Grandparenting, health, and well-being: a systematic literature review

Whether grandparenting is associated with improved health or well-being among older adults is a salient question in present-day aging societies. This systematic review compiles studies that consider the health or well-being outcomes of grandparenting, concerning (1) custodial grandparent families, where grandparents are raising grandchildren without parental presence; (2) three-generation households, where grandparents are living with adult children and grandchildren; and (3) non-coresiding grandparents, who are involved in the lives of their grandchildren. Review was based on literature searches conducted in September 2019 via Web of Science, PubMed, PsycINFO, and Ebsco. We screened 3868 abstracts across four databases, and by following the PRISMA guidelines, we identified 92 relevant articles (117 studies) that were published between 1978 and 2019. In 68% of cases, custodial grandparenting was associated with decreased health or well-being of grandparents. The few studies considering the health or well-being of grandparents living in three-generation households provided mixed findings (39% positive; 39% negative). Finally, in 69% of cases, involvement of non-coresiding grandparents was associated with improved grandparental outcomes; however, there was only limited support for the prediction that involved grandparenting being causally associated with grandparental health or well-being. Despite this, after different robustness checks (counting all nonsignificant results, taking into account the representativeness of the data and causal methodology), the main finding remains the same: the most negative results are found among custodial grandparents and three-generation households and most positive results among non-coresiding grandparents.

A systematic review of studies considering grandparenting, health, and well-being

Background and Objectives: Whether grandparenting is associated with improved health and well-being among older adults is a salient question in present-day aging societies. This systematic review compiles studies that consider the health and well-being outcomes of grandparenting, concerning (i) custodial grandparent families, where grandparents are raising children without parental presence; (ii) three-generation households, where grandparents are living with adult children and grandchildren; and (iii) non-coresiding grandparents, who are involved in the lives of their grandchildren.Research Design and Methods: This systematic review was based on literature searches conducted in September 2019 via Web of Science, PubMed, PsycINFO, and Ebsco. We screened 3,868 abstracts across four databases, and by following the PRISMA guidelines, we identified ninety-two relevant articles (117 studies) that were published between 1978 and 2019.Results: In 68% of cases custodial grandparenting was associated with decreased health and wellbeing of grandparents. The few studies considering the health and well-being of grandparents living in three-generation households provided mixed findings (39% positive; 39% negative). Finally, in 69% of cases involvement of non-coresiding grandparents was associated with improved grandparental outcomes; however, there was only limited support for the prediction that involved grandparenting being causally associated with grandparental health and well-being.Discussion and Implications: The findings are discussed separately among these three groups of grandparents, including reference to possible causal relations between involved grandparenting and grandparental health and well-being. The article concludes by considering the scope for future studies.

The Impact of Custodial Grandparenting on Cognitive Performance in a Longitudinal Sample of Grandparents Raising Grandchildren

There are currently 2.7 million grandparents raising grandchildren in the United States. As grandparent caregiving has become more prevalent, concerns have surfaced regarding the effect of additional caregiving responsibilities placed on an aging population. The following study uses an existing dataset of individuals who graduated from Wisconsin high schools in 1957. The present study examined the impact of grandparenting on measures of cognition, both cross-sectionally and longitudinally. Findings from the cross-sectional analysis show that custodial grandparents outperformed their noncustodial grandparent counterparts on the cognitive tests of word recall, category fluency, letter fluency, and cognitive similarities. Findings from the longitudinal analysis show that though custodial grandparents had initially performed worse on the digit ordering task, their scores declined at a much slower rate than non-custodial grandparents. By using a cross-sectional and longitudinal research design, this study provides a unique opportunity to examine the impact of grandparenting on cognitive performance.

Grandparents Caring for Grandchildren, Family Structure, and Depressive Symptoms in China

It is a cultural norm for Chinese older adults to engage in co-parenting and caring for grandchildren. Previous research documented health advantages for grandparents who provide occasional, extensive, or even custodial care to grandchildren in China. Yet there is little information regarding the impacts of living arrangement and its interaction with grandchild care on grandparents’ psychological well-being. Using three waves of the 2011-2015 China Health and Retirement Longitudinal Study (CHARLS) data, this study examined the longitudinal association of depressive symptoms with grandchild care intensity and living arrangement among adults aged 40 and above (N=5,037). Mixed effects regression models were applied to examine changes in depressive symptoms and the associations with explanatory variables. At baseline, about half of respondents reported caring for their grandchild (ren). And nine percent lived with grandchildren only, that is, in a skipped-generation household and taking a custodial grandparent role. Overall, depressive symptoms did not change over time. After controlling for sociodemographic and health covariates, we found that providing medium level of care (i.e., between three to 10 hours per day) was associated with fewer baseline depressive symptoms, whereas grandparents living with grandchildren had more symptoms at baseline relative to those living with others. Further, an increased level of caregiving in the skipped-generation households was associated with more depressive symptoms. Given that custodial grandparenting is a growing phenomenon in China, further research needs to investigate how to reduce caregiving burden and associated adversary effects and how to promote overall well-being in this population.

Is Raising Your Grandchild Bad for Your Health? The Association Between Custodial Grandparent Status and Health Biomarkers in Taiwanese Grandparents

Data from two waves of the Social Environment and Biomarkers of Aging Study in Taiwan were analyzed to determine the effects of custodial grandparenting on health in a longitudinal sample. Self-reported measures on respondents’ perception of their health, six health biomarkers, the presence of twelve diseases, and a measure of stress were included. Custodial Grandparents (CGPs) were significantly more likely to report worse health than their peers. However, there were no significant differences in biomarkers, and CGPs were only significantly different from non-custodial grandparents (nCGPs) regarding lower respiratory disease. Results suggest that CGPs do not have significantly worse health than nCGPs, but report feeling less healthy. This disparity is suspected to be due to energy levels or stress sources not assessed by the variables in the original study. These results and their implications based upon the stress-coping model elucidate the need to design interventions that incorporate the East Asian cultural values and practices in order to promote better health outcomes for CGP populations overall.

Custodial Grandparenting: Perceptions of Loss by Non-Custodial Grandparent Peers

In order to explore the generalizability of perceptions of the losses experienced by grandparents raising their grandchildren, 610 traditional/non-custodial grandparents, who had no custodial responsibility for their grandchildren, read a randomly assigned scenario depicting a grandmother and her grandchild, wherein scenarios varied in terms of grandchild gender, the presence or absence of grandchild problems, and the reason for role assumption. They then completed the Perceptions of Loss (PLS) scale, where higher scores indexed greater awareness of loss. Results suggested that perceptions of loss varied by grandchild gender (favoring females), grandchild problem (favoring those with problems), and the reason for role assumption (favoring parental abandonment and parental drug abuse). Moreover, PLS scores were influenced by the interaction between grandchild gender and reason for role assumption, where the impact of role assumption was greater for female grandchildren than for male grandchildren. These findings in part parallel those obtained from young adults, and generally suggest that others in varying degrees are sensitive to the losses grandparents raising their grandchild experience. Such findings have implications regarding the extent to which grandparent caregivers' grief is disenfranchised, as well as impacting custodial grandparents' feelings of loneliness and isolation from age peers brought about by the necessity to raise their grandchildren.