health and self-rated health of the elderly. ConclusionsThe relationship between intergenerational support and the health of the older population is complex, with life-care support significantly contributing to physical health but negatively affecting mental health and self-assessed health; spiritual comfort support positively affecting physical, mental and self-assessed health; and financial support having a primarily positive effect on mental health. Therefore, children should fully respect and utilise the ‘autonomy’ of the elderly when providing intergenerational support to the elderly in their families. It is also important to improve intergenerational communication abilities and skills, which will help to better understand and fulfil the needs of older people, thereby promoting their physical and mental health.

Immigrant Status, Social Support From Children, and Resilience for Older Parents' Perceived Oral Health Among Chinese Americans.

Background: Improving the oral health of older immigrants is an important public health priority in the United States, but the role of children's support has received little attention. This study investigated the relationship between support from adult children and perceived oral health among foreign-born and U.S.-born Chinese Americans. We also examined the mediating role of resilience. Methods: Data were derived from a sample of 377 Chinese American older adults aged 55 or older in Honolulu, Hawai'i. Using a path analysis with structural equation models, we conducted a comparison of self-rated oral health and oral health problems between foreign-born and U.S.-born Chinese Americans. Results: For foreign-born participants, more emotional support from children was directly associated with better perceived oral health and indirectly linked to perceived oral health via resilience. For U.S.-born Chinese Americans, financial support from children was directly related to worse perceived oral health. Conclusions: This study provides evidence for resilience pathways linking social support from children and older immigrants' oral health, which can help health professionals and family counselors develop culturally tailored interventions.

Mental health among parents and their children with eczema in Hong Kong.

This cross-sectional survey research investigated mental health symptoms and quality of life among Chinese parents and their children with eczema at a paediatric dermatology clinic in Hong Kong from November 2018 to October 2020. Health-related quality of life, eczema severity, and mental health among children with eczema, as well as their parents' mental health, were studied using the Children's Dermatology Life Quality Index (CDLQI), Infants' Dermatitis Quality of Life Index (IDQOL), Nottingham Eczema Severity Score (NESS), Patient-Oriented Eczema Measure (POEM), and the Chinese version of the 21-item Depression, Anxiety, and Stress Scales (DASS-21). In total, 432 children and 380 parents were recruited. Eczema severity (NESS and POEM) and health-related quality of life (CDLQI) were significantly positively associated with parental and child depression, anxiety, and stress levels according to the DASS-21, regardless of sex (children: r=0.28- 0.72, P<0.001 to 0.007; parents: r=0.20-0.52, P<0.001 to 0.034). Maternal depression was marginally positively associated with increased anxiety in boys with eczema (r=0.311; P=0.045). Younger parents had higher risk of developing more anxiety and stress compared with the older parents (adjusted odds ratio [aOR]=-0.342, P=0.014 and aOR=-0.395, P=0.019, respectively). Depression level of parents with primary to secondary education was 58% higher than their counterparts with post-secondary education or above (aOR=-1.579; P=0.007). Depression, anxiety, and stress among children with eczema and their parents were associated with eczema severity and impaired quality of life in those children. These findings regarding impaired mental health in children with eczema and their parents highlight the need to include mental well-being and psychosocial outcomes in future studies and clinical practice.

A demographic assessment of the Lansing Effect in duckweed ( Lemna turionifera Landolt)

The Lansing Effect is the propensity for offspring of older parents to have shorter lifespans than offspring of younger parents. A recent review identified two demographic patterns that can produce the Lansing Effect: (i) a greater offspring mortality rate at all offspring ages in offspring of older versus younger parents (greater initial mortality parameter); and (ii) an offspring mortality rate that increases more rapidly with offspring age in offspring of older versus younger parents (greater mortality rate parameter). Here, we report on a longitudinal study designed to investigate these patterns, using the duckweed Lemna turionifera . We tracked asexually produced offspring that detached from parents that were comparatively young versus old (first versus fifth offspring, respectively). Offspring of older parents lived 15% shorter, on average, than offspring of younger parents, providing evidence of the Lansing Effect. A model-selection approach revealed that the difference between survival curves of first versus fifth offspring was mainly attributable to greater initial mortality in fifth compared to first offspring, though alternative models also received some support. Our study provides a demographic explanation for the Lansing Effect in L. turionifera in particular and provides a method for assessing the survival patterns underpinning the Lansing Effect in general.

Gender inequality in intergenerational contact after parental separation in the digital era

AbstractObjectiveThe goal of this brief report is to analyze parent‐adult child contact frequency in intact and non‐intact families by focusing on parent and child gender and the type of contact.BackgroundParental separation increases gender differences in parent–child relationships, with separated fathers having less frequent contact with their adult children compared to separated mothers. We investigate whether the father–mother gap in post‐separation contact varies according to parent–child gender mismatch and the type of contact, that is, face‐to‐face, phone, or digital (e.g., via video calls).MethodWe use data on Italian families from the Family and Social Subjects survey to examine parent–child contact frequency among 6770 adult children aged 30–55 (11,041 parent–child dyads). We estimate random and fixed effects models on the probability of having frequent contact with biological parents in intact and non‐intact families (parental separation before age 18).ResultsFathers' reduced contact frequency compared to mothers is particularly evident with daughters, more pronounced in face‐to‐face and phone contact than in digital contact, and greater among younger daughters at the time of separation. Gender differences in phone and digital contact are larger for fathers who have also less frequent face‐to‐face contact compared to mothers.ConclusionWe interpret these findings by focusing on the centrality of mother–daughter ties and the loyalty that children have with the same‐gender parent. We also suggest that different types of contact reinforce gender differences between parents and may lead to a polarization of older parents with “strong” and “weak” family ties.

Can cessation of caregiving for parents relieve family caregivers' psychological distress? A longitudinal study using 17-wave nationwide survey data in Japan.

Informal caregiving of older parents adversely affects the mental health of family caregivers. However, the psychological effects of caregiving cessation and the trajectories of these effects have rarely been examined in Japan. This study addresses this gap. Based on a 17-wave nationwide population-based survey in Japan, we analyzed longitudinal data from 8,280 individuals aged 50-59 years in 2005 who started caring for their older parents in 2006 or later and ceased caregiving by 2021. We identified the timings of caregiving onset and cessation and examined the trajectory of psychological distress (PD), defined as a Kessler score ≥ 5 on the 6-item Kessler scale (range 0-24). Linear mixed models were used to assess the trajectory of PD that evolved after caregiving cessation over the subsequent three years. After adjusting for covariates, the probability of PD decreased by 5.6 percentage points (from 40.8%; 95% confidence interval [CI], 4.1-7.0) for female caregivers and by 1.9 percentage points (from 31.7%; 95% CI, 0.3-3.5) for male caregivers at caregiving cessation, remaining stable in subsequent years. For women, higher PD risks related to co-residence with a care recipient diminished quickly upon cessation of caregiving, while the unfavorable impacts of no social activity, extended duration of care, and long-hour daily care persisted in subsequent years. For male caregivers, the impact was generally more limited. These results suggest that changes in mental health following caregiving cessation warrant serious consideration when developing support programs for former family caregivers.

ВОЗРАСТНАЯ ДИНАМИКА ПРОМЕРОВ ТЕЛА И ИНДЕКСОВ ТЕЛОСЛОЖЕНИЯ МОЛОДНЯКА ОВЕЦ ТУШИНСКОЙ ПОРОДЫ В ЗАВИСИМОСТИ ОТ ВОЗРАСТА РОДИТЕЛЕЙ

Research study of the biological characteristics of rams and ewes of different ages and their ability to transmit to their offspring the qualities required by the breeder which were obtained as a result of crossing is a very important and urgent task. To identify the best age combination of parents used to produce highly productive offspring, it is necessary to study not only the fertility and fertility of the queens of the selected breed as well as the safety of the resulting offspring, but also the exterior characteristics of the resulting offspring. For our research 1200 heads of Tushino breed sheep were selected and 4 groups of different ages were formed. The queens were inseminated with elite rams, of which, in turn, 3 age groups were formed. The characteristic measurements of the offspring obtained as a result of such mating were studied. Based on the experimental data, we can conclude that the little ones received from young and older parents are significantly inferior in all respects to their peers received from middle-aged parents. The same picture is observed in rams. Middle-aged parents gave birth to offspring that are the best in all respects.

Violence Against Parents by Adult Children: A Systematic Literature Review of Empirical Studies.

Violence against parents by adult children is the abuse of physical, psychological, social, or economic power committed by a grown-up child against his/her parent or foster parent with the intention of achieving a specific goal such as control, subordination, economic gains, or internal satisfaction. It encompasses physical, psychological, sexual, and financial violence, neglect, and property crime. This paper aims to systematically review the literature on violence against parents by adult children. With the use of a range of keywords, the databases Web of Science, SAGE, SpringerLink, Taylor and Francis online, PubMed, EBSCOhost, JSTOR, ProQuest Ebook Central, PsycInfo, Routledge, and Science Direct were reviewed according to the PRISMA Statement. A review of the literature by key authors and contributions using the snowball method followed. The inclusion criteria were empirical journal papers and books published in English between 1990 and 2023 that address violence against parents by adult children. Exclusion criteria included reviews, commentaries, abstracts, and any publications that address the subject topic in a language other than English. The searches returned 39 relevant contributions. Four common themes emerged across the field: the prevalence and characteristics of violence against parents by adult children, parents' responses and experiences of violence by adult children, social perceptions of (older) parent abuse, and consequences and prevention of violence against parents by adult children. Findings of the literature review show that violence against parents is an under-researched phenomenon and points to the need for further research, including the prevention, detection, consequences, and treatment of such violence.

Parent-child relationship quality and older parents’ cognitive trajectories

This study assesses the bidirectional link between parent-child relationship quality and older parents’ cognitive trajectories over time, with particular attention to potential variations by parents’ gender. Methods: Using a longitudinal, nationally representative sample of parents aged 50 and older from the Health and Retirement Study 2006–2016, the analysis examines three dimensions of the relationship quality between parents and children—contact, support, and strain—in relation to parents’ cognitive function. Parallel latent growth curve models (LGCMs) estimate how baseline relationship quality relates to subsequent change in parents’ cognition and how parents’ baseline cognitive function relates to subsequent change in relationship quality over time. Results: Higher initial levels of relationship strain with children predicts a faster cognitive decline for older parents. Neither initial contact frequency nor initial relationship support is associated with subsequent change in a parent’s cognition, however, good cognitive function predicts a more rapid increase or a slower decline in contact frequency and relationship support over time. No gender difference was found. Conclusion: The results highlight the importance of the “linked lives” of aging parents and their children as well as the potential for bidirectional associations between cognition and family relationships.

Interactions between broiler parent stock age and egg pre-incubation duration: effects on embryo development, hatchability, day-old chick weight, and yolk sac weight

Egg storage is a common practice in commercial hatcheries, but prolonged storage can negatively impact hatchability, causing a significant problem for the poultry industry. Repeated pre-incubation could mitigate the decline depending on the age of the parent stock. The study investigated the interactions between parent stock age (30, 45, and 58 weeks) and repeated pre-incubation on the hatchability and embryo development of 15-day stored eggs from Ross 308 parent stock. Three different pre-incubation durations were employed during storage: no pre-incubation and twice at the 5th and 10th days of egg storage for either 4 or 8 h. For each parent stock age, 3 600 eggs collected on the same day from the same parent stock were used for hatchability assessment. The duration of pre-incubation was determined as the eggshell temperature increased from 28 °C to a maximum of 35 °C and then cooled to 28 °C; the persistency at 35 °C was either 1 or 4 h for the total pre-incubation period. The hatchability of both set and fertile eggs and early, middle, and late embryonic mortality depended on the parent stock’s age (P < 0.001). Pre-incubation alone did not have any impact on hatchability. Conversely, a significant interaction was observed between parent stock age and pre-incubation duration on the hatchability of fertile eggs (P = 0.001). At 30 weeks of parent stock age, both durations of pre-incubation positively influenced the hatchability. At 45 weeks of parent stock age, pre-incubation length had no effect on hatchability. At 58 weeks of parent stock age, a longer pre-incubation period, 2 × 8 h, was associated with decreased hatchability. Early embryonic mortality was not influenced by pre-incubation. However, a significant interaction was observed (P = 0.003). At 30 weeks of parent stock age, both short and long lengths of pre-incubation were associated with a decrease in early embryonic mortality. However, at 45 and 58 weeks, pre-incubation did not significantly affect early embryonic mortality. Additionally, longer pre-incubation periods significantly increased middle mortality compared to untreated eggs (P = 0.035). The median of embryo development for untreated eggs was the same across all ages (stage 10). In the older parent stock (45 and 58 weeks), repeated pre-incubation increased variability in embryo development, while in the younger parent stock, repeated pre-incubation decreased variability in embryo development. In conclusion, the duration and the frequency of pre-incubation should be specified based on the age of the parent stock.

Development and validation of a new tool to assess quality of decision-making by older children and parents about research participation

ObjectiveEffective decision-making is crucial for children and young people's trial participation, but specific tools to measure it are lacking. The TRECA (TRials Engagement in Children and Adolescents) Decision-Making Questionnaire (DMQ) was developed to fill this gap and has been evaluated for reliability and validity MethodsWe created the TRECA Decision-Making Questionnaire, based on similar measures for adults, and recruited participants through seven Studies-Within-a-Trial (SWATs). Participants were randomly assigned to receive trial information either as a printed Participant Information Sheet or Multimedia Information, or both, and asked to complete the DMQ. We calculated item completion rates, item-remainder statistics and Cronbach’s Alpha, and conducted factor analysis. Results549 participants (433 parents/guardians, 116 older children) completed a DMQ. It had high completion rates and internal consistency (Alpha = 0.88 for parents/guardians and 0.84 for older children) and moderate to high inter-item correlations. The DMQ had a single factor accounting for 53 % of variance. ConclusionsThe TRECA DMQ is a useful tool for evaluating research participation decisions in older children, as well as parents and guardians. Practice implicationsOur study suggests that the TRECA DMQ can be used to assess the quality of decision-making about trials in parents, guardians and older children.

Children's Educational Attainment and Older Parents' Food Insecurity: Evidence From India.

Objectives: To examine the relationship between children's educational attainment and the risk of food insecurity among older parents and to determine if this relationship varies by the sex and residence of the children. Methods: This study utilized data from the Longitudinal Ageing Survey in India (LASI, 2017-18), comprising 25,914 individuals aged 60+ with at least one living child. Logistic regression, interaction analysis, and propensity score matching were employed to achieve the study's objectives. Results: Having a child with higher education (undergraduate or above) was associated with a 35% reduction in the odds of parents experiencing food insecurity. This negative relationship was significant for both sons' and daughters' education, with daughters' education having higher effect size. Conclusion: In a country like India, characterized by a weak welfare system but a strong collectivist family culture, children's education may play an important role in ensuring older parents' food security.

The Effects of Caring for Grandchildren on Health and Well‐Being of Grandparents: Evidence From Vietnam

ABSTRACTTo date, studies on the effects of grandparenting on grandparents' health and well‐being do not reach the same conclusion and most of them have been conducted in developed countries. We add to this literature by examining the causal relationship between grandparenting and grandparents' health and well‐being in Vietnam, where the social norm and reciprocal relationships between adult children and their older parents are strong. We used instrumental variable estimations to address the endogeneity issue of the decision to provide care. Using the national survey on older persons in Vietnam, we found that grandparenting care had positive effects on psychological well‐being, life satisfaction, and self‐rated health of grandparents. We also found that the effects were heterogenous by caregiver's gender, in which grandmothers were more beneficial from caregiving tasks than grandfathers. Further exploring the mechanisms underlying the effects revealed that improvements in memory and stronger social networks were potential channels through which grandparenting might improve the health and well‐being of grandparents. Our findings support the theory of role enhancement, suggesting that grandparents can have health and well‐being benefits from grandparenting. Policies aiming at strengthening old age protection and family relationships should be advocated to sustain the subjective well‐being of older adults.

Value of lost leisure among sandwich generation women performing caregiving duties for older parents

This study evaluates the extent of leisure time loss experienced by middle-aged women in South Korea who care for their aging parents and quantifies the monetary value of this lost leisure time. By employing an open-ended direct question, we derived respondents' willingness to pay and willingness to accept compensation for leisure time lost due to caregiving duties. Our findings reveal that middle-aged women engaged in regular caregiving are willing to pay an average of 9313 KRW (US$7.74) per hour for leisure time and would require 13,539 KRW (US$11.40) per hour as compensation for their lost leisure. The annual total monetary value of leisure time loss for consistent caregivers was estimated to range between 7403.4 billion KRW (US$6232 million) and 10,127.5 billion KRW (US$8525 million). The study highlights the significant challenges faced by caregivers, particularly middle-aged women, emphasizing the need for social awareness and discussions on gender role distribution to promote gender equality. It underscores the importance of developing effective support policies, including financial compensation and mental health resources, to alleviate caregivers' dual burden of work and home responsibilities. Understanding the economic impact of leisure time loss can help address long-term socioeconomic issues associated with an aging society, crucial for improving the efficiency and sustainability of care services for the older generation. The economic value estimated in this study will provide essential information for evaluating the cost-effectiveness of public services, supporting the economic feasibility of policies and programs, especially because respite services involve significant government expenditure.

The Parental Concern and Acceptance of Silver Diamine Fluoride Treatment in Preschool Children: A Cross Sectional Study

Abstract Aim: Silver diamine fluoride (SDF) is a minimally invasive treatment with proven efficacy for managing early childhood caries. However, the dark staining associated with SDF treatment remains a major concern that affects parental acceptance. This study examines the level of parental acceptance of SDF treatment for preschool children in Laos and explores associated factors such as parental anxiety, previous dental experience, and demographic data. Materials and Methods: A cross-sectional survey was conducted with 324 parents of children aged 2–5 years enrolled in preschools in Vientiane Capital, Laos. Participants provided demographic information, details on their children’s dental history, and their own dental anxiety levels. Following a video demonstration of the effectiveness and application of SDF, parents completed a survey assessing their acceptance of and concerns about SDF using a 5-point Likert scale. Parental dental anxiety was measured with the modified dental anxiety scale. Data were analyzed using chi-square tests, independent t tests, and multiple logistic regression (P ≤ 0.05). Results: Eighty percent of the parents accepted SDF treatment for their children. Those highly concerned about SDF staining were significantly less likely to accept it as a treatment option (P &lt; 0.01). Increased acceptance correlated with reduced concern about staining (95% confidence interval = 15.57–1095.88). Additionally, 84.9% of parents reported some level of dental anxiety, with older parents showing higher acceptance of SDF. Conclusions: Parents were highly receptive of the SDF treatment for their children’s primary dentition. Parents who were older tended to be less concerned about the staining, and those who had a high level of dental anxiety were more likely to accept SDF treatment.