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1.
Longit Life Course Stud ; 15(3): 348-370, 2024 May 13.
Artículo en Inglés | MEDLINE | ID: mdl-38954424

RESUMEN

While a vast number of studies confirm the transmission of labour-market disadvantages from one generation to the next, less is known about how parents' interconnected labour-market pathways co-evolve and shape the opportunities and obstacles for their children's future careers. This study uses a multidimensional view of intergenerational transmission by describing the most typical pathways of parents' occupational careers and assesses how these patterns are associated with their children's labour-market outcomes. Drawing on Swedish longitudinal register data, we used multichannel sequence analysis to follow a cohort of people born in 1985 (n = 72,409) and their parents across 26 years. We identified four parental earning models, differentiating between (1) dual earners with high wages, (2) dual earners with low-wage, (3) one-and-a-half-earners and (4) mother as the main breadwinner. Regression analysis shows strong intergenerational transmission among the most advantageous trajectories, with education as a key determinant for young people to become less dependent on family resources. This study stresses the importance of intra-couple perspectives in life course research to understand how inequalities are shaped and preserved across generations.


Asunto(s)
Relaciones Intergeneracionales , Humanos , Femenino , Suecia/epidemiología , Masculino , Estudios Longitudinales , Adulto , Padres/psicología , Empleo , Niño , Factores Socioeconómicos , Adolescente , Relaciones Padres-Hijo , Adulto Joven
2.
Front Public Health ; 12: 1337829, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38952730

RESUMEN

Introduction: In China, the rapid progression of population aging presents significant challenges to society and the economy, drawing widespread attention to the health conditions of older adults. While aging is often seen as a societal burden, the phenomenon of intergenerational economic support reveals the potential for older adults to continue playing an active role within their families. This study delves into how older parents' financial support to their children can reciprocally influence their own health, exploring the potential non-linear relationships involved. Methods: This research, utilizing data from the 2018 China Health and Retirement Longitudinal Study, employs instrumental variable techniques and cross-sectional threshold models to examine how financial support provided by older adults to their children affects their health. It particularly highlights the varied impacts of economic support on older adults' health at different levels of support. Results: The findings indicate that moderate intergenerational economic support significantly enhances the health of older adults, while either minimal or excessive financial support does not demonstrate the same positive effect. Additionally, subjective life expectancy plays a mediating role between intergenerational economic support and the health of older adults, further emphasizing the beneficial impact of economic support. Discussion: The study underscores the importance of moderate intergenerational economic support in improving the health of older adults amidst aging challenges. Future policies and practices should consider how to encourage and optimize such support to address the challenges of an aging society, enhance the welfare of older adults, and promote healthy aging.


Asunto(s)
Relaciones Intergeneracionales , Humanos , China , Anciano , Estudios Longitudinales , Femenino , Masculino , Estudios Transversales , Persona de Mediana Edad , Envejecimiento , Estado de Salud , Anciano de 80 o más Años , Apoyo Financiero
3.
Acad Pediatr ; 24(5S): 46-47, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38991802

RESUMEN

Structural racism is historically rooted, and has been a foundation for United States immigration policy. This injustice has intergenerational effects that cost society greatly - with impacts on social cohesion, individual and collective health, and well-being, and ultimately our ability to function as a civil society. Limited pathways to citizenship and major restrictions to resources that promote integration have adverse consequences for immigrants and, their families. Research shows that children experience toxic stress that negatively impacts their long-term health and development from heightened immigration enforcement, regardless of any personal impact. In embracing the next generation of children, we will not succeed unless we support sound integration policies that promote the health and well-being of immigrant families across this nation. We must recognize how intricately our fates and our health are tied to each other; we all depend on immigrants being well. We must advance new a social contract, one that counters the 'othering' of immigrants" and recognizes that we must invest in the health and well-being of all families.


Asunto(s)
Emigrantes e Inmigrantes , Humanos , Estados Unidos , Niño , Relaciones Intergeneracionales , Racismo Sistemático , Emigración e Inmigración/legislación & jurisprudencia , Racismo
4.
Int J Equity Health ; 23(1): 140, 2024 Jul 10.
Artículo en Inglés | MEDLINE | ID: mdl-38987776

RESUMEN

This paper studies multigenerational health transmission mechanisms in Australian panel data. Using inequality-of-opportunity (IOP) models, we demonstrate that grandparental socioeconomic status (SES) is an important determinant of personal health, even after controlling for health and SES at the parental level. Our findings hold over a range of health/biomarkers of individuals' physical and mental well-being and appear to be especially sensitive to educational outcomes on the father's side. Since ingrained socioeconomic (dis)advantages that persist over multiple generations may be indicative of social class, our results suggest that subtle attitudinal and behavioural characteristics associated with this variable may be a key factor driving health disparities.


Asunto(s)
Disparidades en el Estado de Salud , Clase Social , Humanos , Australia , Masculino , Femenino , Persona de Mediana Edad , Adulto , Factores Socioeconómicos , Relaciones Intergeneracionales , Abuelos , Anciano
5.
Arch Psychiatr Nurs ; 51: 274-281, 2024 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-39034089

RESUMEN

BACKGROUND: Intimate Partner Violence (IPV) is a significant public health concern that disproportionately impacts Indigenous American women more than any other ethnic/racial group in the United States. PURPOSE: This study aims to inform the work of nurses and allied health professionals by providing insight into the lived realities of Indigenous women in urban areas and how IPV manifests in the lives of Indigenous women. METHODS: Postcolonial and Indigenous feminist frameworks informed this qualitative study. Using thematic analysis, we analyzed data from semi-structured individual interviews with 34 Indigenous women in large urban areas in the upper Midwest. FINDINGS: This manuscript discusses one broad theme: experiences of IPV during pregnancy and the devastating impacts on women and their children in the form of intergenerational trauma. Under this broad theme, we identified two sub-themes: impacts of IPV on individual pregnancy experiences and linkages to adverse pregnancy-related outcomes related to physical IPV during the childbearing years. CONCLUSION: This Indigenous-led study informs the development of effective Indigenous-specific interventions to minimize barriers to accessing prenatal care and help-seeking when experiencing IPV to reduce the devastating consequences for Indigenous women and their families.


Asunto(s)
Violencia de Pareja , Investigación Cualitativa , Población Urbana , Humanos , Femenino , Violencia de Pareja/psicología , Violencia de Pareja/etnología , Embarazo , Adulto , Población Urbana/estadística & datos numéricos , Wisconsin , Relaciones Intergeneracionales/etnología , Entrevistas como Asunto
6.
Front Public Health ; 12: 1392900, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38887250

RESUMEN

Objectives: This study aimed to examine the association between different dimensions of bi-directional intergenerational support and the social participation patterns of rural older adults, while also exploring the heterogeneity of these older adults by gender and age. Methods: Based on longitudinal survey data from the 'Well-Being of Older People in Anhui Province (WESAP)' in 2018 and 2021, this study used latent class analysis to identify social participation patterns and used multinomial logistic regressions to explore the relationship between intergenerational support and social participation patterns among rural older adults. Results: First, the social participation patterns of rural older persons can be divided into four categories: leisure type (9%), work type (11%), housekeeping type (57.9%) and family labor type (22.1%). Second, there is heterogeneity in the relationship between intergenerational support and social participation patterns in older people, among them, receiving financial support decreased the likelihood of older adults being categorized as work type and family labor type by 14 and 7.7%, respectively, while providing financial support increased the likelihood of older adults belonging to the family labor type by 7.5%; receiving caring support increased the likelihood of older parents being categorized as leisure type by 6%, while providing caring support decreased the likelihood of older parents being categorized as leisure type by 10%; emotional support is related to all patterns of social participation among older adults. Third, the effects of intergenerational support vary across subgroups based on gender and age. Conclusion: Two-way intergenerational support was significantly associated with social participation among rural older adults, and there was significant heterogeneity in this association. Children and older persons should be encouraged to strengthen two-way intergenerational mobility to give full play to the positive impact of different dimensions of intergenerational support on the social participation of older persons in rural areas, ultimately enhancing the quality of life for rural older adults.


Asunto(s)
Relaciones Intergeneracionales , Población Rural , Participación Social , Apoyo Social , Humanos , Femenino , Masculino , Anciano , Población Rural/estadística & datos numéricos , China , Estudios Longitudinales , Persona de Mediana Edad , Anciano de 80 o más Años , Encuestas y Cuestionarios , Actividades Recreativas/psicología
7.
Nutrients ; 16(11)2024 May 28.
Artículo en Inglés | MEDLINE | ID: mdl-38892594

RESUMEN

As loneliness is a risk factor for mental and physical health problems in various age groups, this study aimed to explore the impact of the intergenerational Shokuiku (food and nutrition education) program (IGSP) on loneliness in a Japanese community. This single-arm intervention study conducted between 2022 and 2023 included children (n = 21), guardians (n = 16), university students (n = 3), and older adults (n = 6). The IGSP was a one-day program that included participants making and eating their own bread, butter, and sorbet. Loneliness was measured using the Five-item Loneliness Scale for Children (Five-LSC; Japanese) and the three-item UCLA Loneliness Scale (Japanese; for adults) with other direct questions. Social capital, including civic participation, social cohesion, and reciprocity, was assessed using a self-administered questionnaire. The Five-LSC score significantly decreased post-intervention (p = 0.04). There was a significant increase in adults who reported not feeling lonely (p = 0.001). However, the UCLA Loneliness Scale scores did not show any significant changes. A positive change in social cohesion, including community contribution (p = 0.001) and attachment (p = 0.002), was observed among adults. This study suggests that IGSPs have a positive impact on loneliness in children and a partly positive one in adults. These findings emphasize the potential of intergenerational programs to reduce loneliness in communities.


Asunto(s)
Soledad , Humanos , Soledad/psicología , Masculino , Femenino , Japón , Adulto , Niño , Anciano , Persona de Mediana Edad , Educación en Salud/métodos , Adulto Joven , Adolescente , Encuestas y Cuestionarios , Capital Social , Relaciones Intergeneracionales , Pueblos del Este de Asia
8.
Trials ; 25(1): 425, 2024 Jun 28.
Artículo en Inglés | MEDLINE | ID: mdl-38943176

RESUMEN

BACKGROUND: Social isolation and loneliness (SIL) worsens mortality and other outcomes among older adults as much as smoking. We previously tested the impact of the HOW R U? intervention using peer support from similar-aged volunteers and demonstrated reduced SIL among older adults discharged from the emergency department (ED). Generativity, defined as "the interest in establishing and guiding the next generation," can provide an alternative theoretical basis for reducing SIL via intergenerational programs between members of younger and older generations. The current protocol will examine the impact of younger intergenerational volunteers providing the HOW RU? METHODS: In this randomized clinical trial, we will compare the following three arms: (1) the standard same-generation peer support HOW R U? intervention, (2) HOW R U? intervention delivered by intergenerational volunteers, and (3) a common wait-list control group. Outcome assessors will be blinded to the intervention. Trained volunteers will deliver 12 weekly telephone support calls. We will recruit participants ≥ 70 years of age with baseline loneliness (six-item De Jong loneliness score of 2 or greater) from two EDs. Research staff will assess SIL, depression, quality of life, functional status, generativity, and perceived benefit at baseline, at 12 weeks, and 24 weeks post-intervention. DISCUSSION: We hypothesize participants receiving the intergenerational intervention will show improved outcomes compared to the control group and peer support HOW R U? INTERVENTION: We also hypothesize that participants with higher perceptions of generativity will have greater reductions in SIL than their lower generativity counterparts. Aging is experienced diversely, and social interventions combatting associated SIL should reflect that diversity. As part of a program of research following the Obesity-Related Behavioral Intervention Trials (ORBIT) model, the findings of this RCT will be used to define which intervention characteristics are most effective in reducing SIL. TRIAL REGISTRATION: ClinicalTrials.gov NCT05998343 Protocol ID:21-0074E. Registered on 24 July 2023.


Asunto(s)
Servicio de Urgencia en Hospital , Soledad , Alta del Paciente , Ensayos Clínicos Controlados Aleatorios como Asunto , Aislamiento Social , Humanos , Anciano , Relaciones Intergeneracionales , Femenino , Calidad de Vida , Masculino , Grupo Paritario , Apoyo Social , Factores de Edad , Factores de Tiempo , Resultado del Tratamiento , Voluntarios/psicología
9.
PLoS One ; 19(6): e0303523, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38905200

RESUMEN

Intergenerational exchange plays an increasing role in realizing sustainable societies. Question-answer exchanges are the trigger for individuals to initiate some intergenerational relations, and the literature has established that inquisitiveness (curiosity about something and someone different) contributes to people's generativity and happiness. However, little is known about how children's inquisitiveness influences their generative concern and happiness. We claim that inquisitiveness is essential for children to enhance their happiness and hypothesize that those who receive a positive response from adults tend to be inquisitive and express the signs of generativity. To empirically examine the hypothesis, we have statistically characterized inquisitiveness in relation to adult-child interaction, generativity (offering care for people and the natural environment) and happiness, using the data from a survey of 511 Japanese children between 9 and 14 years and by applying the revised generativity concern scale (GCS-R). The results show that inquisitiveness correlates with generativity and happiness, primarily that a positive response by adults to children's inquiries promotes their inquisitiveness through adult-child interactions. Our analysis shows that children's inquisitiveness, encouraged by adults' positive responses, is more significant in happiness than the generativity concern during childhood. Overall, the results suggest that adults responding positively to children's questions is essential for promoting inquisitiveness and increasing happiness.


Asunto(s)
Felicidad , Humanos , Niño , Adolescente , Masculino , Femenino , Adulto , Relaciones Intergeneracionales , Encuestas y Cuestionarios
10.
PLoS One ; 19(6): e0302173, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38900770

RESUMEN

This study investigates the genuine impacts of education expansion, education inequality, and parental dependency on intergenerational mobility. It utilizes data from the Global Database on Intergenerational Mobility for 153 countries and cohorts born between the 1940s and 1980s. By employing a causal machine learning approach to address confounding problems, this research reveals that education expansion can promote intergenerational mobility to a certain extent. However, its effectiveness is partially diminished by education inequality and may be ineffective if parental dependency exists at a high level. Furthermore, this study also indicates that while gender inequality in intergenerational mobility still exists, its degree has been significantly reduced across generations. When compared to parental dependency, gender effects are far less important. Therefore, there is a need to reassess the roles of parental dependency and gender bias in intergenerational mobility, especially when parental dependency is currently underestimated, and gender bias is overemphasized.


Asunto(s)
Relaciones Intergeneracionales , Humanos , Femenino , Masculino , Factores Socioeconómicos , Padres , Aprendizaje Automático , Movilidad Social , Sexismo
11.
Soc Sci Med ; 352: 117021, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38834009

RESUMEN

In this paper, I examine the embodied transformative memory of GuateMaya feminist group, GuateMaya Mujeres Resistiendo-Los Angeles (GMR-LA). Through a decolonial feminist perspective and feminist ethnographic approach, I built an intimate relationship with the grassroot group in Los Angeles. GMR-LA comprises Guatemala's 36-year (1960-1996) war survivors and women in the diaspora who continue to amplify the cultural memory of the disappeared. The article will delve into the concept of healing cartographies and the ethnographic work I employed in Los Angeles from 2019 to 2023. A particular method I used was body mapping to examine the embodied transformative memory of the groups and women who seek justice. Body mapping has been used with HIV-positive patients and migrant children. Latin American feminist decolonial geographers (Cabnal, 2010; Zaragocin and Caretta 2020; GeoBrujas, 2021b) are using the method of body mapping as a decolonial, counter-cartographic perspective that highlights Indigenous peoples' lived experiences. I use the method to explore the relationships between the body, memory, and healing from intergenerational trauma. Informed by decolonial feminists, I aim to center the oral and embodied testimonios of the GuateMaya feminist group and be guided by a body-mind-spirit perspective to amplify the concerns, visions, and futures of GuateMaya feminist groups across the hemisphere.


Asunto(s)
Feminismo , Relaciones Intergeneracionales , Humanos , Femenino , Guatemala , Colonialismo , Los Angeles , Antropología Cultural/métodos , Sobrevivientes/psicología
12.
Soc Sci Med ; 352: 117020, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38838530

RESUMEN

BACKGROUND: Intergenerational transmission of trauma is a major focus of international research. Epigenetic, complex-trauma, and intergenerational abuse pattern transmission theoretical explanations all have existing empirical support. Three-D theory argues that in addition to trauma victimization severity, victimization invasiveness and exploitativeness have important independent effects. Moreover, 3-D theory claims that a positive 3-way interaction occurs between trauma victimization invasiveness, exploitativeness, and severity. This study examines the 3-D hypotheses in the context of intergenerational trauma effects on adolescent depression symptoms and suicidal ideation in generation two. Three-D theory may play a particularly important role in intergenerational trauma effects for female victims in the context of conservative South Asian sex role norms. OBJECTIVE: Test for main effects, two-way, and three-way interaction effects of invasiveness, exploitativeness, and severity of traumatic victimization on intergenerational transmission to adolescent depression and suicidal ideation in generation two. Pathways from maternal depression and borderline personality symptoms as well as physical and sexual abuse and neglect of the adolescent child were also tested. PARTICIPANTS: and setting. Participants were a nationally representative, random, multi-stage cluster sample of 1089 Nepali mothers and their 15-17 year old adolescent children. METHODS: Regression models with adjustments for clustering within municipality were used to test the hypotheses. RESULTS: One in four Nepali adolescents had considered suicide; more than half had high depression scores. A three-way interaction effect between maternal trauma invasiveness, exploitativeness, and severity was positively associated with adolescent depression symptoms. A two-way interaction effect between exploitativeness and severity of maternal trauma was positively associated with adolescent suicidal ideation. Maternal depression, BPD symptoms, and very severe physical abuse of the adolescent were also associated with adolescent depression symptoms. CONCLUSION: Further research is needed to measure and investigate invasiveness, exploitativeness, and severity of traumatic victimization as they bear on intergenerational transmission of trauma. Examination of intergenerational transmission of self-concept as a potential vector is recommended.


Asunto(s)
Víctimas de Crimen , Relaciones Intergeneracionales , Humanos , Femenino , Nepal/epidemiología , Adolescente , Víctimas de Crimen/psicología , Víctimas de Crimen/estadística & datos numéricos , Adulto , Masculino , Ideación Suicida , Depresión/psicología , Depresión/epidemiología , Depresión/etiología , Salud Mental , Persona de Mediana Edad , Madres/psicología , Madres/estadística & datos numéricos
13.
Gerontologist ; 64(7)2024 07 01.
Artículo en Inglés | MEDLINE | ID: mdl-38859563

RESUMEN

BACKGROUND AND OBJECTIVES: Medicaid look-back periods are meant to prevent Medicaid applicants from gifting assets to meet eligibility requirements. These policies have the potential to affect families across generations given their ability to restrict the transfer of assets between parent and child. RESEARCH DESIGN AND METHODS: Using 2008-2018 data from the Health and Retirement Study, this study analyzed the estate planning and familial wealth transfer behaviors of a cohort of older adults aged 65 and older who became Medicaid recipients during a 10-year period. RESULTS: There were 8,347 respondents aged 65 and older in 2008 and 11.96% of respondents who were not Medicaid recipients at baseline became recipients over the study period. A little more than one third (36.47%) of Medicaid recipients participated in estate planning and asset transfer prior to becoming a recipient, with significant differences among select demographic characteristics. Married recipients were more likely to transfer money compared to their widowed counterparts (51.69% compared to 36.44%; p < .001) and transferred larger amounts compared to those unmarried ($16,286.94 compared to 5,379.13). White, well-educated, married, men participated in higher rates of estate planning, likely a reflection of who has access to resources to make necessary arrangements early. DISCUSSION AND IMPLICATIONS: This analysis concludes that more structurally advantaged groups are more likely to engage in estate planning prior to Medicaid enrollment. This analysis demonstrates that some individuals may circumvent Medicaid policies like look-back periods and estate recovery, while others cannot. Policymakers should consider policies that promote the financial health of low-income families.


Asunto(s)
Relaciones Intergeneracionales , Medicaid , Humanos , Estados Unidos , Masculino , Anciano , Femenino , Anciano de 80 o más Años , Determinación de la Elegibilidad
14.
J Aging Stud ; 69: 101236, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38834255

RESUMEN

What can caring for, and being cared for by, a garden teach us about aging well? This article is a narrative exploration of care, aging, and wellbeing in later life through conversations with an older woman and her garden in Toronto, Canada during the months of the COVID-19 pandemic. The focus is on the interconnectedness of care across generations and species. Moving away from conventional generational scripts, the article expands notions of care and aging with an intersectional, feminist and decolonial approach to relationality across time and space. The article uses interviews, photovoice-inspired sessions, and autoethnography, to look at aging and wellbeing as relational and more-than-human relationality. It extends the ethics of care beyond traditional boundaries, embracing perspectives that challenge normative assumptions of gender, age, and interspecies relations. The article aims to contribute to the current debates around colonial research logics, though a critical feminist understanding of relationality and embodied learning. It emphasizes the importance of connecting across generations, seeing land as a way to restore human and more-than-human relations while prefiguring a more care-full present.


Asunto(s)
Envejecimiento , COVID-19 , Humanos , Femenino , COVID-19/psicología , Anciano , Envejecimiento/psicología , Jardines , Relaciones Intergeneracionales , Canadá , Jardinería , Feminismo , SARS-CoV-2
15.
PLoS One ; 19(6): e0302963, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38848425

RESUMEN

This article utilizes survey data from the China Family Panel Studies (CFPS) to examine whether grandparents' health disadvantage have both direct and indirect effects on the health disadvantage of their grandchildren, and whether the completion of compulsory education by parents disrupts these intergenerational transmissions in China. The findings suggest that grandparents' health disadvantage significantly increases the probability of grandchildren's health disadvantage with and without controlling parental health disadvantage and other characteristics. Moreover, the study identifies a disruptive influence of parental education on this transmission process. Rigorous robustness tests, including the use of the Compulsory Education Law as an instrumental variable to control for unobserved factors, validate these results. Mechanism analysis shows that parents completing compulsory education contribute to improving their nutritional balance and adopting healthy behaviors, attaining higher social status, earning higher income, which ultimately reduce the probability of health disadvantage for both themselves and their children. These findings highlight the persistent intergenerational transmission of health disparities within families and emphasize the importance of enhancing individuals' education levels to disrupt this transmission. By doing so, it may be possible to mitigate health inequalities and disparities across the population.


Asunto(s)
Escolaridad , Relaciones Intergeneracionales , Humanos , China , Femenino , Masculino , Persona de Mediana Edad , Adulto , Abuelos , Niño , Disparidades en el Estado de Salud , Padres , Anciano , Factores Socioeconómicos
16.
BMC Public Health ; 24(1): 1669, 2024 Jun 22.
Artículo en Inglés | MEDLINE | ID: mdl-38909187

RESUMEN

BACKGROUND: With rapid urbanization, massive migration, and non-family-based eldercare involvement, Chinese concepts of eldercare responsibility and filial piety are shifting. We performed age-period-cohort (APC) analyses to assess the transition of old-age pension coverage, eldercare responsibility, and filial piety concepts and its urban-rural differences among Chinese adults using data from the China General Social Survey (2006-2017). METHODS: Old-age pension coverage (yes/no) and primary eldercare responsibility (government/offspring/self/sharing) were investigated in 2010, 2012, 2013, 2015, and 2017. Filial piety was evaluated using customized questionnaires in 2006 and 2017. The APC effects were estimated using mixed effects and generalized additive models. RESULTS: Among 66,182 eligible participants (mean age: 48.8 years, females: 51.7%) in the six waves, APC analyses indicated that old-age pension coverage increased with aging and over time. Across cohort groups, it grew as the cohort was younger in urban residents but decreased in rural residents. The concept of offspring-based (> 50%) and government/self/offspring-shared eldercare (> 30%) predominated. APC analyses revealed that the offspring-based concept declined with aging (OR = 0.81, 95% CI: 0.79-0.84), whereas the government-based (OR = 1.37, 95% CI: 1.33-1.41) and self-based (OR = 1.55, 95% CI: 1.47-1.63) concepts increased with aging. People born around the 1940s have a comparatively higher possibility to perceive that the primary eldercare responsibility should be undertaken by the government and elder parents. In contrast, people born in the younger cohort were more likely to perceive that adult children are responsible for their parents' primary eldercare. Filial piety score slightly increased with aging (ß = 0.18, SD: 0.05) but decreased as the birth cohort was younger. In addition, rural participants were more likely to perceive offspring-based eldercare and maintain filial piety, and the related urban-rural difference was intensified by aging. CONCLUSIONS: The traditional concept that eldercare solely relies on offspring has changed to relying on multiple entities, including the government and self-reliance. Diluted filial piety in people born in the young cohort requires reinforcement. Moreover, future healthy aging policies need to focus more on urban-rural disparities to promote equity in social well-being.


Asunto(s)
Población Rural , Población Urbana , Humanos , China , Femenino , Masculino , Persona de Mediana Edad , Población Rural/estadística & datos numéricos , Anciano , Población Urbana/estadística & datos numéricos , Adulto , Estudios de Cohortes , Relaciones Intergeneracionales , Pensiones/estadística & datos numéricos , Encuestas y Cuestionarios , Responsabilidad Social
17.
BMC Public Health ; 24(1): 1670, 2024 Jun 22.
Artículo en Inglés | MEDLINE | ID: mdl-38909205

RESUMEN

BACKGROUND: With an increasing number of grandparents providing care to their grandchildren, calls have been made for these caregivers to be considered important stakeholders in encouraging children's engagement in health-promoting behaviors, such as physical activity. Understanding the perspectives of grandparents who provide care is crucial to informing efforts that aim to increase children's physical activity, yet little is understood about their perceptions of specific barriers and enablers to promoting children's physical activity and reducing screen time. The present study sought to explore these perceptions. METHODS: Semi-structured focus groups and individual interviews were conducted with grandparents who reported providing care to a grandchild aged 3 to 14 years. A total of 20 grandparents were sampled (mean age = 67.8 years). Data were subjected to reflexive thematic analysis. RESULTS: Key reported barriers to physical activity included (i) the effort (physical and logistical) and financial cost associated with organizing physical activities, (ii) grandparents' age and mobility issues (e.g., due to injury or illness), (iii) caring for children of different ages (e.g., older children having different physical activity interests than younger children), and (iv) a local environment that is not conducive to physical activity (e.g., lack of appropriate facilities). Barriers to reducing screen time included (i) parents sending children to care with electronic devices and (ii) children's fear of missing out on social connection that occurs electronically. Strategies and enablers of physical activity included (i) integrating activity into caregiving routines (e.g., walking the dog), (ii) involving grandchildren in decision making (e.g., asking them in which physical activities they wish to engage), (iii) encouraging grandchildren to engage in activity with other children, and (iv) creating a physical and social environment that supports activity (e.g., owning play equipment). A common strategy for reducing screen time was the creation of a home environment that is not conducive to this activity (e.g., removing electronic devices from view). CONCLUSIONS: Findings suggest that grandparents may benefit from resources that assist them to identify activities that are inexpensive and require minimal effort to organize. Activities that account for grandparents' age and health status, as well as any environmental barriers, are likely to be well-received.


Asunto(s)
Grupos Focales , Abuelos , Promoción de la Salud , Investigación Cualitativa , Tiempo de Pantalla , Humanos , Abuelos/psicología , Niño , Femenino , Masculino , Anciano , Adolescente , Preescolar , Australia , Promoción de la Salud/métodos , Persona de Mediana Edad , Relaciones Intergeneracionales , Ejercicio Físico/psicología , Entrevistas como Asunto , Actividad Motora , Adulto
18.
Int J Qual Stud Health Well-being ; 19(1): 2348894, 2024 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-38733143

RESUMEN

PURPOSE: This study sought to understand family functioning surrounding weight in Mexican American women with obesity. METHODS: Semi-structured in-depth interviews were conducted with mothers and adult daughters (N = 116). RESULTS: Thematic analysis identified five themes. 1) The communication process drives perception of supportive messages. Messages perceived as non-supportive consist of directives as interventions, confirmation of faults, and critical compliments whereas supportive consist of compliments, encouragement, empathetic listening, and disclosure. 2) Acculturation differences interfere with intergenerational alliance. Differences involve dissonance in communication, behavioural expectations, and weight-related practices. 3) Maladaptive conflict responses contribute to relational strain. These responses include avoidance, withdrawal, and defensiveness. 4) Role transformations alter the generational hierarchical relationship. Daughters serve as role models, caregivers, or collaborators. 5) Low communal coping heightens psychological distress. It does so by challenging family roles, increasing social isolation, and compromising social support. CONCLUSION: Obesity interventions for Mexican American women may benefit from targeting relational skills to improve family functioning.


Asunto(s)
Adaptación Psicológica , Americanos Mexicanos , Madres , Obesidad , Apoyo Social , Adulto , Femenino , Humanos , Persona de Mediana Edad , Adulto Joven , Aculturación , Comunicación , Relaciones Familiares/psicología , Relaciones Intergeneracionales , Americanos Mexicanos/psicología , Madres/psicología , Obesidad/psicología , Obesidad/etnología , Investigación Cualitativa
19.
Aust N Z J Public Health ; 48(3): 100146, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38772840

RESUMEN

OBJECTIVE: The objective of this study was to explore Australian children's engagement in physical activity and screen time while being cared for by their grandparents. METHOD: Grandparents (N = 1,190) providing ≥3 hours of weekly care to a grandchild aged 3-14 years completed an online survey assessing their grandchildren's movement behaviours while in their care. Descriptive statistics were computed for frequency of engagement in unstructured and structured physical activities, minutes spent playing outdoors, and minutes spent engaged in screen time. Regression analyses were conducted to assess socio-demographic predictors of movement behaviours. RESULTS: Playing in the yard was the most common form of physical activity in which grandchildren reportedly participated (77% 'usually' or 'always'), followed by playing with toys/equipment (62%). Few (14-36%) frequently engaged in active transport. Children spent an average of 181 minutes per week engaged in screen-based activities. CONCLUSIONS: There is an opportunity to improve children's movement behaviours while in grandparental care. Communicating to grandparents their importance in supporting an active lifestyle is warranted. IMPLICATIONS FOR PUBLIC HEALTH: Findings highlight the importance of creating environments that facilitate play-based, outdoor activities. Ensuring children have access to play equipment while in the care of grandparents and improving access to and quality of neighbourhood parks may assist with activity promotion.


Asunto(s)
Ejercicio Físico , Abuelos , Relaciones Intergeneracionales , Tiempo de Pantalla , Humanos , Niño , Femenino , Masculino , Abuelos/psicología , Australia , Adolescente , Preescolar , Persona de Mediana Edad , Anciano , Encuestas y Cuestionarios , Juego e Implementos de Juego , Conducta Infantil/psicología , Adulto
20.
Artículo en Inglés | MEDLINE | ID: mdl-38761039

RESUMEN

OBJECTIVES: In aging societies, more people become vulnerable to experiencing cognitive decline. Simultaneously, the role of grandparenthood is central for older adults and their families. Our study investigates inequalities in the level and trajectories of cognitive functioning among older adults, focusing on possible intersectional effects of social determinants and grandparenthood as a life course transition that may contribute to delaying cognitive decline. METHODS: Using longitudinal data from the Survey of Health, Aging, and Retirement in Europe, we analyzed a sample of 19,953 individuals aged 50-85 without grandchildren at baseline. We applied multilevel analysis of individual heterogeneity and discriminatory accuracy to investigate variation in cognitive functioning across 48 intersectional strata, defined by sex/gender, migration, education, and occupation. We allowed the impact of becoming a grandparent on cognitive functioning trajectories to vary across strata by including random slopes. RESULTS: Intersectional strata accounted for 17.43% of the overall variance in cognitive functioning, with most of the stratum-level variation explained by additive effects of the stratum-defining characteristics. Transition to grandparenthood was associated with higher cognitive functioning, showing a stronger effect for women. Stratum-level variation in the grandparenthood effect was modest, especially after accounting for interactions between grandparenthood and the stratum-defining variables. DISCUSSION: This study highlights the importance of social determinants for understanding heterogeneities in older adults' level of cognitive functioning and its association with the transition to grandparenthood. Cumulative disadvantages negatively affect cognitive functioning, hence adopting an intersectional lens is useful to decompose inequalities and derive tailored interventions to promote equal healthy aging.


Asunto(s)
Cognición , Análisis Multinivel , Humanos , Femenino , Anciano , Masculino , Estudios Longitudinales , Persona de Mediana Edad , Anciano de 80 o más Años , Disfunción Cognitiva/epidemiología , Europa (Continente)/epidemiología , Factores Socioeconómicos , Relaciones Intergeneracionales , Determinantes Sociales de la Salud , Envejecimiento/psicología , Disparidades en el Estado de Salud , Factores Sexuales
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