Mental and physical health among 'sandwich' generation working-age adults in the United States: Not all sandwiches are made equal.

Objective: This research examined mental and physical health differences by (1) potential upward and downward care recipients and (2) heterogenous time and money transfer arrangements among working-age adults aged 35-64 in the U.S. who are considered to belong to the 'sandwich generation'. Methods: Data for this study came from the Panel Study of Income Dynamics 2013 Family File and Rosters and Transfers module (n = 4609). For the second study objective, we restricted the analytic sample to individuals with at least one living parent/parent-in-law and at least one child (n = 2228). We varied the sandwich generation experience by whether upward (i.e., to parent), downward (i.e., to children), or transfers at both directions occurred. We then fit a series of logistic regression models to study psychological distress and self-rated health status differences among various classifications of sandwich generation, controlling for basic sociodemographic factors and living arrangements. For both samples, we ran separate models for those without underaged coresident children. Results: Compared to respondents without potential care recipients, sandwiched individuals do not differ concerning severe psychological distress or poor/fair health. Conditional on being sandwiched between parents/parents-in-law and adult children, providers of both upward and downward time transfers have almost twice the odds of having severe psychological distress while money providers to parents/parents-in-law have about 1.6 times higher odds of reporting poor/fair health status. Conclusion: This study dispels the notion that being part of the sandwich generation is automatically deleterious to mental and physical health. Rather, it is the provision of certain transfers whilst being sandwiched that is associated with worse health outcomes.

Taxing reproduction: the full transfer cost of rearing children in Europe.

What are the intergenerational resource transfer contributions of parents and non-parents in Europe? Using National Transfer Accounts and National Time Transfer Accounts for 12 countries around 2010, we go beyond public transfers (net taxes) to also value two statistically much less visible transfers in the family realm: of market goods and of unpaid household labour (time). Non-parents contribute almost exclusively to public transfers. But parents additionally provide still larger private transfers: mothers mainly time, fathers mainly market goods. Estimating transfer stocks over the working life, the average parental/non-parental contribution ratio in Europe flips from 0.73 (public transfers alone) to 2.66 (all three transfers combined). The highest combined parental/non-parental contribution ratios are in Sweden and Finland. The metaphorical tax rates implicitly imposed thereby on rearing children in Europe are multiples of the value-added tax rates in place on consumption goods. Unveiling the sheer magnitude of these invisible transfer asymmetries carries multiple implications for policy debates. For instance, it raises the question whether ageing European societies unwittingly tax, rather than subsidise, their own reproduction. Family friendly policy models, such as the Nordic welfare states, do not mitigate this effect. They help parents work, but do not lower the implicit tax parents pay.

Inheritance and inequality among nomads of South Siberia.

At the headwaters of the Yenisei River in Tuva and northern Mongolia, nomadic pastoralists move between camps in a seasonal rotation that facilitates their animals' access to high-quality grasses and shelter. The use and informal ownership of these camps depending on season helps illustrate evolutionary and ecological principles underlying variation in property relations. Given relatively stable patterns of precipitation and returns to capital improvement, families generally benefit from reusing the same camps year after year. We show that locations with higher economic defensibility and capital investment-winter camps and camps located in mountain/river valleys-are claimed and inherited more frequently than summer camps and camps located in open steppe. Camps are inherited patrilineally and matrilineally at a ratio of 2 : 1. Despite its practical importance, camp inheritance is not associated with livestock wealth today, which is better predicted by education and wealth outside the pastoral economy. The relationship between the livestock wealth of parents and their adult children is significantly positive, but relatively low compared to other pastoralists. The degree of inequality in livestock wealth, however, is very close to that of other pastoralists. This is understandable considering the durability and defensibility of animal wealth and economies of scale common across pastoralists. This article is part of the theme issue 'Evolutionary ecology of inequality'.

Cognitive function and cognitive decline among older rural Chinese adults: the roles of social support, pension benefits, and medical insurance.

OBJECTIVES: This study investigated whether social support, pension benefits, and medical insurance coverage are related to cognitive function and decline among older rural Chinese adults and whether depressive symptoms represented a pathway linking these factors with cognitive function. METHODS: Data are taken from three waves of the China Health and Retirement Longitudinal Study (N = 5,135). Cognitive function is assessed with episodic memory and depressive symptoms are assessed with the 10-item CESD Scale. Social support (intergenerational financial transfers, weekly contact with children, perceived availability of future support, and living arrangements), pension benefits, and medical insurance coverage are self-reported measures. Multilevel linear regression models are employed. RESULTS: Intergenerational financial transfers, perceived availability of future support, and pension income are associated with higher levels of cognitive function. Living with others, perceived availability of future support, medical insurance coverage, and pension income are associated with a slower risk of cognitive decline. Depressive symptoms mediated the association between perceived availability of future support, living with others, pension income and level of cognitive function and the link between perceived availability of future support, pension income, and cognitive decline. CONCLUSION: The findings suggested these modifiable factors should be taken into account when screening older adults for possible cognitive impairment and decline. Early interventions may also be helpful by expanding social resources and reducing psychological distress.

Household Wealth and Inheritance Transfers: Evidence from the Euro Area.

The accumulation of wealth by households is an essential contributor towards macroeconomic and financial stability and resilience, while also affecting social mobility. The aim of this paper is to analyze the relationship between household wealth and the receipt of inheritances and intergenerational transfers. We use detailed micro-level data from the 2017 vintage of the Household Finance and Consumption Survey (HFCS) for households across the Euro Area in order to explore this relationship in detail, analyzing various classes of assets and liabilities, together with inflows of inheritances and gifts between 2014 and 2017, as well as any associated wealth effects. The results show that inheritance flows are positively and significantly-associated with net overall household wealth, primarily via increases in the value of liquid assets like publicly-traded shares and the value of existing self-employment business, while reducing mortgage debt, particularly outstanding loans related to the household's main residence. We find no evidence of any wealth effects from inheritances in terms of increased consumption expenditure, leisure spending or motor vehicle ownership. These findings collectively suggest that households anticipated the bequests received, with behavior in line with predictions emanating from standard rational expectations life cycle income hypothesis models.

The importance of elders: Extending Hamilton's force of selection to include intergenerational transfers.

In classical evolutionary models, the force of natural selection diminishes with age toward zero by last reproduction. However, intergenerational resource transfers and other late-life contributions in social species may select for postreproductive longevity. We present a formal framework for estimating indirect fitness contributions via production transfers in a skills-intensive foraging niche, reflecting kinship and cooperation among group members. Among contemporary human hunter-gatherers and horticulturalists, indirect fitness contributions from transfers exceed direct reproductive contributions from before menopause until ages when surpluses end, around the modal age of adult death (∼70 y). Under reasonable assumptions, these benefits are the equivalent to having up to several more offspring after age 50. Despite early independence, minimal production surplus, and a shorter lifespan, chimpanzees could theoretically make indirect contributions if they adopted reliable food-sharing practices. Our results for chimpanzees hypothetically adopting hunter-gatherer subsistence suggest that a skills-intensive foraging ecology with late independence and late peak production could select for human-like life histories via positive feedback between longevity and late-life transfers. In contrast, life history changes preceding subsistence shifts would not favor further life extension or subsistence shifts. Our results formalize the theory that longevity can be favored under socioecological conditions characterized by parental and alloparental care funded through transfers of mid- to late-life production surpluses. We also extend our analysis beyond food transfers to illustrate the potential for indirect fitness contributions from pedagogy, or information transfers. While we focus mostly on humans, our approach is adaptable to any context or species where transfers can affect fitness.

Do Public Caregiving Subsidies and Supports affect the Provision of Care and Transfers?

We study whether caregiving and intergenerational transfer decisions are sensitive to changes in economic incentives following the inception of a new unconditional and universal system of allowances and supports, after the introduction of the 2006 Promotion of Personal Autonomy and Care for Dependent Persons Act (SAAD in Spanish), and the ensuing effects of its austerity cuts after 2012. We find that whilst the introduction of a caregiving allowance (of a maximum value of €530 in 2011) increased the supply of informal caregiving by 20-22 percentual points (pp), the inception of a companion system of publicly subsidised homecare supports did not modify the supply of care. Consistent with an exchange motive for intergenerational transfers, we estimate an average 17 pp (8.2-8.7pp) increase (decrease) in downstream (upstream) transfers among those receiving caregiving allowances. Our estimates resulting from the reduction in the allowances and supports after the austerity cuts in 2012 are consistent with our main estimates, and suggest stronguer effects among lower-income families.

Is the selfish life-cycle model more applicable in Japan and, if so, why? A literature survey.

The selfish life-cycle model or hypothesis is, together with the dynasty or altruism model, the most widely used theoretical model of household behavior in economics, but does this model apply in the case of a country like Japan, which is said to have closer family ties than other countries? In this paper, we first provide a brief exposition of the simplest version of the selfish life-cycle model and then survey the literature on household saving and bequest behavior in Japan in order to answer this question. The paper finds that almost all of the available evidence suggests that the selfish life-cycle model applies to at least some extent in all countries but that there is more consistent support for this model in Japan than in the United States and other countries. It then explores possible explanations for why the life-cycle model is more consistently supported in Japan than in other countries, attributing this finding to government policies, institutional factors, economic factors, demographic factors, and cultural factors. Finally, it shows that the findings of the paper have many important implications for economic modeling and for government tax and expenditure policies.

Intergenerational resource sharing and mortality in a global perspective.

Resource sharing has always been a central component of human sociality. Children require heavy investments in human capital; during working years, help is needed due to illness, disability, or bad luck. While hunter-gatherer elders assisted their descendants, more recently, elderly withdraw from work and require assistance as well. Willingness to share has been critically important for our past evolutionary success and our present daily lives. Here, we document a strong linear relationship between the public and private sharing generosity of a society and the average length of life of its members. Our findings from 34 countries on six continents suggest that survival is higher in societies that provide more support and care for one another. We suggest that this support reduces mortality by meeting urgent material needs, but also that sharing generosity may reflect the strength of social connectedness, which itself benefits human health and wellbeing and indirectly raises survival.

Parental Income and Wealth Loss and Transfers to their Young Adult Children.

As young people transition to adulthood, many rely on financial support from their parents to complete schooling and to live independently. Evidence suggests that there has been a gradual lengthening of the time young adults take to transition to adulthood. Young people attempting to move out of their parents' home, complete college, or enter the workforce during the Great Recession faced uncertain economic times, increasing their need for financial support. At the same time, the income and wealth losses experienced by young adults' parents may have disrupted transfers from them. We analyze the impact of large and unexpected declines in parents' income and wealth during and immediately after the Great Recession on monetary transfers to their young adult children using data from the Panel Study of Income Dynamics (PSID) and the PSID Transition to Adulthood study. We find parents' financial support of their young adult children declined during the Great Recession. The likelihood of receiving a transfer declined from 74% in 2005 to 57% in 2009. Parents' loss of income was a factor in the amount of decrease but on average was relatively modest - a $10,000 parental income loss decreased transfers to their adult children by $109. However, parents experiencing large declines in income, those at the 75th and 95th percentile of income loss, reduced transfers to adult children by $1,150 and $1,700, respectively. Declines in parental transfers that reduce college completion rates, increase student loan debt and decrease likelihood of homeownership may have long term consequences for financial well-being.

Stepparental Support to Adult Children: The Diverging Roles of Stepmothers and Stepfathers.

OBJECTIVE: This study examines the support from stepparents to adult children and considers the role of the composition of the parent network, that is, the presence or absence of the biological mother or father. BACKGROUND: Going beyond previous research that compared the support provided by different types of parental households, this study provides deeper insights into adult stepfamily dynamics by considering support transfers on the stepparent-stepchild dyad level. METHOD: The analyses were based on data from the Ouders en Kinderen in Nederland (Parents and Children in the Netherlands) survey, which was conducted among a stratified random sample of Dutch adults (aged 25-45) with stepparents reporting on support from each of their stepparents (N = 4,351) and biological parents (N = 5,460) separately. RESULTS: The results revealed different stories for stepmothers and stepfathers. Within-child analyses showed that, controlled for the duration of coresidence, children received less types of support from their stepmother than from their biological mother, whereas among fathers, the stepfather provided more. When compared between children, stepmothers provided less types of support if their stepchild's biological mother was still alive, whereas stepfathers' support was unaffected by the biological father's presence. Stepparents of both genders provided less types of support if their partner (i.e., the child's biological parent) was deceased. CONCLUSION: These findings articulate the central role of the biological mother in postseparation families and the ambiguous position of the stepmother and "widowed stepparents."

A Decade of Research on Intergenerational Ties: Technological, Economic, Political, and Demographic Changes.

Due to extended transitions to adulthood and declining marital rates, bonds between adults and parents have grown increasingly salient in individuals' lives. This review organizes research around these topics to address ties between parents and grown children in the context of broader societal changes over the past decade. Literature searches included tables of contents of premier journals (e.g., Journal of Marriage and Family), Psychological Info, and Google Scholar. The literature review revealed patterns of social and intergenerational changes. Technological advances (e.g., introduction of the smart phone) co-occurred with more frequent contact and interdependence between generations. The Great Recession and financial strains altered the nature of many parent/child ties, including increased rates of intergenerational coresidence. Individual life problems such as divorce, addiction, and physical health problems were reflected in complex changes in positive and negative relationship qualities, ambivalence, and intergenerational support. Government policies reflect societal values and in turn, affected the distribution of parents' and grown children's resources. Political disruptions instigated migration, separating generations across large geographic regions. Political disruptions instigated migration, separating generations across large geographic regions. Demographic changes (e.g., constellation of family members, delayed marriage, same sex marriage) were also manifest in ties between adults and parents. Findings were consistent with the Intergenerational Systems in Context Model, which posits that societal transformations co-occur with changes in intergenerational relationships via reciprocal influences.

Childlessness and upward intergenerational support: cross-national evidence from 11 European countries.

Childless individuals are often depicted as "selfish" as they opt out of raising children in favour of investing resources in themselves. Yet no research has investigated whether this claim holds in domains of social life such as intergenerational family support. Using data from the Generations and Gender Survey (GGS) for 11 European countries, this article examines differences between childless and non-childless individuals in the provision of financial, practical, and emotional transfers to their elderly parents. Results support the idea that the childless are more prone to providing upward support than individuals with children. Specifically, estimates from multivariate logistic regression and propensity score specifications suggest that, ceteris paribus, childless adults are about 20 to 40 per cent more likely to provide support to their parents, with the association driven by transfers to elderly mothers. These findings enrich the literature on childlessness and ageing, and support the view that researchers and policy makers should take into more consideration not only what childless people receive or need in old age, but also what they provide as middle-aged adults.

Are grandparents a blessing or a burden? Multigenerational coresidence and child-related spending.

Economic investments in children may represent a powerful mechanism to explain differences in child outcomes across family types. Unfortunately, evidence on child-related spending across family structures remains poorly understood. Using the Consumer Expenditure Survey (1996-2015), this study is the first to investigate patterns of child-related spending in an increasingly common type of extended family household: multigenerational households, in which children reside with at least one parent and grandparent. This study also contributes to a growing literature giving primacy to parents' socioeconomic disadvantage as moderating the association between multigenerational relationships and child well-being. Results indicate that, when compared to similar two-generation households, multigenerational households are associated with increased spending on education and with decreased spending on child care. Differences in child-related spending between multigenerational and two-generation households differ according to parents' income and relationship status. Overall, living with grandparents represents an adaptive strategy that helps low-income or single parents invest more money in their children's education, hobbies and activities, and to save on the costs of child care.

Stepfamily Structure and Transfers Between Generations in U.S. Families.

Unstable couple relationships and high rates of repartnering have increased the share of U.S. families with stepkin. Yet data on stepfamily structure are from earlier periods, include only coresident stepkin, or cover only older adults. In this study, we use new data on family structure and transfers in the Panel Study of Income Dynamics (PSID) to describe the prevalence and numbers of stepparents and stepchildren for adults of all ages and to characterize the relationship between having stepkin and transfers of time and money between generations, regardless of whether the kin live together. We find that having stepparents and stepchildren is very common among U.S. households, especially younger households. Furthermore, stepkin substantially increase the typical household's family size; stepparents and stepchildren increase a household's number of parents and adult children by nearly 40 % for married/cohabiting couples with living parents and children. However, having stepkin is associated with fewer transfers, particularly time transfers between married women and their stepparents and stepchildren. The increase in the number of family members due to stepkin is insufficient to compensate for the lower likelihood of transfers in stepfamilies. Our findings suggest that recent cohorts with more stepkin may give less time assistance to adult children and receive less time assistance from children in old age than prior generations.

Saving, Sharing, or Spending? The Wealth Consequences of Raising Children.

This study uses 1986-2012 National Longitudinal Survey of Youth 1979 cohort data to investigate the relationship between raising children and net worth among younger Baby Boomer parents. I combine fixed-effects and unconditional quantile regression models to estimate changes in net worth associated with having children in different age groups across the wealth distribution. This allows me to test whether standard economic models for savings and consumption over the life course hold for families at different wealth levels. My findings show that the wealth effects of children vary throughout the distribution. Among families at or below the median, children of all ages were associated with wealth declines, likely due to the costs of child-rearing. However, at the 75th percentile and above, wealth increased with the presence of younger children but decreased after those children reached age 18. My results, therefore, provide evidence for a saving and investment model of child-rearing among wealthier families but not among families at or below median wealth levels. For these families, the costs of raising children largely outweighed motivations for saving.

The impact of intergenerational financial transfers on health and wellbeing outcomes: A longitudinal study.

This paper estimates the impacts of intergenerational financial transfers on the physical health, mental health and perceived financial security of Australian males and females. We distinguish between two key sources of intergenerational financial transfers - inheritances and inter vivos parental cash transfers. Taking nationally representative data from the 2001-2015 Household, Income and Labour Dynamics in Australia Survey, we develop a two-stage modelling strategy that controls for potential bias in reported health and wellbeing responses that arise due to unobserved heterogeneity. In the first stage, propensity score matching is applied to achieve matched treatment and control groups, where the former is comprised of intergenerational financial transfer beneficiaries while the latter is made up of non-beneficiaries with a matched set of characteristics to the beneficiaries. This is followed by the application of regression models that further control for unobservable heterogeneity, so that the coefficients on the intergenerational financial transfer predictors can be attributed to the effect of the transfers on health and wellbeing. We do not find systematic evidence of a causal link between receipt of intergenerational financial transfers and health and wellbeing outcomes. This applies to both inheritances and inter vivos parental cash transfers, and for both males and females.

Cohort Differences in Parental Financial Help to Adult Children.

In this article, we examine birth cohort differences in parents' provision of monetary help to adult children with particular focus on the extent to which cohort differences in family structure and the transition to adulthood influence these changes. Using data from the Health and Retirement Study from 1994 to 2010, we compare financial help to children of three respondent cohorts as the parents in these birth cohorts from ages 53-58 to 57-62. We find that transfers to children have increased among more recent cohorts. Two trends-declining family size and children's delay in marriage-account for part of the increase across cohorts. However, other trends, such as the increase in the number of stepchildren and increasing child's income level, tend to decrease the observed cohort trend.

Kin Networks and Mobility in the Transition to Adulthood.

Family support is critical for launching youth into successful adult lives. Although studies have documented the association between family support and success in the transition to young adulthood, existing work focuses primarily on parental support, giving little attention to extended kin. This narrow definition of family may miss critical exchanges of support, especially among low-income families. Drawing on panel survey data (n=450) and in-depth interviews (n=52) with young women from the Philadelphia Educational Longitudinal Study, this study expands our understanding of family support in the transition to adulthood by examining young adults' kin networks and the types of support and resources embedded within these networks. We find that kin support is an important buffer for those growing up in households without two biological parents, reducing the odds of perceiving oneself as an adult, having a child, and moving out. Qualitative data show that kin often step-in and play a parent-like role, providing needed instrumental and emotional support. Our results also highlight the complexity and fragility of kin network exchanges. While kin networks can be a source of resilience, they are often fragile and subject to external shocks, such as job loss and health declines. Moreover, kin networks can also be a source of obligation, delaying young adults' investments in their own educational trajectories. Those giving back to families are less likely to be in college compared to their peers and more likely to work, live independently, and consider themselves an adult.

Envelhecimento populacional e gastos com saúde: uma análise das transferências intergeracionais e intrageracionais na saúde suplementar brasileira / Population aging and health spending: an analysis of intergenerational and intragenerational transfers in the Brazilian private health care plans / Envejecimiento de la población y el gasto en salud: un análisis de las transferencias intergeneracionales e intrageneracionales en los planes privados de salud de Brasil

O modelo de precificação de planos de saúde no Brasil prevê a imposição de limites de variação das mensalidades por faixa etária, possibilitando a transferência de recursos dos mais jovens, que têm menor risco de utilização, para aqueles em idades mais avançadas. O aumento da proporção de idosos nas carteiras dos planos de saúde poderá inviabilizar as transferências intergeracionais e a atual estrutura de precificação. O objetivo deste artigo é estimar a magnitude das transferências intergeracionais (entre diferentes grupos de idade) e intrageracionais (em um mesmo grupo de idade) na saúde suplementar brasileira, por meio da análise de dados de uma amostra representativa de operadoras de planos de saúde. Segundo os resultados encontrados, os saldos das transferências intergeracionais foram positivos e ocorrem dos mais jovens para beneficiários de 66 anos ou mais. Os resultados mostram ainda a ocorrência de transferências intrageracionais em duas das faixas etárias definidas pela legislação vigente: 0 a 18 anos e 59 anos ou mais. Finalmente, o exercício de retroprojeção demonstrou que nos últimos 15 anos a sinistralidade nos planos individuais apresentou constante aumento, indicando risco crescente de insuficiência das mensalidades para fins de custeio das despesas no médio prazo, em razão do envelhecimento populacional.

The health insurance pricing model in Brazil prohibits large variations of monthly fees by imposing strict premium rules by age. Therefore, intergenerational transfers may occur from younger age groups, who are lower-risk, to older ones. Population aging will result in a larger share of policyholders at older ages, increasing intergenerational transfers and making the current pricing structure unsustainable in the future. The aim of this article is to estimate the magnitude of intergenerational and intragenerational transfers (within the same age group) in the Brazilian private health care plans, by examining data from a representative sample of health insurance providers. We found intergenerational transfers to occur, on average, from policy holders younger than 66 years of age to older ones. Results also show significant intragenerational transfers within two of the age groups defined by existing legislation: 0 to 18 and 59 years and older. Finally, simulations using changes in the age structure over the last 15 years confirm population aging may result in larger intergenerational transfers with increasing loss-ratio over time.

El modelo de fijación de precios de seguros de salud en Brasil prohíbe grandes variaciones de las tarifas mensuales mediante la imposición de reglas estrictas por franja etaria, lo que posibilita transferencias intergeneracionales desde los grupos de edades más jóvenes, que son de menor riesgo, hacia los de edades más avanzadas. El envejecimiento de la población asegurada a la salud implicará un aumento de las transferencias intergeneracionales y hará que la estructura actual de precios sea insostenible en el futuro. El objetivo de este artículo es estimar la magnitud de las transferencias intergeneracionales (entre diferentes grupos de edad) e intrageneracionales (dentro del mismo grupo etario) en los planes de salud privados brasileños, mediante el análisis de los datos de una muestra representativa de los proveedores de seguros de salud. Según los resultados obtenidos, los saldos de las transferencias intergeneracionales fueron positivos y ocurren desde los más jóvenes hacia los asegurados de 66 años o más. Los resultados muestran también la ocurrencia de transferencias intrageneracionales en dos franjas etarias definidas por la legislación vigente: de cero a 18 años y de 59 años o más. Finalmente, el ejercicio de retroproyección demostró que en los últimos 15 años la siniestralidad en los planos individuales presentó un aumento constante, que indica un riesgo creciente de insuficiencia de las mensualidades para costear las transferencia en el mediano plazo, a causa del envejecimiento poblacional.