Research on grandchild care and depression of chinese older adults based on CHARLS2018: the mediating role of intergenerational support from children

Tang, Shaoliang; Yang, Tongling; Ye, Chaoyu; Liu, Meixian; Gong, Ying; Yao, Ling; Xu, Yun; Bai, Yamei

doi:10.1186/s12889-022-12553-x

Cited by 32 publications

(32 citation statements)

References 37 publications

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“…Our nding was consistent with a study which demonstrated that higher frequency engaged in social interaction with lower risk of cognitive decline [35]. As well as consistent with some studies showed that providing grandchildren care could reduce the depressive symptoms [17,30,36] and improve the cognitive function of the older adults [7,8,10]. A cohort study showed that depression was a risk factor of dementia [37].…”

Section: Discussionsupporting

confidence: 91%

“…There was 40.8% middle-aged and elderly people provided varying degrees of intergenerational care. The result of this study was similar to those of the studies conducted in CLASS 2014 [14] and another study [30]. This trend is due to China's traditional culture and the concept of lial piety, the grandparent has moral responsibility for his children and grandchildren [31].…”

Section: Discussionsupporting

confidence: 87%

“…Another study showed that social engagement can be viewed as a cognitively stimulating form of daily activity [41]. Moreover, providing grandchildren care increased grandparents' opportunities for social engagement, made grandparents gain more social support, enhanced their emotional health and thus promoting their cognition in social interactions [25,30].…”

Section: Discussionmentioning

confidence: 99%

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Association between Intergenerational Care based on Living arrangements and Cognitive Function in Middle-Aged and Older Adults—The mediation roles of Social activities and Depressive symptoms

Hou

Xiong

Qiao

et al. 2022

Preprint

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Background: In the context of an ageing population and age-related conditions increasing, more and more middle-aged and older persons are involved in grandchildren care. This study aims to investigate the association between intergenerational care based on living arrangements and cognitive function, and explore the mediating effects of social activities and depressive symptoms on grandchildren care and cognition.Methods: This study selected 5490 Chinese people (≥45 years old) from 2018 China Health and Retirement Longitudinal Study (CHARLS). Participants answered questions related to socio-demographics, Mini-mental State Examination, grandchildren care, the intensity of grandchildren care, Center for Epidemiologic Studies Depression Scale and social activity. Results: This study found that caring for grandchildren and co-habited with spouse had a significant positive effect on cognitive function among the middle-aged and elderly people (B=0.829, p<0.001). Furthermore, providing intensive or no-intensive children care positively influenced cognitive function. In contrast, providing intergenerational care but not co-habited with spouse negatively affected cognition (B=-0.545, p<0.05). Moreover, caring for grandchildren had direct and indirect effects on cognition, as mediated by social activities and depressive symptoms. Conclusion: This study highlights that providing grandchildren care and co-habited with spouse is associated with better cognition. The social activities and depressive symptoms act as moderated roles between caring for grandchildren and cognition. The findings emphasize the living arrangement, social engagement and psychological health could be considered when encouraging grandparenting care as a complement to formal care.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

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Association between Intergenerational Care based on Living arrangements and Cognitive Function in Middle-Aged and Older Adults—The mediation roles of Social activities and Depressive symptoms

Hou

Xiong

Qiao

et al. 2022

Preprint

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“…However, according to the research by Fingerman ( 16 ), excessive intergenerational economic support could damage the self-esteem of the elderly, making them feel powerless and thus damaging their mental health. Tang et al ( 17 ) found that intergenerational care support could enable the elderly to get good care, alleviate diseases, and help maintain good health. Other studies have shown that the influence of intergenerational care support on the mental health of the elderly is not insignificant ( 18 ) and even harmful ( 19 ).…”

Section: Introductionmentioning

confidence: 99%

Effect of intergenerational exchange patterns and intergenerational relationship quality on depressive symptoms in the elderly: An empirical study on CHARLS data

Zheng

Yu²,

Li³

et al. 2022

Front. Public Health

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BackgroundAs the population ages with fewer children, depression symptoms are increasing among the elderly who lack companionship. Intergenerational support is closely related to depression in the elderly; hence how the behavioral patterns and emotional quality of intergenerational support affect depressive symptoms in the elderly should be further explored.ObjectiveTo study the effects of intergenerational exchange patterns and intergenerational relationship quality on depressive symptoms in the elderly.MethodsA total of 8,015 people over 60 years old in CHARLS in 2018 were selected as the object of this study. First, the correlation between demographics, economic conditions, health status, intergenerational support patterns, intergenerational relationship quality, and depressive symptoms in the elderly were analyzed. Three regression analysis models were established to analyze the relationship between control variables, intergenerational support patterns, intergenerational relationship quality, and depressive symptoms in the elderly. Results: Among the intergenerational economic, care, and emotional exchange modes, the risk of depressive symptoms in the elderly in the mutual support group was 31.8, 38.4, and 25.5% lower than that in the non-communication group. Compared with the elderly with very poor intergenerational relationship quality, the elderly with good, very good, and excellent intergenerational relationship quality had 74.5, 84.0, and 85.6% lower risk of depressive symptoms.DiscussionDifferent cultural backgrounds also affect intergenerational exchange patterns and depression in the elderly. During the study of depressive symptoms, two aspects relating to intergenerational support should be considered behaviorally and emotionally: the intergenerational exchange model and the intergenerational relationship quality. As depression in the elderly is affected by multiple factors, the participation and joint efforts of the whole society are required to reduce depressive symptoms in the elderly and realize active aging.ConclusionThe intergenerational exchange pattern of mutual support and the higher quality of the intergenerational relationship can significantly reduce the depressive symptoms of the elderly.

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“…The National Baseline field survey was launched in 2011 and included approximately 10,000 households and 17,500 people in 150 districts and 450 village/residential councils who were followed up every two years, with all data made public one year after the end of data collection [25]. The CHARLS can provide a wealth of information when studying the health and pension issues of the elderly population in China, including basic information of respondents, health status, cognition and depression, medical care and insurance, work and retirement [26]. The CHARLS database has good reliability and validity and can better reflect the actual situation of the elderly population in China [25].…”

Section: Data Sourcesmentioning

confidence: 99%

The impact of informal social support on the health poverty vulnerability of the elderly in rural China: based on 2018 CHARLS data

Wang

Shen

Cheng

et al. 2022

BMC Health Serv Res

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Objective From the perspective of informal social support, this paper analysed the impact of factors such as “Relationship with spouse”, “Relationship with Children”, “Financial support from children”, “Sibling support”, “Support from other friends and relatives” and “Borrowing costs” on the health poverty vulnerability of elderly people in rural China. Methods Based on the data of the China Health and Retirement Longitudinal Study (CHARLS) in 2018, the vulnerability of the rural elderly to health poverty was measured from two dimensions of health status and influencing factors of health status by the three-stage feasible generalized least square method. A quantile regression model was used to analyse the impact of six variables in the informal social support network on health poverty vulnerability: “Relationship with spouse”, “Relationship with children”, “Financial support from children”, " Sibling support”, " Support from other friends and relatives”, and “Borrowing costs”. Results When the poverty line standards were 2995 CNY/year and 4589 CNY/year, the health poverty vulnerability of the elderly population in rural China was 0.397 and 0.598 in 2018. In the analysis of informal social support, factors such as the relationship with spouse, relationship with children, borrowing costs, support from other friends and relatives, and sibling support had different impacts on the health poverty vulnerability of the rural elderly, who were classified into three groups according to their different vulnerabilities. Conclusion According to the analysis of the 2018 CHARLS database, the health poverty vulnerability of the elderly population was related to the informal social support network, and it is necessary to pay attention to the role of informal channels such as children, spouses, relatives and friends in daily care and financial support for rural elderly individuals. Meanwhile, the government and other formal organizations should also give full play to their supporting role for elderly individuals, who are highly vulnerable to health poverty, and their families.

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Research on grandchild care and depression of chinese older adults based on CHARLS2018: the mediating role of intergenerational support from children

Cited by 32 publications

References 37 publications

Association between Intergenerational Care based on Living arrangements and Cognitive Function in Middle-Aged and Older Adults—The mediation roles of Social activities and Depressive symptoms

Association between Intergenerational Care based on Living arrangements and Cognitive Function in Middle-Aged and Older Adults—The mediation roles of Social activities and Depressive symptoms

Effect of intergenerational exchange patterns and intergenerational relationship quality on depressive symptoms in the elderly: An empirical study on CHARLS data

The impact of informal social support on the health poverty vulnerability of the elderly in rural China: based on 2018 CHARLS data

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