Intergenerational Relationships and Self-Rated Health Trajectories Among Older Adults in Rural China

2016 ◽  
Vol 39 (2) ◽  
pp. 322-344 ◽  
Author(s):  
Nan Lu ◽  
Vivian W. Q. Lou ◽  
Dongmei Zuo ◽  
Iris Chi

The present study examined trajectory patterns of self-rated health (SRH) among older rural Chinese adults and gender differences in the relationship between intergenerational relationships and SRH trajectories. Using data from four waves of a longitudinal study on the well-being of older adults in Anhui province, a general growth mixture model was estimated to examine the SRH trajectory patterns and antecedents of SRH trajectory class memberships. A two-class model was selected to interpret the SRH trajectory patterns. The two classes were labeled remaining poor and good but declining. Intergenerational relationships were a significant antecedent of SRH trajectory class memberships among men but not women. Gender differences in the cumulative effects of intergenerational relationships on the health of older adults were identified in rural China. Policy implications regarding how to help rural families support their elderly members are discussed.

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 751-751
Author(s):  
Jianyun Wang ◽  
Renyao Zhong ◽  
Yaolin Pei ◽  
Bei Wu

Abstract This study aimed to examine the trajectory of depressive symptoms among Chinese older adults with disabilities and the role of adult children’s support in predicting trajectory classes of depressive symptoms. Data were drawn from three waves of the China Health and Retirement Longitudinal Study (2011-2015). The sample included 1420 disabled older adults age 60+ at the baseline and completed all three waves of the data. Growth mixture model shows two-class depressive symptoms trajectories: the higher risk group (25.49%) and the lower risk group (74.51%). Logistic regression results showed that respondents who received a longer term of adult children’s instrumental support were more likely to be classified in a higher risk group after controlling the covariates (OR=1.184, p<0.05), while financial support and the frequency of contacts were not associated with the increased level of depressive symptoms. The policy implications were also discussed in this study.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S938-S938
Author(s):  
Ji Hyang Cheon ◽  
John Cagle ◽  
Amanda Lehning

Abstract Self-rated health is a multidimensional construct that includes not only physical health but also emotional and social well-being. Previous research has demonstrated that multiple factors contribute to individual self-rated health, including income. Because income is a somewhat limited indicator of older adults' financial circumstances, alternative measures such as housing cost burden may enhance our understanding of contributors to self-rated health. Further, because homeowners and renters may have a different attachment to their home and neighborhood, homeownership may moderate the association between housing cost burden and self-rated health. This study examined these relationships using data from 3,212 older adults in round 7 (2017) of the National Health & Aging Trends Study. Findings from multiple linear regression models indicate that the housing cost burden is associated with lower self-rated health, and this association is stronger for renters compared to homeowners. The findings indicate the potential for reduced housing cost burden to have a positive effect on health. The poster will conclude with practice and policy implications, including the potential benefits of expanding rental assistance programs to older adults who may not meet current income requirements but are experiencing high housing cost burden, as well as research implications, including the need for longitudinal approaches.


2020 ◽  
Author(s):  
Sara Rosenblum ◽  
Ortal Cohen Elimelech

BACKGROUND Background: Especially among older adults, the Corona virus pandemic (COVID-19) poses a challenge to people's day-to-day functioning and constitutes a meaningful factor related to their emotional and physical health. OBJECTIVE Objective: This study aimed to analyze relationships and gender differences between state anxiety, daily functional actualization, and functional cognition among older adults during the COVD-19 pandemic shelter-in-place. METHODS Methods: We collected online data from a sample of 204 people (102 men and 102 women) aged 60 years and older. In addition to a demographic questionnaire, the State-Trait Personality Inventory was used to assess state anxiety, the Daily Functional Actualization questionnaire was used to evaluate daily functional actualization and the Daily Living Questionnaire to measure functional cognition. RESULTS Results: Significant gender differences were found for state anxiety, t(202) = -2.36, P = .02; daily functional actualization, t(202) = 2.15, P = .03; and several functional cognition components, such as complex tasks, Z = -3.07, P = .002; cognitive symptoms that might be interfering, Z = -2.15, P = .028; executive functions, Z = -2.21, P = .024; and executive function monitoring, Z = -2.21, P = .027. Significant medium correlations were found between both state anxiety level and functional cognition (r = .37–.40, P < .001) and daily functional actualization (r = -.62, P < .001). Furthermore, daily functional actualization predicted 43% of the variance of state anxiety level, F(1, 202) = 155.73, P < .0001. CONCLUSIONS Conclusions: In older adults, anxiety is associated with cognitive decline. It may harm daily functional abilities, in turn leading to social isolation, loneliness, and decreased well-being. Knowledge and self-awareness about the relationships between common and available resources of daily functional actualization and functional cognition with anxiety, especially as related to gender, may serve as a possible strengthening factor in crisis periods such as the COVID-19 pandemic.


2020 ◽  
Vol 32 (10) ◽  
pp. 1528-1537
Author(s):  
Weiyu Mao ◽  
Merril Silverstein ◽  
John J. Prindle ◽  
Iris Chi

Objective: To investigate the dynamic interplay between instrumental support from children and self-rated health (SRH) among older adults over time in rural China. Methods: Data came from a regional representative, longitudinal study The Well-Being of Older People in Anhui Province collected in 2001, 2003, 2006, 2009, and 2012. At baseline, 1636 respondents reported having at least one child. Bivariate latent change score modeling was conducted, and sequential model comparison was used to assess the directionality of the reciprocal association. Results: Older adults who received higher levels of help with household chores from children tended to experience improvement in subsequent SRH, irrespective of gender. There is no evidence to support the influence of SRH on subsequent changes in instrumental support. Discussion: This study sheds light on the sequence of changes between support and health processes using population-based data within a specific sociocultural context.


2021 ◽  
pp. 001139212110592
Author(s):  
Jeung Hyun Kim

This study explores the association between grandparent caregiving by Chinese-American older adults and their perception of filial care and respect (i.e. filial piety) received from their adult children. Drawing on arguments regarding norms of altruism and reciprocity based on social exchange theory in the context of intergenerational relationships, this study examines whether more active engagement in grandparenting results in higher levels of filial piety among adult children and whether that in turn results in better well-being through reducing loneliness. It uses data from Population Study of Chinese Elderly in Chicago, a survey of the well-being of Chinese-American older adults in Chicago. The results show that more hours of grandparent caregiving relate to higher amounts of filial piety in the view of older parents. However, more pressure to take care of a grandchild from adult children reduces perceived filial piety. Furthermore, grandparent caregiving can reduce loneliness among older adults, and receipt of filial piety mediates the association. Discussion focuses on how grandparent caregiving can strengthen intergenerational relationships while contributing to psychological well-being among older Chinese-American adults. This research contributes to the discussion of normative aspects of the intergenerational solidarity theory and holds policy implications for the promotion of well-being among Chinese-American older adults based on their grandparenting practices.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 498-498
Author(s):  
Yooumi Lee ◽  
Janet Wilmoth

Abstract This study investigates whether intergenerational relationships and social support improve the psychological well-being of Korean older adults. We examine whether intergenerational relationships and social support directly influence psychological well-being and the extent to which they mediate the distressing consequences of life events such as declining health and recent widowhood. Using longitudinal data from the 2006 to 2016 Korean Longitudinal Study of Aging, we explore depression trajectories among individuals who are 60 or older with at least one living adult child at baseline. Specifically, we converted data from 5,383 older adults into a person-period file with 24,726 observations over a ten-year period. Then we estimated linear growth curve models of depression trajectories separately for men and women using the Center for Epidemiologic Studies Depression Scale (CES-D). Results from the hierarchical linear models indicate that declining health and recent widowhood are positively related to depressive symptoms. Satisfactory intergenerational relationships and social support in the form of personal interactions and proximate living arrangements with adult children decrease depressive symptoms of older parents, especially among women. We conclude that the psychological benefits of intergenerational relationships and social support are contingent upon the vulnerability of older adults and discuss the implications for public policy.


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