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

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 494-495
Author(s):  
Athena Chung Yin Chan ◽  
Sun-Kyung Lee ◽  
Jingchen Zhang ◽  
Jasmine Banegas ◽  
Scott Marsalis ◽  
...  

Abstract 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.

2017 ◽  
Vol 220 (8) ◽  
pp. 1207-1221 ◽  
Author(s):  
Mireia Gascon ◽  
Wilma Zijlema ◽  
Cristina Vert ◽  
Mathew P. White ◽  
Mark J. Nieuwenhuijsen

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Marc Rocholl ◽  
Michaela Ludewig ◽  
Carola Brakemeier ◽  
Swen Malte John ◽  
Annika Wilke

Abstract Background Eczematous skin diseases, e.g., atopic dermatitis or contact dermatitis, are associated with a high disease burden, a significant impact on quality of life and a higher risk for anxiety and depression. Therefore, coping strategies are of interest. In order to understand coping processes, it is necessary to examine the patients’ perspectives on their illness. The aim of this systematic mixed studies review is to investigate the illness perceptions of patients with eczematous skin diseases to get a better understanding of their coping processes. Methods We performed a systematic literature search in PubMed, The Cochrane Library, PsycInfo, PSYNDEX, CINAHL, Web of Science, and Scopus until February 20, 2019. Both qualitative and quantitative studies were included in the review. Two independent reviewers conducted data extraction and carried out a narrative synthesis. We assessed study quality with the Mixed Methods Appraisal Tool. Results Three qualitative and four quantitative studies were included in the systematic review. We found different methodological approaches for investigating illness perceptions: guided interviews, focus group interviews as well as standardized questionnaires, e.g., the Brief Illness Perception Questionnaire. All studies report suspected causes of the skin disease, such as endogenous and exogenous causes (namely, psychological or occupational factors). We found long timeline beliefs as well as various perceived and experienced social, economic, and psychological consequences. Our analysis reveals complex emotional representations in patients with eczematous skin diseases, in particular impairment of emotional well-being, and feelings of shame or helplessness. Qualitative and quantitative data were predominantly complementary and convergent. Conclusion Patients with eczematous skin diseases have complex illness representations regarding their disease. These representations interrelate with the coping behavior of patients. Therefore, medical professionals should consider them for counseling and treatment. Systematic review registration PROSPERO 2018 CRD42018109217.


2018 ◽  
Vol 5 (3) ◽  
pp. 30 ◽  
Author(s):  
Shatabdi Saha ◽  
Rupak Goswami ◽  
Sujit Kumar Paul

Male out-migration from rural to urban areas has amplified worldwide in the face of economic globalisation. Migration literature for long has engaged with the life of migrants at the destination and their support for the left-behind families in the form of remittances. Explicit scholastic undertaking for the left-behind women and their life experiences has started to receive attention only recently. We take stock of the existing literature to examine this social process and debate it within a women empowerment-disempowerment framework. Following a systematic review of the ‘migration left-behind nexus’ literature, we find a clear trend of transformation in the gender role of women everywhere, especially in the form of ‘feminisation of agriculture’. This process is largely moderated by the nature and amount of remittances received at source. The resultant well-being and empowerment of women is shaped by the socio-cultural context within which migration takes place. Both positive and/or negative outcomes for left-behind women are recorded in the literature, although its choice as a conscious decision and its subsequent permanence in a society is debatable. We expect a deeper engagement of future research that takes up the migration-led women empowerment issue within the context of the general social transformation process.


PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0255621
Author(s):  
Tarsila Lampert ◽  
Joana Costa ◽  
Osvaldo Santos ◽  
Joana Sousa ◽  
Teresa Ribeiro ◽  
...  

Introduction There has been growing interest in community gardens as an effective and affordable health promotion strategy. However, most available evidence is derived from qualitative studies, whereas quantitative research on this subject is limited. Objectives To synthetize the literature about physical and mental health outcomes associated with community gardening. Two main questions were addressed: a) is there evidence, from quantitative studies, that community gardening is associated to physical and mental health and well-being of non-institutionalized individuals? b) Does community gardening provokes any discomfort in terms of physical health, i.e., bodily pain, to their beneficiaries? Methods A systematic review of the literature was carried out following PRISMA guidelines by searching relevant electronic databases (PubMed, Scopus, and Web of Science). Empirical, quantitative studies published in English with no restrictions concerning the date of publication were considered eligible. The quality of the evidence was appraised using the tool developed by the National Heart, Lung, and Blood Institute of the National Institutes of Health for Observational Cohort and Cross-Sectional Studies. Results Overall, 8 studies were considered eligible, of which seven studies were rated as having good methodological quality (one scored as fair). Community gardeners had significantly better health outcomes than their neighbours not engaged in gardening activities in terms of life satisfaction, happiness, general health, mental health, and social cohesion. Conclusion Community gardens are associated to health gains for their users, irrespective of age, being an affordable and efficient way of promoting physical and mental health and well-being. To encourage the design, maintenance, and prospective evaluation of supportive urban environments promoting healthy and, at the same time, sustainable lifestyles, is essential to achieve public health gains and environmental sustainability.


2019 ◽  
Vol 89 (4) ◽  
pp. 331-355 ◽  
Author(s):  
Chiachih DC Wang ◽  
Bert Hayslip ◽  
Qiwu Sun ◽  
Wenzhen Zhu

This study compared American and Chinese caregiving grandparents regarding variables reflecting challenges and resources in dealing with the demands of raising a grandchild. A total of 238 grandparent caregivers in the United States and 106 Chinese grandparent caregivers were sampled and completed research questionnaires for this study. Analyses indicated that after controlling for grandparents’ gender, age, health, length of caregiving, and number of grandchildren, main effects for culture were significant for parental efficacy, authoritative parenting style, grandchild negative interpersonal dynamics, role satisfaction, well-being, and attachment to the grandchild. Correlational findings provided further understanding of cross-cultural similarities and differences in grandparent caregiving. Findings are discussed in the context of the globality of grandparent caregiving and the salience of family dynamic and values among Chinese grandparent caregivers. These findings also underscore the lack of supportive services for Chinese grandparents in light of their personal adaptive qualities and the demands of raising a grandchild.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 346-347
Author(s):  
Athena Chung Yin Chan ◽  
Timothy Piehler

Abstract Increasingly grandparents provide primary or supplementary care for their grandchildren globally. In view of the challenges faced by grandparent caregivers, a number of intervention programs were designed to act as a buffer to the potential negative impacts on their well-beings. A recent meta-analysis (Chan et al., 2019) shows that interventions for grandparent caregivers have small to moderate effect sizes for increases in social support and parenting skills. However, little is known how the multi-component interventions work. The aim of this review is to categorize the key components of intervention programs and determine the direct effect of components on grandparent caregivers’ outcomes (i.e., physical, mental health and well-being). A component-level approach is adopted to disentangle the ‘active ingredients’ of the interventions. Peer-reviewed articles were searched via five electronic database (published before January 2020). A keyword search was performed based on combinations of two groups of terms: (1) grandparent caregivers and (2) intervention, training, and support group. Studies adopting an experimental or pre/post design and reporting quantitative changes in grandparents’ outcomes were included. Studies focusing on the special needs of grandchildren were excluded. Fourteen interventions were identified from over 20 included studies. Preliminary analyses show that different physical and mental outcomes of grandparent caregivers were predicted from key components of education, skills training, relaxation and psychosocial support. With the goal of developing evidence-based interventions for grandparents raising grandchildren, this synthesis offers insight into the mechanisms of an intervention, which informs its generalizability or applicability to a new context.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S37-S37
Author(s):  
Heejung Jang ◽  
Fengyan Tang

Abstract Issues of health and well-being have received considerable attention as a way to help grandparent caregivers. There is growing evidence that grandparenting is beneficial for grandparent caregivers’ health, yet acting as grandparent caregiver also is detrimental to health and social relations when a grandparent provides an extensive level of care to grandchildren. The extent to which grandparent caregiving benefits or harms of the health of a grandparent is still unknown; mortality specifically has not been systematically studied. Moreover, although altruistic behaviors towards others have been shown to have beneficial effects on caregivers’ health in general, there is little information regarding social relations of grandparent caregivers and their impact on mortality. This study aims to investigate the roles of different aspects of social relations among community-dwelling older adults, examining whether aspects of social relations, including social networks, received functional support aid, and perceived support quality, mediate the association between grandparent caregiving and mortality. The data were drawn from the 2008 and 2014 Health and Retirement Study (N=1,196). Results of survival analyses indicate that custodial and co-parenting grandparents were significantly associated with all-cause mortality over a 6-year period; however, the associations were marginally significant after health statuses were added into the model. Specifically, family-focused network groups were significantly associated with mortality. Received functional support and perceived positive support mediated the association between custodial grandparents and mortality. This study suggests that community-based support may be beneficial to older grandparents and perceived positive relationship quality could matter for older adults’ well-being.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 511-511
Author(s):  
Julian Montoro Rodriguez ◽  
Bert Hayslip ◽  
Jennifer Ramsey ◽  
Jane Jooste

Abstract Grandparents raising grandchildren face many challenges such as isolation, stigma, negative thoughts, and biases from age peers and service providers. In contrast, recent work suggests a need to re-frame grandparent caregiving in positive terms. In this light, the present study explored the processes key to the success of a solution-focused intervention with such persons. Fifty-two grandparents caregivers participated in a six-session solution focused intervention, using the theoretical framework of Selection, Optimization and Compensation (SOC) by Baltes & Baltes (1990). Throughout the program the emphases were on goal setting, solution focused thinking and communication skills. Participants were randomly assigned to intervention or waiting list control conditions. Within each session measures of hopefulness, positive thoughts about one’s grandchild, solution focused thinking, self-rated stress and perceived goal attainment were taken. Results indicated significant decreases in stress and increases over six sessions in hopefulness, positive thoughts about the grandchild, being solution-oriented and success in overcoming barriers interfering with goal setting and implementation (p<.05). Measures of goal accomplishment, strategy usage, success and satisfaction with effort were uniformly high. Such findings speak to key processes underlying the efficacy of a solution-focused intervention with grandparent caregivers. Measures of such processes also predicted outcome measures, e.g., resilience, positive affect, caregiver strain, well-being, loneliness, depression, parental efficacy and adequacy of service needs met. These findings reinforce the importance of understanding change processes as predictors of solution-focused intervention outcomes with grandparent caregivers and are consistent with the need to emphasize such persons’ strengths.


2014 ◽  
Vol 4 (4) ◽  
pp. 301-313
Author(s):  
Jiaqi Li ◽  
Yanlin Wang ◽  
Feiya Xiao

The present article reports a systematic review of the studies related to psychological well-being among East Asian international students. A total of 18 quantitative studies published in peer-reviewed journals from 2000 to 2011 were reviewed. Our review revealed three major results: (1) a majority of researchers (n=13, 72.2%) tend to choose Chinese international students as a representative of East Asian and Asian international students in their studies; (2) studies on psychological well-being of East Asian international students are closely associated with the following variables: length of stay in host country, English proficiency, attitudes toward seeking help, depression, and acculturation; (3) depression was the most frequently reported variable (n=6,33.3%), followed by acculturation (n=5, 27.8%). Recommendations for further research in psychological well-being were provided.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 75-75
Author(s):  
Heejung Jang

Abstract For the increasing number of grandparent caregivers, relationship quality with adult children has important implications for the well-being of grandparents. Based on solidarity, conflict, and ambivalence, the present study examines how parent-adult children's relationships differ by grandparent caregiving status on depressive symptoms and psychological well-being. This study uses The 2014 Health and Retirement Study from a sample of 1,197 grandparent caregivers age 51 and older. Latent class analysis is applied to measure affection and conflict in older grandparents-adult children relationships. Results from the latent class analysis identified four clusters: amicable, ambivalent, detached, and disharmonious. OLS regression models are estimated the association between relationship types and depressive symptoms and psychological well-being by grandparent caregiving. For the depressive symptoms, disharmonious relationships with adult children increase depressive symptoms among co-parenting and custodial grandparents. Also, ambivalent and disharmonious relationships with adult children reduce the psychological well-being of older grandparents. The study discusses the variances of the relationships with adult children and their effects on grandparents’ well-being. The results will shed light on the importance of familial relationships and will be beneficial for the development and maintenance of policies and practices that support the families of grandparent caregivers.


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