Social support and care arrangements of older people living alone in rural Malaysia

Evans, Natalie; Allotey, Pascale; Imelda, Johanna Debora; Reidpath, Daniel D.; Pool, Robert

doi:10.1017/s0144686x17000472

Cited by 22 publications

(36 citation statements)

References 26 publications

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“…These findings suggest, however, that for childless older people living in poverty, the family network does not provide significant support. They support the recommendations 7 that individuals, not just families, should be treated as a unit where policies are aimed to improve older people's networks and access to support.…”

Section: Discussionmentioning

confidence: 71%

“…In countries where social policy emphasises family support, state support for older people is limited. Malaysian policy focuses on supporting the family to provide support for older family members 7 through tax concessions and help with medical expenses. Retirement income support (ie pensions or the contributory Employees Provident Fund (EPF)) tends to be exhausted quickly 8 .…”

Section: Introductionmentioning

confidence: 99%

“…There are few studies, however, that seek to understand the experiences of meeting social support needs for this group. Some attention has been given to social support needs of older Malaysians living alone in rural areas 7 ; however, there may be differences between older people who live alone with access to adult children as compared to those who do not. Living in urban environments is also likely to provide challenges in terms of the cost of housing and the lack of established networks usually available in rural communities.…”

Section: Introductionmentioning

confidence: 99%

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Managing social support needs in older age for childless Malaysians living in poverty

Tilse

Wilson

2021

Australas J Ageing

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Objective To explore how older people manage social support needs when they are childless and living in poverty in the Malaysian context where social policy emphasises family as the primary provider of social support. Methods Semi‐structured interviews were completed with a purposive sample of 34 childless and older Malaysians living in poverty in Kuala Lumpur, Malaysia. A thematic content analysis focused on their reports of managing social support needs. Results Key strategies were using existing resources, developing new networks and adjusting expectations. Agency played a vital role in avoiding institutional care. Conclusions This paper adds to research on childlessness in older age in varied policy and cultural contexts. It challenges assumptions about families providing social support and argues for policies to recognise older people as an individual unit rather than as part of a family to prolong independent living in the community.

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Section: Discussionmentioning

confidence: 71%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Managing social support needs in older age for childless Malaysians living in poverty

Tilse

Wilson

2021

Australas J Ageing

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“…Modern parents‐in‐law may enjoy a period of reduced childcare support and increased leisure and freedom (Qian & Knoester, 2015). They may not want to live with their children because adult children and grandchildren may disrupt their leisure or relaxation time and may have differing dietary preferences and television‐viewing habits (Evans, Allotey, Imelda, Reidpath, & Pool, 2018). More importantly, parents‐in‐law do not want to be a burden to their adult children (Evans et al, 2018; Stones & Gullifer, 2016).…”

Section: Discussionmentioning

confidence: 99%

Cross‐lagged Models of Marital Relationships and Intergenerational Conflicts during Transition to Parenthood: Effect of Patrilineal Coresidence

2020

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The transition to parenthood is one of the most stressful intra-and interpersonal adjustment periods for new parents. Bidirectional associations among intergenerational relationships during the transition to parenthood have received limited attention, and the complexity of reciprocal relationships varies in accordance with living arrangements. The objectives of this study were to explore (1) the bidirectional associations between marital relationships and conflicts with in-laws during the transition to parenthood and (2) the moderation of patrilineal coresidence on the aforementioned relationships. A three-wave prospective longitudinal design was adopted for 359 married mothers. The Dyadic Adjustment Scale and Stryker Adjustment Checklist were used to assess marital relationships and conflicts with parents-in-law. Cross-lagged panel analysis was applied to examine reciprocal relationships, and multigroup analyses were employed to determine whether these relationships exhibited different patterns in accordance with the individuals' living arrangements. The two cross-lagged models revealed the presence of a bidirectional relationship between marital distress and conflicts with parents-in-law during the mid-to late pregnancy stages. Meanwhile, the multigroup analyses suggested that conflicts with parents-in-law triggered marital distress during pregnancy in the coresidence group, whereas conflicts with fathers-in-law could intensify marital distress during late pregnancy to the postpartum period in the noncoresidence group. These findings shed light on cross-lagged associations with intergenerational conflicts. Healthcare professionals need to ensure that intergenerational relationships are positive during the transition to parenthood. This study enriches our understanding of the effect of patrilineal coresidence and can guide the future development of interventions based on culturally specific multidimensional approaches.

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“…20 We anticipated an unequal distribution of older persons as a result of the migration of the young population to the cities, leaving a large cohort of older persons in rural areas, contributing toward the aging rural population. [21][22][23][24] The needs of older persons in rural areas might also be different, perhaps greater, especially in terms of health, than those in urban areas. Hence, the survey ensured that analyses was possible at both the national, as well as urban and rural stratum level.…”

Section: Sampling Designmentioning

confidence: 99%

An overview of the methodology and general findings from the National Health and Morbidity Survey (NHMS) 2018: Older persons’ health in Malaysia

Sooryanarayana

Wong

Ahmad

et al. 2020

Geriatrics Gerontology Int

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Aim This article describes the methodology of the 2018 Malaysian National Health and Morbidity Survey, and provides an overview of the sociodemographic details of the respondents and key findings on the health of older adults. Methods The survey included 3977 community‐dwelling respondents, aged ≥60 years across Malaysia. Two‐stage stratified random sampling with selection of enumeration blocks from both urban and rural areas ensured the findings were representative of the Malaysian older population. Results Complex sampling analyses ensured that findings on various geriatric syndromes, non‐communicable diseases, nutritional status, functional status, social well‐being and quality of life are representative of the Malaysian older population. Among the limitations are that the composition of older persons varied slightly from the general older population. Conclusions This article presents the methodology of the survey, and a baseline of the major health issues for older persons in Malaysia to provide clear guidance to researchers, program managers and policymakers to fully utilize the data from the Malaysian National Health and Morbidity Survey toward achieving healthy aging. The findings might stimulate more research on the health problems faced by older people to provide inputs for policymaking and program implementation. Geriatr Gerontol Int 2020; 20: 7–15.

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Social support and care arrangements of older people living alone in rural Malaysia

Cited by 22 publications

References 26 publications

Managing social support needs in older age for childless Malaysians living in poverty

Managing social support needs in older age for childless Malaysians living in poverty

Cross‐lagged Models of Marital Relationships and Intergenerational Conflicts during Transition to Parenthood: Effect of Patrilineal Coresidence

An overview of the methodology and general findings from the National Health and Morbidity Survey (NHMS) 2018: Older persons’ health in Malaysia

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