Skipped-generation Households Research Articles

Gender Differences in the Protective Role of Grandparenting in Dementia Risk.

This study provides one of the first national longitudinal studies of the association between caring for grandchildren (i.e., grandparenting) and the risk of dementia in the United States, with a focus on gender-specific variations. We estimated discrete-time event history models, drawing upon data from the Health and Retirement Study (2000-2016). The analytic sample included 10,217 community-dwelling White and Black grandparents aged 52 years and older at baseline. Noncoresident grandparenting was associated with a lower risk of dementia for both women and men compared to grandparents who did not take care of grandchildren. However, the cognitive advantage showed different patterns based on gender and the combination of care intensity and family structure. Grandmothers had a lower risk of dementia than noncaregiving grandmothers when providing a light level of noncoresident grandparenting, whereas grandfathers who provided intensive noncoresident grandparenting had a reduced risk of dementia compared to their noncaregiving counterparts. Grandparenting experiences within multigenerational households and skipped-generation households were not associated with dementia risk. Intergenerational caregiving plays a pivotal role in shaping cognitive health during later life; however, the impact is nuanced, depending on factors such as gender, care intensity, and family structure.

Exploring the Key Factors of Old Neighborhood Environment Affecting Physical and Mental Health of the Elderly in Skipped-Generation Household Using an RST-DEMATEL Model

Most elderly people choose to age in place, making neighborhood environments essential factors affecting their health status. The policies, economic status, and housing conditions of old neighborhoods have led many elderly people to live in skipped-generation households (SGHs), where they have gradually weakened physical functions and are responsible for raising grandchildren; this puts their health in a more fragile state than that of the average elderly person. Practical experience has shown that when faced with complex environmental renovation problems in old communities, many cases often adopt a one-step treatment strategy; however, many scholars have questioned the sustainability of such unsystematically evaluated renovation projects. Therefore, it is often valuable to explore the root causes of these old neighborhood problems and conduct targeted transformations and upgrades according to the interactive relationship between various influencing factors. This study attempted to establish a novel evaluation system to benefit the health of elderly families in old neighborhoods and develop an understanding of the impact relationship among the indicators, while avoiding any form of waste when collecting responses in regard to the future transformation of old neighborhoods. A questionnaire survey was conducted on the elderly in the Guangzhou Che Bei neighborhood in China, and by applying the rough set theory of the decision-making trial and evaluation laboratory model, we established a preliminary evaluation system, obtained key environmental factors affecting the health of elderly people living in SGHs, and clarified their mutual relationships. Finally, on this basis, we proposed corresponding neighborhood renewal suggestions. The results of this study provide a theoretical basis for future research, and our research model can be applied to similar aging research in the future.

Sociodemographic characteristics and functional health among Thai older adults in skipped generation households.

A substantial number of skipped generation households (SGHHs), where grandparents live with grandchildren in the absence of the middle generation, is observed in Thailand. The functional health (FH) of older adults with SGHHs is a concern because many of them take care of their grandchildren. While some studies have indicated the socioeconomic vulnerabilities of SGHHs, a social value on intergenerational exchange is considered favourable to SGHHs. This study examined the FH of older adults in SGHHs in comparison with those in other living arrangements, after adjusting for sociodemographic variables based on a population-based survey in Thailand. A total of 41,752 adults aged ≥60 years were selected for the analysis from the 2017 Survey of Older Persons in Thailand (SOPT). The living arrangements considered were SGHHs, living alone, living with a spouse only and co-residing with children with or without grandchildren. The FH was evaluated based on basic activities of daily living (ADL), functional ability and instrumental ADL, and analysed according to living arrangements using multiple regression analysis. The proportion of older adults in SGHHs in Thailand was 8.9%. Among them, 72.9% were in rural areas, 88.7% did not attain primary education and 53.9% were in two poorer quintiles of wealth status. After adjustment for sociodemographic variables, the FH of older adults in SGHHs was significantly higher than that of those co-residing with children with or without grandchildren, but significantly lower than that of those living alone or with a spouse only. The study highlighted that despite better FH than those who co-reside with children, sociodemographic characteristics of older adults in SGHHs seem to be at a disadvantage. Attention should be paid to social services to help families in SGHHs.

How architectural principles can help conceptualize and analyze breakups among intergenerational households

Guided by two architectural design principles, we investigated whether differences in the ways intergenerational households were structured could predict the odds of intergenerational households breaking apart. The two architectural design principles guiding our study were: (a) to classify structures, such as intergenerational households, according to a hierarchical ordering, in our case, a generational hierarchy, first, second, third, and so forth); and (b) to identify a central entity or focal point responsible for maintaining the structure, again for us, the focal generation responsible for a household. Applying both principles to a rich source of data that contained a large sample of intergenerational households, we found striking differences in odds of breakups by generational ordering, focal generation, and race. Whereas white three-generation households headed by grandparents were the most likely to break up, black skipped-generation households headed by grandparents were the least likely to break up.

Coresidence increases the risk of testing positive for COVID-19 among older Brazilians

BackgroundBrazil is among the countries hit hardest by COVID-19, and older adults are among the vulnerable groups. Intergenerational coresidence and interdependence among family members, both prevalent in Brazil, likely increase social and physical contact and thus potential infection.MethodsUsing nationally representative data from the COVID-19 module of the Brazilian National Household Sample Survey (Pesquisa Nacional por Amostra de Domicílios), collected between July and November of 2020, we examined the association between living arrangements and exposure to and testing for COVID-19 among 63,816 Brazilians aged 60 years and older. We examine whether living arrangements influence self-reported COVID-19 symptoms as an indicator of subjective health assessment, testing as an indicator of health care service use, and a positive COVID-19 test result as an objective indicator of exposure to the disease.ResultsLiving arrangements shape older adults’ vulnerabilities to COVID-19 exposure and testing. Specifically, those living alone were more likely to report having symptoms and having had a test for COVID-19. However, older adults in multigenerational and skipped generation households were more likely than solo-dwellers to test positive for COVID-19. Those with symptoms were more likely to test, regardless of their living arrangement. Among older adults without symptoms, those living alone had a higher probability of testing than those living in multigenerational or skipped-generation households.ConclusionsOverall, our findings suggest that coresidence with younger family members puts older adults’ health at risk in the context of COVID-19. As younger Brazilians are increasingly vulnerable to COVID-19 and experiencing severe outcomes, policy makers need to be more attentive to the health needs of households that comprise older and younger cohorts, which are also more prevalent in poor and marginalized segments of the population.

The association between living arrangements and subjective health and well-being among older adults in Thailand: a special focus on skip-generation households.

Objectives: Older adults in skip-generation households (SGHs) play a valuable role in maintaining the cohesion of extended families in the absence of the middle generation. Little is known about the health and well-being of older adults in SGHs or how it varies depending on their age. This study aimed to examine 1) the association between living in SGHs and subjective health and well-being and 2) the association between subjective health and well-being of older adults in SGHs across age groups. Methods: Drawing data from the 2017 national survey of older people, older adults aged ≥60 years without disability in activities of daily living (n=38,088) were included for multiple regression analyses. Living arrangements were classified into SGHs and non-SGHs. Subjective health was evaluated based on self-rated health, whereas subjective well-being was evaluated using a happiness score. Ordinal logistic regression and linear regression models, stratified by age groups (young-old, 60-69; middle-old, 70-79; and old-old, ≥80), compared subjective health and well-being of older adults in SGHs and non-SHGs, while controlling for potential covariates. Results: Among older Thai adults, 10.1% lived in SGHs, and 11.1%, 9.5%, and 6.3% were among the young-old, middle-old, and old-old, respectively. Across age groups, older adults living in SGHs reported better health status but worse well-being than those living in non-SGHs. Older adults from the old-old group living in SGHs seemed to report the best health status, whereas those in the young-old and old-old groups tended to report the worst well-being. The direction of the association between living arrangements and subjective health and well-being did not differ by age group. Conclusion: Better health status but worse well-being were observed in SGHs. Social sectors should pay attention to the well-being of these older adults.

Rodzina z pominiętym pokoleniem: doświadczenia życiowe dziadków wychowujących wnuki

Aim: In the last decade, many countries around the world have seen an increase in the number of skip-generation families in which grandparents take over the responsibility of raising grandchildren. The phenomenon described is also becoming more common in Poland. This article presents selected results of a study aimed at better understanding the experiences of grandparents raising grandchildren in skipped generation families. Methods: Participants were purposively selected from grandparents raising grandchildren living in skipped generation families in the Podlaskie Province. Data were collected through semi-structured in-depth interviews with 20 participants. The use of a biographical perspective in the research provided detailed narratives of the life experiences of older grandparents in skip generation families. Results and conclusions: The grandparents’ stories show the duality of experience consisting simultaneously of stress/satisfaction, sadness/joy, being seen/not seen. Addressing the issues faced by grandparents living in households with the skipped generation is important as it can reduce stress levels. Therefore, it is necessary to develop a model of support for grandparents raising grandchildren in skipped generation households which could be relevant for adapting to a new life situation and increasing psychological well-being.

Coresidence Increases Risk of Testing Positive for COVID-19 Among Older Brazilians

Brazil is among the countries hit hardest by COVID-19, and older adults are among the vulnerable groups. Intergenerational coresidence and interdependence among family members, both prevalent in Brazil, likely increase social and physical contact. Using nationally representative data from the COVID-19 module of the Brazilian National Household Sample Survey, collected from July to November of 2020, we examined the association between living arrangements and exposure to and testing for COVID-19 among 63,816 Brazilians 60+. Our multivariate analyses utilize multilevel mixed-effects Poisson regression to examine the association between living arrangements and the COVID-19 outcome measures. Results show that those living alone were more likely to report having symptoms and having had a test for COVID-19. However, older adults in multigenerational (PR=1.532, 95% CI 1.15, 2.04, p<0.001) and skipped generation households (PR=1.607, 95% CI 1.04, 2.48, p<0.001) were more likely than solo-dwellers to test positive for COVID-19. Those with symptoms were more likely to test, regardless of their living arrangement. Among older adults without symptoms, those living alone had a higher probability of testing than those living in multigenerational or skipped-generation households. Overall, our findings suggest that coresidence with younger family members is a risk factor for older adults’ health due to the higher COVID-19 positivity. As younger Brazilians are increasingly vulnerable to COVID-19 and experiencing severe outcomes, policy makers need to be more attentive to the health needs of households that comprise older and younger cohorts, which are also more prevalent in poor and marginalized segments of the population.

Intensity of Grandparent Caregiving and Well-Being in a Cultural Context: A Systematic Review

With improved longevity and changes in family structure, grandparents are key resources in providing care for grandchildren. However, mixed findings indicate that multiple role engagement may enhance well-being or bring demands on grandparents raising grandchildren. Little is known about how the intensity of grandparent caregiving is associated with their well-being in different family contexts (i.e., structures, cultures/regions, and reasons of care). This systematic review examines the association between the intensity of grandparent caregiving and their well-being. Peer-reviewed articles published after 1990 were identified in five electronic databases. A keyword search was performed for keywords associated with: (a) grandparent caregivers raising grandchildren, and (2) well-being (i.e., physical, mental, cognitive, and life satisfaction). Only quantitative studies were included. Fifty-six articles from 28 countries/regions were included. Findings suggested that the well-being of grandparents is optimal when they provide caregiving of moderate intensity, with optimal amounts varying across sociocultural contexts. In Europe and Australia, providing supplementary care seems beneficial for grandparents’ well-being, especially supporting dual-earner families. In Asia, economic resources buffer the adverse effect of primary care on grandparents’ well-being. In the U.S., findings vary across ethnicity/race. White grandparents enjoy health benefits providing supplementary care with support from adult children. However, Hispanic grandparent caregivers in multigenerational households have better well-being than those in skipped-generation households, whereas Black custodial caregivers have better well-being than supplemental caregivers. Collectively, the intensity of grandparent caregiving and well-being is complicated by their roles in the family and cultural differences. This systematic review calls for culturally-tailored family interventions.

Intergenerational Caregiving Patterns, Living Arrangements, and Life Satisfaction of Adults in Mid and Later Life in China.

While the health implications of intergenerational caregiving have been broadly investigated in the aging literature, less is known about caregivers in four-generation families and their living arrangements. Using 2011 and 2013 waves of China Health and Retirement Longitudinal Study (N = 12,914 obs.), we document enhanced life satisfaction of grandchild caregivers and sandwich caregivers caring for both grandchildren and parents than non-caregivers. When further taking living arrangements into consideration, we find that parent caregivers also benefit from care provision when not living with their parents and sandwich caregivers only have an advantage when co-residing with care recipients with adult children present in households. By contrast, grandchild caregivers living with grandchildren show substantially higher life satisfaction no matter adult children are present or not. The subgroup comparison suggests that females and rural residents enjoy psychological advantages over their male counterparts and urban counterparts in grandparenting within skipped-generation households and sandwich caregiving.

Caring as curing: Grandparenting and depressive symptoms in China

Research on grandparenting (i.e., caring for grandchildren) and mental health in Asian contexts has been limited, despite the rapid growth of older adults who take care of grandchildren. This study aims to investigate how grandparenting influences depressive symptoms in China. Using the China Health and Retirement Longitudinal Study (2011–2015, N = 4354), we conducted fixed effects regression models to examine the association between various types of grandparenting and depressive symptoms among older adults between the ages of 45 and 80. The results show that for grandparents, providing care to their grandchildren in skipped-generation households (i.e., grandparent-grandchildren families without adult children) is associated with a lower level of depressive symptoms compared to providing no care, after controlling for socioeconomic status, health behaviors, social support, and basic demographic characteristics. Other types of care (i.e., multigenerational household grandparenting, and part-time and full-time noncoresident grandparenting) are not significantly linked to caregiving grandparents’ depressive symptoms. Overall, our findings suggest that sociocultural contexts need to be considered in explaining the different mental health implications of grandparenting.

Grandchild Care and Well-Being: Gender Differences in Mental Health Effects of Caregiving Grandparents.

The literature on the gendered differences of mental health as a result of grandchild care has shown mixed results. Research on grandchild care further suggests that nonresidential grandchild care improves mental health outcomes, while residential grandchild care arrangements decrease mental health outcomes in grandparents. The moderating or buffering role of social engagement remains understudied in the grandchild care-mental health relationship. This study examines mental health effect differences between caregiving grandmothers and grandfathers and the moderating effects of social engagement. Using 2002-2012 data from the Health and Retirement Study, a nationally representative sample of U.S. adults aged 50 and older, I examine the mental health effects of grandchild care and the moderating effect of social engagement in fixed effects models. Grandfathers experience particularly worsened mental health outcomes when providing grandchild care in a skipped-generation household. Both grandmothers and grandfathers experience mental health improvements from increased social engagement. Social engagement, particularly for grandmothers, serves as a buffer or produces role enhancement for grandmothers in skipped-generation care arrangements. Nonresidential and residential grandchild care affects mental health outcomes differently for grandmothers and grandfathers. However, social engagement consistently serves as a buffer or mental health improvement for all grandparents. Findings further encourage the continued study of social engagement and gender differences in older adults more broadly.

When parents are not present: Decision-making dynamics for young children's health and illness in migrant-sending households in rural Cambodia

As migration rates increase globally, an increasing proportion of children in low- and middle-income countries live apart from their parents. In particular, skipped-generation households are becoming more common, with grandparents serving as primary caregivers for young grandchildren whose parents migrate and provide remittance support. Yet, how families living apart make decisions for young children's healthcare is not well understood. Processes of care seeking for children's health are examined in Cambodia, which has high rates of internal and international migration, and an increasing number of skipped-generation households. We conducted semi-structured in-depth interviews with grandparents who are primary caregivers for children under ten in skipped-generation households in rural migrant-sending areas. Respondents discussed their family's migration history, care seeking and decision making for grandchildren, dynamics with absent migrant parents, and sources of support. Decisions for children's care are intimately tied to the availability of migrant remittances, which are the modality of the relationship between grandparents and parents. Additional remittance support allows grandparents to make decisions for grandchildren's health based on convenience rather than cost, given the burdens of caring grandparents have taken on a result of the parent's migration. Instrumental supports such as in-kind assistance and informational supports further facilitated children's access to healthcare. This qualitative study informs and explains findings from recent quantitative studies of migration and child health.

Does internet access make a difference for older adults' cognition in urban China? The moderating role of living arrangements.

Since the mid-1990s, information technology, particularly the diffusion of the internet, has brought tremendous changes to communication and social participation for people in China, including older adults. At the same time, modernisation and urbanisation have transformed the way many people in China live. The traditional multigenerational household-older adults living with adult children and grandchildren-is giving way to other living arrangements, such as living alone or with a spouse only. Using wave 1 of the World Health Organization Study on Global AGEing and Adult Health collected between 2007 and 2010, we examined the extent to which home internet access might be associated with cognitive function in older adults aged 50 or over in urban China (N=5,898), paying attention to the moderating role of living arrangements. We found that home internet access was associated with better cognitive function, and living arrangements played an essential role in such an association for different age groups. Specifically, older adults living alone benefited cognitively from internet access, particularly among those aged 50-64 and 65-74. Those living with a spouse only and those in two-generation households benefited cognitively from internet access, particularly among those aged 50-64 and 75+. Older adults age 75+ in skip-generation households benefited cognitively from internet access. Considering the trend of older adults living apart from their children, our research suggests that providing internet access to older adults in urban China, especially those living alone, could help protect their cognitive function.

Educational Challenges of School-Age Children in Skipped Generation Households in Nigeria

The article investigated educational challenges of Nigerian children raised in an unusual family context, the skipped generation households (SGHs). Specifically, it determined the proportion of school-age children in SGHs enrolled in schools and investigated children’s perception of the effect of SGHs on their education. The study adopted a descriptive survey design. Data were collected from 2144 indexed children from the three major ethnic groups in Nigeria. The results showed that 88.2% of children in SGHs were enrolled in schools, and that significant regional variations existed in school attendance by the children. Specific educational challenges of the children in SGHs included having to do assignment alone, not getting enough time to study, difficulty in paying school fees, and late coming to school. The article brought to the fore the need for government to improve the welfare of children raised in SGHs in order to mitigate the educational challenges confronting them.

Grandparent caregiving in Cambodian skip-generation households: Roles and impact on child nutrition.

This study aims to understand nutrition‐related roles, responsibilities and ethical issues of grandparents caring for their grandchildren in skip‐generation households in rural Cambodia. Over the past decade, Cambodia has experienced a rise in economic migration of working age populations. This has resulted in increasing numbers of ‘skip‐generation’ households, in which grandparents and grandchildren co‐reside without parents, reflecting potential household vulnerability. This qualitative study involved in‐depth interviews and focus group discussions with Cambodian grandparents who were primary caregivers to grandchildren for six months or longer. A total of 39 grandparents were recruited at two sites in north‐west Cambodia. Interviews and focus group discussions were conducted in Khmer and were recorded, transcribed and translated into English. Data were analysed using thematic analysis. Grandparents in this study looked after an average of three children, aged between two months and 18 years old. Overall, 40% were sole caregivers. Analysis showed that grandparents, particularly grandmothers, played a central role in their grandchildren's health and nutrition. Although grandchildren's health and nutrition were a major priority to grandparents, they reported facing significant challenges to safeguard their grandchildren's and their own nutritional needs. As a result, grandparents frequently faced difficult ethical trade‐offs and prioritised their grandchildren's health and nutrition over their own. This study highlights that in order to improve child nutrition, policies and interventions need to be designed in ways that support and enable grandparent caregivers to meet their grandchildren's health and nutritional needs without neglecting their own.

Intergenerational ethics in Africa: Duties to older adults in skipped generation households.

This paper examines individual and societal duties to older adults in sub-Saharan Africa who reside in skipped generation households, which are households in which a young and old generation live together with the middle generation absent. As they age, older adults in skipped generation households may lack the prospect of social and economic support from offspring, making their situation precarious. If ill health results in an older adult's inability to work, who will support them? If they need assistance with basic activities of daily living, who will provide it? This paper addresses these questions through the lens of African ethics. Section I appeals to the African ethic of ubuntu ('humanness') to identify normative conceptions of persons and moral character relevant to skipped generation ethics. Section II elaborates this focus by means of the virtues of gratitude and reciprocity, discussing their conditions, requirements, and limits and comparing surrogate parent-child to parent-child cases. Section III explores the application of an ubuntu ethic to society as a whole and defines societal duties toward older adults by appealing to African conceptions of dignity and justice.

The Impact of Remittances on the Skipped Generation Households in Vietnam

Online Learning and Modular Learning Modalities are being utilized by the Department of Education to continue the learning process during COVID -19 pandemic. The study has employed Mixed method to determine the problems and challenges of both public and private school teachers in utilizing online and modular learning modality. Interviews revealed that each sector has a problem in internet connectivity. Specifically, public school teachers are being challenged by the scarce resources of the students and unresponsive parents. Private school teachers are being challenged by the lack of training on the different online platforms for online teaching and learning process and assessment of learning this new normal. U- Test revealed that the challenges experienced by public and private school teachers in delivering distance learning are essentially the same. Moreover, it can be said that the type of school where a teacher works has no bearing with the challenges that he or she may encounter.

The situation and well-being of custodial grandparents in Myanmar: Impacts of adult children's cross-border and internal migration

Custodial care for grandchildren left behind by migrant parents is an important contribution made by grandparents for their families and societies, given rising migration flows and increasing prominence of skipped-generation households in low- and middle-income countries. Yet, little is known about the scope and consequences of custodial grandparenting in developing settings. Analyzing unique data from the 2017 Myanmar Grandparents Caring for Grandchildren Survey, this study examines the extent to which the middle generation's cross-border and internal migration are associated with caregiving intensity, perception towards grandchild care, and psychological well-being among grandparents. Results suggest limited negative impacts of the middle generation's migration on the situation and well-being of grandparent caregivers. Custodial grandparents, particularly those caring for children of cross-border migrant mothers, experience heightened caregiving responsibilities and perceived difficulties in grandchild care. Nevertheless, all else equal, the middle generation's migration is not significantly associated with grandparents' psychological well-being. Remittances from migrant children and care support from non-coresident family members are found to reduce grandparents' caregiving intensity, improve caregiving perception, and lower psychological distress. In sum, findings echo Myanmar's widespread norms of grandchild care provision by grandparents and underscore mutual interdependence across generations, as evidenced in the importance of remittances from migrant children and informal care support networks in determining the well-being of Myanmar grandparents. This study extends current theoretical perspectives that emphasize custodial grandparenting either as a response to family crises or as a household strategy to facilitate middle-generation migration. Instead, our evidence suggests that, when conceptualizing custodial grandparenting practices in developing settings, it is instructive to consider not only opportunities but also challenges and ambivalent situations associated with the middle generation's diverse migration patterns.

Intergenerational Support and Life Satisfaction of Older Parents in China: A Rural–Urban Divide

In the past few decades, Chinese families have experienced unprecedented economic growth. In addition to growth, public policies have changed and developed, internal migration has rapidly increased, and social conditions have generally evolved. Living arrangements in particular have transformed, which likely affects the expectations and preferences of older parents to rely on their children. We use the first two waves of the China Health and Retirement Longitudinal Study (CHARLS), a nationally representative sample of older adults in China, to examine the relationship between intergenerational support and life satisfaction in both rural and urban China. In rural villages, we find that living with grandchildren is associated with a higher level of life satisfaction; this is true even in households without parents (i.e., skip-generation households). Higher life satisfaction is also attributable to receiving instrumental support (i.e., help with self-care and household tasks) from children and exchanging financial and emotional support with them. In urban neighborhoods, in contrast, living in a skip-generation household is associated with a lower level of life satisfaction, and only one type of functional support from children is beneficial for older parents’ life satisfaction—instrumental support. Our findings indicate that there is a rural–urban divide in the relationships between life satisfaction and intergenerational support in contemporary China and suggest that development has weakened historical relationships in both rural and urban areas.