American grandparents providing extensive child care to their grandchildren: prevalence and profile

PURPOSE: This study sought to determine the prevalence and profile of grandparents providing extensive care for a grandchild (grandparents who provide 30+ hours per week or 90+ nights per year of child care, yet are not the primary caregiver of the grandchild). DESIGN AND METHODS: Secondary analysis of the 3,260 grandparent respondents in the 1992-94 National Survey of Families and Households (NSFH). Extensively caregiving grandparents were compared with custodial grandparents (those with primary responsibility for raising a grandchild for 6+ months), noncaregivers, occasional caregivers (<10 hours per week), and intermediate caregivers using chi-square tests, one-way analysis of variance tests, and logistic regression analyses. RESULTS: Close to 7% of all grandparents provided extensive caregiving, as did 14.9% of those who had provided any grandchild care in the last month. Extensive caregivers most closely resembled custodial caregivers and had least in common with those grandparents who never provided child care. IMPLICATIONS: Areas for future research, policy, and practice are highlighted, including the potential impact of welfare reform legislation on extensively caregiving grandparents.     

Grandparenting a child with a disability: An emotional rollercoaster

Objectives: As our knowledge about the experiences of grandparents when their grandchild has a disability is extremely limited, the purpose of this research was to explore the emotional journey of Australian grandparents. Method: This qualitative research utilised purposive sampling and semi‐structured in‐depth interviews to explore the experiences of 22 Australian grandparents, whose grandchild had been diagnosed with a disability. Results: Three key themes characterized grandparent's emotional journey: adjusting (the transition from anger to acceptance), the ‘double grief’ (sadness about what might have been for both their child and grandchild) and pride in family (pride in family's ability to adjust to the challenges of the situation). Conclusion: As the first Australian study to explore the experiences of grandparents when their grandchild has a disability, the research provides important new knowledge about the emotional journey for grandparents. Unlike overseas research, Australian grandparents view themselves as being there to support their own children, rather than ‘holding the family together’. The findings will provide current policy debates about the role of grandparents and highlight the importance of support services that help facilitate grandparent's role within their family.     

Structured ambivalence in grandchild care and the quality of life among European grandparents

This study employs the concept of structured ambivalence to analyse the effect of grandchild care on quality of life (QoL) in different cultural contexts. We define structured ambivalence as the contradiction between behaviour and cultural norms. The analysis is based on the Survey of Health, Ageing and Retirement in Europe with 14 countries in the sample. We focus on grandparents aged 50 and over with at least one grandchild 12 years old or younger (n = 12,740). In countries with high grandparent obligations, grandparents who did not look after their grandchildren reported a lower quality of life. Compliance with such grandparental obligations (e.g. providing grandchild care in a country with high grandparent obligations) was found to increase the QoL of grandparents. Family policy should consider family practices that better match the realities of current grandparents’ lives in order to reduce structured ambivalence and increase the QoL of grandparents.     

All in the family: the impact of caring for grandchildren on grandparents' health

OBJECTIVES: The purpose of this study was to examine the effects of caring for grandchildren on health behaviors and mental and physical health among older adults. METHODS: Using a sample of 12,872 grandparents aged 50 through 80 from the Health and Retirement Study, we examined the relationship between stability and change in various types of grandchild care and subsequent health, controlling for covariates and earlier health. RESULTS: We found no evidence to suggest that caring for grandchildren has dramatic and widespread negative effects on grandparents' health and health behavior. We found limited evidence that grandmothers caring for grandchildren in skipped-generation households are more likely to experience negative changes in health behavior, depression, and self-rated health. We also found some evidence of benefits to grandmothers who babysit. DISCUSSION: Our findings suggest that the health disadvantages found previously among grandparent caregivers arise from grandparents' prior characteristics, not as a consequence of providing care. Health declines as a consequence of grandchild care appear to be the exception rather than the rule. These findings are important given continuing reliance on grandparents for day care and increasing reliance on grandparents for custodial care. However, the findings should be tempered by the recognition that for a minority of grandparents, coresidential grandchild care may compromise health.     

Adult grandchildren and their grandparents: the enduring bond.

This article presents findings from a national survey of 208 adult grandchildren concerning relationships with their "closest" grandparent. Levels of contact and perceptions of closeness are two indices used to evaluate the strength of the bonds between the cross-generations. The evidence suggests that along these two dimensions, grandchild/grandparent relationships are significant and meaningful. Although there is diversity among the respondents, interaction levels are high for the majority of the sample. Additionally, most respondents report that their relationships with their grandparents are close and enduring. A comparison of ranked means suggests that several factors are related to the strength of the grandchild/grandparent bonds: age, lineage, geographical proximity, the child/parent relationship, and the parent/grandparent relationship. This research provides a new understanding of a significant family role, that of adult grandchild.     

Is grandparental childcare socio-economically patterned? Evidence from the English longitudinal study of ageing

Grandparents play a vital role in providing childcare to families. Qualitative research and evidence from parents raise concerns that it is grandparents who are socio-economically disadvantaged who provide grandchild care more regularly, perform more intensive tasks, and care out of financial necessity. However, no European studies have investigated these issues at population level. This study is based on grandparents aged 50+ who looked after grandchildren. Data are from wave 8 of the nationally representative English Longitudinal Study of Ageing (2016/2017). We exploit newly collected information on frequency of grandchild care, activities, and reasons for care. Using multinomial regressions, we first examined the extent to which grandparents’ socio-economic characteristics (wealth and education) are associated with frequency of grandchild care. Second, using logistic regressions, we investigated whether wealth and education are associated with activities and reasons for grandchild care. Overall, grandparents from disadvantaged socio-economic backgrounds were more likely to provide more regular childcare. Similarly, grandparents in the lowest wealth quartile were more involved in hands-on activities (cooking, taking/collecting grandchildren to/from school), whereas highly educated grandparents were more likely to help grandchildren with homework. Finally, better-off grandparents were more likely to look after grandchildren to help parents and provide emotional support and less likely to report difficulty in refusing to provide care. Our findings show that grandparental childcare varies by socio-economic status with more intensive childcare activities falling disproportionately on those with fewer resources, and this may act to exacerbate existing socio-economic inequalities in later life.

     

Grandparenting after parental divorce: The association between non-resident parent–child meetings and grandparenting in Italy

Previous studies have shown that parental divorce has negative consequences on parent–child relationships and that these effects extend to relations between grandchildren and their grandparents. After parental divorce, grandchildren have less intense and lower quality relations with their grandparents. Some studies suggest that this negative association between union dissolution in the middle generation and grandparent–grandchild relations is explained by the post-divorce residential arrangements and, to a lesser extent, by the gatekeeping role exercised by the resident parent. The role of the frequency of meetings between the non-resident parent and his/her children, however, has been often overlooked in this literature. Using cross-sectional data from the Italian Family and Social Subject Survey, our study explores the extent to which frequent meetings between non-resident separated or divorced parents and their children below age 14 are correlated with grandparent involvement in looking after their grandchildren. The results show that young children who have very frequent meetings with their non-resident parents are more likely to receive care from their grandparents than are those who meet the non-resident parents once a week or less frequently.     

Heranwachsende Enkelkinder und ihre Großeltern

Based on a survey of grandchildren 12-16 years of age, the gender specific differences of their relationship with grandparents are analysed. In addition to socio-demographic data (proportion having different types of grandparents), four indicators of intergenerational relationships (number of contacts, common activities, perceived engagement and value of grandparents) are compared according to gender of grandparent, gender of grandchild and type of grandparent. Three main observations emerge from the analysis. First of all, grandchildren have more contacts and more common activities with grandparents from the mother's side. Secondly, grandmothers are more actively engaged in intergenerational relationships with adolescent children than grandfathers, but the grandchildren value grandfathers as highly as grandmothers. Thirdly, the gender of the grandchild has no effect (both directly and indirectly): girls mention the same intensity of relationships as boys, and girls do not interact more actively with grandmothers. The gender-related differences of the grandchild-grandparent relationship are-from the perspective of the younger generation-less important than often assumed.     

Grandparents providing childcare in Italy

Research on the choices of childcare arrangements in Italy shows the fundamental role of grandparents in providing informal childcare. Therefore, it is important to understand how grandparents provide different types of childcare, especially in terms of differences in their socio-economic, demographic and physical status, jointly with the characteristics of their grandchildren. Grandparents aged 50 and over with at least one non-co-resident grandchild aged 13 years or less were selected from the 2009 Italian household survey. Multilevel multinomial logistic regression models for grandmothers and grandfathers were used to identify the determinants of the probability of providing childcare intensively, occasionally or during school holidays rather than never. The probability of a grandparent providing intensive childcare is significantly reduced by being: male, unmarried, in bad health and with inadequate economic resources. Nevertheless, when analysing the probability of providing childcare occasionally or during holidays, the individual characteristics of grandparents and grandchildren are less significant compared to intensive childcare, meaning that grandparents provide non-intensive care regardless of their individual characteristics, and this is particularly true for grandmothers. Results confirm the fundamental importance of grandparents in providing informal childcare in Italy, and they offer useful information to understand the individual characteristics associated with different types of grandparental childcare.     

Dyadic and gender differences in perceptions of the grandparent-grandchild relationship

The majority of research on grandparenting has taken the perspective of either the grandparent or the grandchild. The present study compares the perceptions of grandparents and grandchildren on four relationship variables: 1) role conception, 2) amount of contact, 3) the assessed adequacy of contact, and 4) closeness of relationship. The sample consisted of forty grandparent-grandchild pairs representing four relational dyads. A series of ANOVAs were used to examine gender and relational differences in perceptions. Increased understanding of the dynamics of grandparent-grandchild relationships can benefit professionals who develop intergenerational programs. Creating opportunities to interact across a spectrum of activities is recommended.     

Grandma's hands: parental perceptions of the importance of grandparents as secondary caregivers in families of children with disabilities.

This study examines parental perceptions of the importance of grandparents as providers of routine care to children with disabilities and the impact of such assistance on parental well-being. Data are drawn from a survey and follow-up interactive interviews. Findings of the survey indicate that: 1) grandparents are a common source of weekly assistance-significantly more common than other relatives or friends and neighbors; 2) where grandparents participate, the number of other sources of support is also higher; and 3) help from grandparents has a positive, while the number of other sources of help has a negative, relationship to parental ability to maintain a positive emotional outlook and to avoid physical exhaustion. Findings of the interactive interviews suggest that: 1) grandparent participation can promote pride and "normalized attitudes" by helping grandparents to get to know the child with a disability on an intimate basis; 2) when grandparents do not participate, parents may feel the need to manage the information given to and the emotional responses experienced by grandparents who have not had a chance to get know and love the child through frequent, direct contact; and 3) parents are very concerned that if grandparents themselves begin to need help due to increased age and disability, they will not ask for it because of fear that parents are already overburdened by the unusual demands of their parenting roles.     

General health perception,depression and quality of life in geriatric grandmothers providing care for grandchildren

Aim/backgroundTo investigate levels of depression, quality of life, general health perception, and factors affecting these in grandmothers providing care for their grandchildren.Material/methodOne hundred two family physicians from four cities (Samsun, Amasya, Canakkale, and Izmir) in Turkey investigated 2859 women older than 65 years on their patient lists. Of these, 282 (9.8%) had spent at least 50 h caring for their grandchildren in the previous three months, and these were selected as the study group, while the remaining 2563 (89.6%) were enrolled as the control group. After all participants’ demographic variables had been investigated, they completed the Beck Depression Inventory (BDI), Self-Function 12 (Mental and physical component score) (SF-12), and the Visual Analog Scale of EQ-5D (VAS). The participants in the study group also completed a questionnaire investigating features of their grandchild care.ResultsThe study group (with the exception of custodial grandmothers) scored better on the SF-12 (PSC = 50.60 ± 6.96 vs 48.24 ± 8.12), (MCS = 49.70 ± 7.77 vs 45.48 ± 7.61), VAS (60.44 ± 23.5 vs 54.16 ± 19.5), and BDI (13.97 ± 0.3 vs 19.49 ± 0.2) compared to the control group (p < 0.0001 for all). Age, monthly income, mean length of education, duration of care, mean hours spent caregiving per week, being a custodial grandmother, presence of more than one chronic disease, and caring for more than one grandchild at a time were identified as factors affecting SF-12, VAS and BID in the study group.ConclusionGrandchild care positively affected the grandmothers’ quality of life, depression levels, and general health perception, with the exception of custodial grandmothers.     

Preschool child care and risk of overweight in 6- to 12-year-old children

OBJECTIVE: To determine if there is a relationship between center-based child care attendance from ages 3 to 5 y and future overweight at ages 6-12 y. DESIGN/METHODS: Longitudinal, observational study of child experience and future body mass index. SUBJECTS: A total of 1244 US children aged 6-12 y included in the 1997 Panel Study of Income Dynamics Child Development Supplement. MEASUREMENTS: Parent-reported child care attendance from ages 3 to 5 y, trichotomized as 'none', 'limited' (>0 but <15 h/week), and 'extensive' (> or =15 h/week). Overweight defined as a body mass index > or =95th percentile for age and gender. Candidate covariates (selected a priori): gender, race, age, poverty status, birth weight, hours of television per day, Behavior Problems Index score >90th percentile, and Home Observation for Measurement of the Environment-Short Form (HOME-SF) cognitive stimulation score. RESULTS: Of the potential confounding variables, race, HOME-SF cognitive stimulation score, and age significantly altered the relationship between child care attendance and overweight in the multiple logistic regression model. With these covariates in the final model, limited center-based child care attendance from ages 3 to 5 y was independently associated with a decreased risk of overweight at ages 6-12 y (adjusted odds ratio=0.56, 95% confidence interval 0.34, 0.93) relative to no child care attendance. Extensive center-based child care attendance was not associated with future overweight. CONCLUSIONS: Limited center-based child care attendance during the preschool years was independently associated with a decreased risk of future overweight relative to no child care attendance. Additional studies are needed to clarify these findings.     

The maintaining and improving effect of grandchild care provision on elders’ mental health—Evidence from longitudinal study in Taiwan

ObjectiveThis study aims to determine the impact of grandchild care provision on elders’ mental health by self-comparison and longitudinal study design.MethodInformation of 2930 grandparents from the Study of Health and Living Status of the Middle-Aged and Elderly in Taiwan were analysed. Elders’ mental health was evaluated by Epidemiological Studies Depression Scale in both 2003 and 2007. Participants were divided into 4 groups based on their changing behaviour of caring for grandchildren from 2003 to 2007. Chi-square test was used to compare changes in elders’ individual characteristics and total CESD scores between and within groups. ANOVA was used to compare the means of elders’ depressive symptoms between groups while paired-t test was used to compare changes in elders’ depression symptoms from 2003 to 2007. Logistic regression was performed to determine the associations between elders' changing behaviour of caring for grandchildren and changes in depressive symptoms.ResultsElders continuously caring for grandchildren or started to take care of grandchildren significantly felt happier and enjoyed life more than before and more than elders who do not provide grandchild care. Logistic regression analyses exploring the impact of grandchild care provision found that elders provided no grandchild care had worst mental health amongst all. Elders stopped providing grandchild care had significantly higher risk of developing depressive symptoms (OR = 1.40) than elders provided no grandchild care at all time.DiscussionBy self-comparison, this study illustrates how taking care of grandchildren maintains elders’ mental health, especially against them from loneliness and depression.     

Patterns of over-the-counter nicotine gum use: persistent use and concurrent smoking

Aims To examine the occurrence of persistent use (i.e. use beyond 12 weeks) and concurrent use of nicotine gum with cigarettes among consumers who purchase nicotine gum over‐the‐counter (OTC). Design Assessment of gum use was conducted in the context of a smoking cessation trial among smokers who purchased Nicorette gum and enrolled in the optional Committed Quitters smoking cessation program. Eligible participants were contacted by telephone 6 weeks and 12 weeks following their self‐selected target quit date. Those who reported gum use at 12 weeks were contacted again at week 24. Participants A total of 2655 current smokers who purchased nicotine gum and enrolled in a clinical efficacy trial of the Committed Quitters program. Measurements Detailed information on smoking and gum use, including frequency of use, amount used and reasons for use was obtained at each of the three follow‐up assessments. Findings At the 24‐week assessment, 6% of participants reported current use of nicotine gum (i.e. persistent use). Those engaging in persistent use averaged 4.7 (SD = 2.5) days of gum use per week and 3.2 (SD = 3.5) pieces of gum per day. Sixty‐six per cent of persistent users reported at week 24 that they were not currently smoking, and 67% of persistent users reported they were using gum to establish or maintain abstinence. At the 6‐, 12‐ and 24‐week assessments, 14%, 10% and 2% of participants, respectively, reported current use of nicotine gum and current cigarette smoking (i.e. concurrent users). Those concurrent users reported at the 12‐week follow‐up that they did so an average of 4.4 (SD = 2.1) days per week, that they chewed an average of 2.6 (SD = 3.5) pieces of nicotine gum per day and that they smoked an average of 8.7 (SD = 8.6) cigarettes per day. Conclusion Extended use of nicotine gum is rare. Concurrent use with cigarettes is uncommon. In both cases, the amount of gum use is small. OTC marketing of nicotine gum does not appear to have increased use contrary to labeling nor resulted in patterns of use that should warrant clinical or public health concerns.     

Grandparents and adult grandchildren: what do they do for one another?

This article reports findings from a study in which the functional exchange of services, emotional (expressive) and tangible (instrumental) between grandparents and adult grandchildren were examined. The reciprocal (equivalent) and nonreciprocal (excessive giving or receiving) exchange of services was measured by the frequency of exchange and perception of potential support between the dyad. Noninstitutionalized Jewish grandparents (118, 65+ years of age) with at least one adult grandchild (18+ years of age) were randomly selected from an apartment house in Miami Beach. The results showed that the majority of grandparent-adult grandchild relationships are not reciprocal in either expressive or instrumental support. Grandparents' perception of reciprocity is that they receive more than they give. Social-work knowledge of functional exchange between this dyad may strengthen the social-support network of the elderly.     

Grandparents as interactive and social support agents for families with young infants

The role of grandparents in infancy was examined in a comparative analysis of grandparent-infant grandchild and parent-infant interaction patterns. A second focus of the study was an exploration of the extent to which grandparents function as social support agents for their adult children and infant grandchildren. Grandparents (30 grandmothers and 21 grandfathers) and parents (30 mothers and 30 fathers) of seven-month-old infants were observed in individual five-minute dyadic play sessions with the infant in the parents' homes, yielding twenty minutes of agent-infant interaction. The observations were scored using both time-sampling and global coding schemes. Information on grandparental support to the young parents and infants, relative to other social support sources, were also obtained from grandparents and parents. Results indicated that both grandmothers and grandfathers are active interactive and support agents, with a pattern of similarities and differences in interactive style across generation and gender. Although there was a high degree of overlap in parent and grandparent interaction styles, parents were rated as more competent. Gender consistencies were found between female agents (mothers and grandmothers) and male agents (fathers and grandfathers). High levels of intergenerational contact were reported, with both parents and grandparents highly satisfied with the contact. The results of this study support an expanded view of the effects of various agents in young children's social environment.     

Strengths and needs of black grandparents.

This study was conducted to identify ethnic differences in grandparent performance and effectiveness so that an educational program called Becoming A Better Grandparent could be adapted to maximize its relevance for Black families. MANOVA procedures were used to compare perceptions of 204 Anglo grandparents and 204 Black grandparents as well as 175 Anglo and 295 Black grandchildren. Black grandparents perceived themselves more favorably than did Anglos on every subscale of the Grandparent Strengths and Needs Inventory. Black grandchildren assigned grandparents significantly more favorable ratings for teaching and overall success, whereas Anglo grandchildren assigned their grandparents higher scores for coping with difficulty, managing frustration, and meeting information needs. Analyses of grandparent responses revealed significant main effects for age of grandparent, age of grandchild, time spent together, and geographical proximity. Grandchildren responses yielded significant main effects for age of grandchild and time spent together. Findings showed interaction effects for ethnicity by age of grandparent, ethnicity by age of grandchild, and ethnicity by distance. Implications for modifying the program to fit Black grandparents were identified.     

The 4-2-1 family structure in China: a survival analysis based on life tables

Concern about ensuring old-age support in 4-2-1 families—consisting of four older people (paternal and maternal grandparents), two parents, and only one child—has risen with the increase in the number of families with only one child. In this article, using life table data and probability theory, we examine survival probabilities and coexistence durations for China’s 4-2-1 family structure, as well as urban and rural differences and conduct a sensitivity analysis. We find that once the grandparents have all entered the “old-age” phase (over 60 years old), the probability that all four will survive is only 0.61. The four grandparents are likely to coexist for 16 years after the birth of their grandchild, then one will die and the remaining three will probably spend another 8 years together; finally, after another dies, the surviving two will coexist for another 5 years. There is no significant difference between urban and rural families in terms of the duration of their coexistence. As the ages at which the parents had their child rise, the durations become shorter. The pressure of old-age support in such families is not as severe as expected.