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Perceived Health Status of and Moderating Factors in Elderly People Caring for Their Grandchildren.

ABSTRACT: OBJECTIVE:Situations in which elderly people are the primary caregivers for their grandchildren are becoming more common. This study aimed to investigate moderating factors of and the association between grandchild care and the grandparents' perceived health. Financial support in return for grandchild care was also investigated as a moderating factor. METHODS:Participants included 357 elderly people over the age of 60 years. The assessment to evaluate the perceived health status and social support was performed via a questionnaire. It included questions regarding the care of grandchildren and demographic variables, as well as the Medical Outcome Survey (MOS) 36-item short-form health survey (SF-36), and the MOS Social Support Survey (MOS-SSS). RESULTS:The subscale scores of SF-36 and MOS-SSS did not differ significantly for grandchild-care status. However, the subscale scores of SF-36 were significantly higher in groups that received regular financial support from adult children in return for grandchild care than in groups that did not. CONCLUSION:Our data suggest that regular financial support in return for grandchild care may be a moderating factor in the association between grandchild care and the perceived health status of elderly people. These findings have important social implications and warrant future study to reveal the psychological mechanism of these associations and enhance the health of elderly individuals.

SUBMITTER: Kim KM

PROVIDER: S-EPMC7176558 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature

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Perceived Health Status of and Moderating Factors in Elderly People Caring for Their Grandchildren.

Kim Kyoung Min KM Lee Jung Jae JJ Chung Un Sun US

Psychiatry investigation 20200408 4

<h4>Objective</h4>Situations in which elderly people are the primary caregivers for their grandchildren are becoming more common. This study aimed to investigate moderating factors of and the association between grandchild care and the grandparents' perceived health. Financial support in return for grandchild care was also investigated as a moderating factor.<h4>Methods</h4>Participants included 357 elderly people over the age of 60 years. The assessment to evaluate the perceived health status a ...[more]

PMID: 32252514

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Project description:BackgroundCaring for grandchildren is regarded as one of the principle roles of middle- and old-aged adults, especially among rural Chinese grandparents. This study aims to examine the gender differences in depressive symptoms of rural Chinese grandparents caring for grandchildren, based on the gender differences in grandparental role engagement and the theories of role strain and role enhancement.MethodsA total of 4833 rural citizens with one or more grandchildren were selected from the China Health and Retirement Longitudinal Study (CHARLS) conducted in 2015. Grandchild care was measured by continuous variable (duration) and categorical variable (no care, low intensity, moderate intensity, high intensity). Depressive symptoms were assessed by the Center for Epidemiologic Studies Depression Scale (CES-D). We used coarsened exact matching (CEM) to balance the covariates of caregivers and non-caregivers. Following CEM, 1975 non-caregivers and 2212 caregivers were identified (N = 4187). Multilevel linear regression was employed to examine the gender differences in depressive symptoms. We also tested for the moderating role of gender on the association between grandchild care and depressive symptoms.ResultsGrandmothers were more likely to provide grandchild care (54.42% vs 51.43%) at high intensity (61.46% vs 51.01%), with longer duration (39.24 h vs 33.15 h) than that given by grandfathers. Grandmothers suffered more from depressive symptoms than grandfathers, and such gap increased when grandparents were involved in high-intensity care. Grandmothers providing grandchild care, particularly at moderate intensity, were associated with fewer depressive symptoms (Coef. = - 0.087, 95%CI: - 0.163, - 0.010; Coef. = - 0.291, 95%CI: - 0.435, - 0.147), compared with non-caregivers. Grandmothers giving moderate intensity of grandchild care were also associated with fewer depressive symptoms (Coef. = - 0.171, 95% CI: - 0.313, - 0.029), compared with those with low-intensity care. However, such associations were not significant among grandfathers.ConclusionsOur findings highlight the gender differences in depressive symptoms of rural Chinese grandparents caring for grandchildren. Grandparents should be encouraged to engage in grandchild care, but at moderate intensity. The health status of middle- and old-aged adults, particularly females, should be monitored closely. Humanistic care, preventive care and curative treatment strategies focusing on such populations should be developed and refined.

Project description:BackgroundA compassionate, respectful, and caring (CRC) health professional is very important for human-centered care, serving clients ethically and with respect, adhering to the professional oath, and serving as a model for young professionals. As countries try to achieve universal health coverage (UHC), quality delivery of health services is crucial. CRC health care is an initiative around the need to provide quality care services to clients and patients. However, there is an evidence gap on the status of CRC health care service delivery.ObjectiveThis scoping review aimed to map global evidence on the status of CRC health service delivery practice.MethodsAn exhaustive literature review and Delphi technique were used to answer the 2 research questions: "What is the current status of CRC health care practices among health workers?" and "Is it possible for health professionals, health managers, administrators, and policy makers to incorporate it into their activity while designing strategies that could improve the humanistic and holistic approach to health care provision?" The studies were searched from the year 2014 to September 2020 using electronic databases such as MEDLINE (PubMed), Cochrane Library, Web of Science, Hinari, and the World Health Organization (WHO) library. Additionally, grey literature such as Google, Google Scholar, and WorldWideScience were scrutinized. Studies that applied any study design and data collection and analysis methods related to CRC care were included. Two authors extracted the data and compared the results. Discrepancies were resolved by discussion, or the third reviewer made the decision. Findings from the existing literature were presented using thematic analysis.ResultsA total of 1193 potentially relevant studies were generated from the initial search, and 20 studies were included in the final review. From this review, we identified 5 thematic areas: the status of CRC implementation, facilitators for CRC health care service delivery, barriers to CRC health care delivery, disrespectful and abusive care encountered by patients, and perspectives on CRC. The findings of this review indicated that improving the mechanisms for monitoring health facilities, improving accountability, and becoming aware of the consequences of maltreatment within facilities are critical steps to improving health care delivery practices.ConclusionsThis scoping review identified that there is limited CRC service provision. Lack of training, patient flow volume, and bed shortages were found to be the main contributors of CRC health care delivery. Therefore, the health care system should consider the components of CRC in health care delivery during in-service training, pre-service training, monitoring and evaluation, community engagement, workload division, and performance appraisal.

Dataset Information

Perceived Health Status of and Moderating Factors in Elderly People Caring for Their Grandchildren.

Publications

Perceived Health Status of and Moderating Factors in Elderly People Caring for Their Grandchildren.

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