Showing papers on "Grandparent published in 2022"

Global, regional, and national minimum estimates of children affected by COVID-19-associated orphanhood and caregiver death, by age and family circumstance up to Oct 31, 2021: an updated modelling study

Abstract: In the 6 months following our estimates from March 1, 2020, to April 30, 2021, the proliferation of new coronavirus variants, updated mortality data, and disparities in vaccine access increased the amount of children experiencing COVID-19-associated orphanhood. To inform responses, we aimed to model the increases in numbers of children affected by COVID-19-associated orphanhood and caregiver death, as well as the cumulative orphanhood age-group distribution and circumstance (maternal or paternal orphanhood).We used updated excess mortality and fertility data to model increases in minimum estimates of COVID-19-associated orphanhood and caregiver deaths from our original study period of March 1, 2020-April 30, 2021, to include the new period of May 1-Oct 31, 2021, for 21 countries. Orphanhood was defined as the death of one or both parents; primary caregiver loss included parental death or the death of one or both custodial grandparents; and secondary caregiver loss included co-residing grandparents or kin. We used logistic regression and further incorporated a fixed effect for western European countries into our previous model to avoid over-predicting caregiver loss in that region. For the entire 20-month period, we grouped children by age (0-4 years, 5-9 years, and 10-17 years) and maternal or paternal orphanhood, using fertility contributions, and we modelled global and regional extrapolations of numbers of orphans. 95% credible intervals (CrIs) are given for all estimates.The number of children affected by COVID-19-associated orphanhood and caregiver death is estimated to have increased by 90·0% (95% CrI 89·7-90·4) from April 30 to Oct 31, 2021, from 2 737 300 (95% CrI 1 976 100-2 987 000) to 5 200 300 (3 619 400-5 731 400). Between March 1, 2020, and Oct 31, 2021, 491 300 (95% CrI 485 100-497 900) children aged 0-4 years, 736 800 (726 900-746 500) children aged 5-9 years, and 2 146 700 (2 120 900-2 174 200) children aged 10-17 years are estimated to have experienced COVID-19-associated orphanhood. Globally, 76·5% (95% CrI 76·3-76·7) of children were paternal orphans, whereas 23·5% (23·3-23·7) were maternal orphans. In each age group and region, the prevalence of paternal orphanhood exceeded that of maternal orphanhood.Our findings show that numbers of children affected by COVID-19-associated orphanhood and caregiver death almost doubled in 6 months compared with the amount after the first 14 months of the pandemic. Over the entire 20-month period, 5·0 million COVID-19 deaths meant that 5·2 million children lost a parent or caregiver. Our data on children's ages and circumstances should support pandemic response planning for children globally.UK Research and Innovation (Global Challenges Research Fund, Engineering and Physical Sciences Research Council, and Medical Research Council), Oak Foundation, UK National Institute for Health Research, US National Institutes of Health, and Imperial College London.

Beyond Parenting Socialization Years: The Relationship between Parenting Dimensions and Grandparenting Functioning

Abstract: Parental socialization has been studied mainly when is in process, but less is known about its long-term impact on older adults, particularly on one of the most important developmental tasks in later life: being a grandparent. Participants were 313 Spanish grandparents. The present study examined the relationship between parenting and its impacts in the long term, when the child is a grandparent. The variables examined were parenting (parental warmth and parental strictness) and grandparenting functioning (satisfaction with life, meaning of life, parent–adult child relationship quality, emotional closeness with grandchildren, and role overload). The statistical analyses were a correlation analysis and multiple linear regression analyses. A constant pattern between parenting and grandparenting functioning has been found. Warmth was positively associated with grandparenting functioning, as opposed to strictness, which did not show benefits for grandparents and even showed a significant negative relationship with an indicator of grandparenting functioning. Present findings highlight that, during the socialization years, greater parental warmth but not parental strictness might be of benefit for children at the end of their life (i.e., when they are grandparents) but also for their descendants because they have a better relationship with the two following generations (i.e., adult children and grandchildren).

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

Abstract: 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.

Digital Leisure: An Opportunity for Intergenerational Well-Being in Times of Pandemic?

Abstract: Leisure activities shared by grandparents and grandchildren provide important benefits. The health and humanitarian crisis caused by the coronavirus (COVID-19) pandemic has made it necessary to use digital tools to alleviate the lack of contact between adults and children. This paper had as its aim to identify the digital leisure shared by grandparents and their pre-adolescent grandchildren (10-12 years old) before and during the pandemic, as well as its contribution to intergenerational well-being from a holistic paradigm, ultimately aiming to determine whether that digital leisure constitutes an experience of human development for young and old people alike. The sample was made up of 153 grandparents of 10-to-12-year-old children living in the north of Spain. Alongside the use of an ad hoc questionnaire, descriptive and inferential analyses were carried out. Most intergenerational leisure activities ceased to be performed during the lockdown, except for those that could be carried out remotely, thanks to information and communication technologies, which ensured the continuity of social and family interactions. Technological connectivity between generations provided greater support to communication and meaningful relationships, additionally facilitating active aging processes.

Word of Mouth from Left-Behind Children in Rural China: Exploring Their Psychological, Academic and Physical Well-being During COVID-19

Abstract: COVID-19 has had considerable effects on people's lives worldwide, particularly left-behind children in China as they tragically witnessed the outbreak. From the outset, millions of left-behind children in rural areas experienced extensive physical and psychological disturbances because their migrant parents who lived in the city or another province could not be with them. This study explored the psychological, academic, and physical well-being of rural left-behind children during COVID-19. We captured the experiences of 10- to 15-year-old children and adolescents who were left behind by their migrant parents before the COVID-19 outbreak. The results of the present study suggest that left-behind children have exhibited severe psychological illnesses since the pandemic has limited their social interactions with peers and increased improper caretaking from grandparents.

Religious celibacy brings inclusive fitness benefits

Abstract: The influence of inclusive fitness interests on the evolution of human institutions remains unclear. Religious celibacy constitutes an especially puzzling institution, often deemed maladaptive. Here, we present sociodemographic data from an agropastoralist Buddhist population in western China, where parents sometimes sent a son to the monastery. We find that men with a monk brother father more children, and grandparents with a monk son have more grandchildren, suggesting that the practice is adaptive. We develop a model of celibacy to elucidate the inclusive fitness costs and benefits associated with this behaviour. We show that a minority of sons being celibate can be favoured if this increases their brothers' reproductive success, but only if the decision is under parental, rather than individual, control. These conditions apply to monks in our study site. Inclusive fitness considerations appear to play a key role in shaping parental preferences to adopt this cultural practice.

Grandparent-grandchild relationships, generativity, subjective well-being and self-rated health of older people in Chile.

Abstract: With increasing life expectancy, grandparents and grandchildren have more years available to share. Furthermore, with lower fertility rates and fewer grandchildren, relationships can be more frequent and profound. Intergenerational relationships are expected to be associated with older people's quality of life, especially in Latin American countries such as Chile, with high intergenerational co-residence and contact between generations. This research aims to analyze the associations between the characteristics of intergenerational relationships and grandparents' subjective well-being (Diener Scale and Satisfaction) and self-rated health. The novelty stems from including the structural characteristics of relationships with grandchildren (frequency of contact, closeness, and care), the activities they share (generativity), and the quality of relationships (ambivalence). This study is based on data from a specific face-to-face grandparenting survey conducted on a sample of 464 grandparents in January 2020. It is representative of older Chilean grandparents living in private dwellings. Multiple logistic and ordinary regression models were estimated using the Diener Scale, unique satisfaction question, and health self-perception. The results demonstrated that subjective well-being, but not self-rated health, was highly associated with the characteristics of intergenerational relationships, especially with the quality of relationships and with generative activities such as recreational activities and family identity. In conclusion, intergenerational relationships' quality and content are strongly associated with subjective well-being in old age, but not with health self-perception. Even in a Latin American country like Chile, with high co-residence and intergenerational contact, the variations in quality and generativity activities significantly explain the variations in subjective well-being. For this reason, policies for the promotion of well-being in older people must consider the family environment in which older people live, encompassing wider family networks, including grandchildren.

Gendered Experiences of Parent–Child Communication on Sexual and Reproductive Health Issues: A Qualitative Study Employing Community-Based Participatory Methods among Primary Caregivers and Community Stakeholders in Rural South-Western Uganda

Abstract: Open and positive parent–child communication about sexual and reproductive health (SRH) is known to reduce negative SRH outcomes for young people. However, socio-cultural influences can inhibit meaningful SRH communication. Restrictive gender norms threaten the SRH of adolescents, as they make adolescent boys more likely to engage in risky sexual behavior and make girls more vulnerable to negative SRH outcomes. This study intended to critically understand the impact of gender norms and expectations on parent–child SRH communication in rural south-western Uganda. Methods: The study adopted a community-based participatory approach using community stakeholder engagement meetings (n = 2), in-depth interviews (n = 12), and three focus group discussions with parents (n = 18). The study considered biological parents, step-parents, grandparents, uncles and aunties, as long as they were primary caregivers of adolescents aged 10–14. Results: Participants elaborated on the socio-cultural aspects that shaped their experiences of parent–child SRH communication such as cultural gender norms, religion, and media influences. They also referred to socio-economic challenges, lack of knowledge, and the role of peers and schools. Conclusions: There is need for community-based interventions to improve parent–child SRH communication to address the deeply rooted cultural and gender contexts in rural south-western Uganda.

Parental Participation in the Environment: Scale Validation Across Parental Role, Income, and Region

Abstract: Parental participation has gained significant attention in environmental psychology, which has revealed a need for an instrument that can measure parental participation with children regarding environmental issues. The present study met this need by validating the parental participation in the environment (PPE) scale. This process began with 45 Chinese parents participating in an individual interview and group discussions, which helped generate a list of eighteen parent-child environmental activities. The activities were then modified and validated in the current study with a diverse group of 969 parents recruited from six major Chinese cities. Both score structure evidence and generalizability evidence were obtained within this sample, and psychometric tests suggested a single factor construct with nine items. Once the PPE scale was revised, it showed measurement invariance across the parent who responded to the items (mother vs. father), across the child’s primary caregiver (mother vs. father vs. grandparent), across the family’s living region (North China vs. South China), as well as across the family’s income group. Finally, evidence based on relations to other variables showed a relationship among parents’ PPE, pro-environmental behavior, and connectedness with nature. As a result, the study provided a novel measure to assess pro-environmental socialization via parental participation.

Grandparental care and childhood obesity in China

Abstract: Ongoing increases in childhood obesity have become a serious public health concern. Meanwhile, caregiving by grandparents becomes a worldwide social phenomenon. This study estimates the effect of grandparental care on childhood obesity and explores its pathways. Utilizing five waves of panel data from the China Family Panel Studies, we found that grandparental care significantly increases the probability of childhood obesity, adding 3.6 percentage points. The effect is heterogeneous between boys and girls and between grandparents with different education attainments. The channels through which grandparents contribute to childhood obesity include inappropriate dietary patterns and insufficient physical activities. Additionally, we found that grandparents' famine experience generates a long-term fear of hunger, which translates into overfeeding their grandchildren, thus aggravating childhood obesity in China.

Compliance of functional exercises in school-age children with limb fractures: implication for nursing countermeasures

Abstract: Functional exercises is very essential to the recovery of patients with fracture. We aimed to evaluate the compliance of functional exercises in school-age children with limb fracture, to provide evidence to the clinical management and nursing care of children with limb fracture.School-age children with limb fractures treated in our hospital from January 1, 2020 to June 30, 2021 were selected. The characteristics and postoperative functional exercise compliance of included children were analyzed. Pearson correlation and Logistic regression analysis were conducted to analyze the influencing factors of compliance to functional exercises.A total of 328 children with limb fracture were included, the incidence of compliance to functional exercise was only 35.98%. Pearson correlation analysis showed that age(r = 0.707), only child of family(r = 0.537), guardians(r = 0.642) and type of temperament(r = 0.635) were correlated with compliance to functional exercises in school-age children with limb fractures (all p < 0.05). Logistic regression analysis indicated that age ≤ 10y (OR2.913, 95%CI2.091 ~ 3.611), only child of family (OR2.006, 95%CI1.683 ~ 2.558), guarded by grandparents (OR1.512, 95%CI1.201 ~ 2.118), non-easy-going temperament (OR4.127, 95%CI3.811 ~ 4.902) were the influencing factors of non-compliance to functional exercises in children with limb fracture (all p < 0.05).School-age children have poor compliance with functional exercises after limb fractures, and there are many influencing factors. For children with those risks, health care providers should actively intervene in nursing to improve children's exercise compliance and the rehabilitation effect.

“My children,” “my grandchildren”: Navigating intergenerational ambivalence in grandparent childcare arrangements in Hong Kong

Abstract: Objective This study contributes in-depth knowledge about informal childcare and family processes in East Asian families in Hong Kong in a time of rapid economic and social development. We explore how families negotiate grandparent childcare and how parents and grandparents manage intergenerational tensions and conflict. Background The common way of understanding intergenerational relationships in childcare is to focus on the positive experience of taking care of grandchildren, but there is limited discussion on the tension and conflicts that also occur between the generations. Method This qualitative study is based on in-depth interviews with 14 parents and 12 grandparents about childcare arrangements for 53 children within East Asian families in Hong Kong. Results Tensions are found among the parents and grandparents in childcare provision, and considerable negotiation and ongoing emotional management of relationships is required. Conclusion Grandparent childcare is an important resource for many families, but it might not suit all. The issues of autonomy, seniority, power, respect, and different expectations of care are embedded in established family dynamics. Some intergenerational problems are unable to be settled by the family members. Implications Grandparent childcare should be a care option provided for families with young children. However, it should not be a substitute for childcare services and supports outside the home. Professional family services also should be sensitive to intergenerational family dynamics.

Displaying intergenerational solidarity on TikTok during the COVID-19 pandemic: understanding the implications in the grandparent-grandchild relationship

Abstract: ABSTRACT The habits of families are affected during the COVID-19 pandemic, with limitations to socialization or visits. Grandparents and grandchildren use social media to sustain interpersonal relationships, as well as display intergenerational solidarity to others. This paper presents a qualitative content analysis of the display of different dimensions of intergenerational solidarity between grandparents and grandchildren during the COVID-19 pandemic in 2020, on TikTok. The analysis extends the understanding of intergenerational solidarity between grandparents and grandchildren on TikTok, by highlighting which characteristics or activities they find important to display to other users of the platform. The results suggest that grandparents and grandchildren value qualities of physical touch and family celebrations (i.e. affectual solidarity), and big life events (i.e. normative solidarity). Moreover, grandparents and grandchildren refrain from consensual solidarity on TikTok, but other categories of intergenerational solidarity provide clues to differences in the public display of their respective roles.

Intensity of grandparent caregiving, health, and well-being in cultural context: A systematic review.

Abstract: BACKGROUND AND OBJECTIVES Grandparents are key resources in grandchildren care globally. However, mixed findings indicated that multiple role engagement may enhance well-being and bring demands on grandparent caregivers in different contexts. This systematic review examines the association between the intensity of grandparent caregiving and their health and well-being (i.e., physical, mental, cognitive, and life satisfaction) by continent and country/region. RESEARCH DESIGN AND METHODS Systematic searches were conducted in four databases. Peer-reviewed articles with quantitative designs published between 1990 and November 2021 were identified. A rigorous selection process was followed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The studies were critically appraised, and their results were narratively synthesized. RESULTS Sixty-five articles from 29 countries/regions were included. Findings suggested a concave curvilinear relationship between the intensity of grandparent caregiving and their health and well-being, with the optimal caregiving intensity varying across sociocultural contexts. In Europe, Oceania, Middle East, and South America, providing supplementary or occasional care seems beneficial for grandparents' health and well-being, especially supporting dual-earner families. In East Asia, economic resources appear to buffer the adverse effect of primary care on grandparents' well-being. In the United States, findings vary across ethnicity/race. DISCUSSION AND IMPLICATIONS Collectively, the intensity of grandparent caregiving, health and well-being is complicated by grandparents' roles in the family and cultural differences. Acknowledging the bidirectional relationship between well-being and grandparents' capacity for providing care, the well-being as outcome is a limitation. Despite so, this systematic review calls for culturally-tailored family programs to support grandparent caregiving.

Family Alliance and Intergenerational Transmission of Coparenting in Gay and Heterosexual Single-Father Families through Surrogacy: Associations with Child Attachment Security

Abstract: Parents tend to internalize the coparenting model they experienced during childhood and enact it in their coparenting relationships as adults. These interactive patterns may, in turn, shape their children’s internal working models of attachment relationships. The present study recruited 31 gay and 28 heterosexual single-father families through surrogacy to examine family alliance quality and the mediating role of observed supportive and conflictual coparenting in the association between the coparenting quality single fathers experienced in their families of origin and the attachment security of their children. All single fathers lived in Italy, were cisgender and White, and had a child aged 6–12 years (M = 97.73 months; SD = 20.48; 47.5% girls) who they coparented with nonparental caregivers (i.e., 33 grandparents, 18 babysitters, 8 uncles/aunts). Families did not differ in family alliance dimensions based on fathers’ sexual orientation. Additionally, single fathers who experienced greater coparenting quality in their families of origin demonstrated lower levels of conflictual coparenting, which, in turn, were associated with greater child attachment security. In contrast, observed supportive coparenting did not mediate this relation. The results emphasize the need to reconceptualize the dyadic coparental unit in single-father surrogacy families to include extended family members and nonrelatives.

Digital Anticipation: Facilitating the Pre-Emptive Futures of Chinese Grandparent Migrants in Australia

Abstract: In this article, we contrast the digital kinning and digital homing practices of PRC Chinese transnational grandparents in Australia from two migration cohorts. Our case studies demonstrate that these digital practices form an integral part of the ability to anticipate aging futures. This “digital anticipation” not only helps to safeguard and affirm social and cultural identities that are often at risk as people age in migrant settings, but also provides the potential to imagine either a future return to China that involves physical separation from children and grandchildren, or, conversely, a future lived in Australia while still maintaining connection and participating digitally in affective economies that extend beyond the nuclear family to encompass siblings, friends, and lifelong workmates. Here the role of facilitated digital access is highlighted as a form of care that can be provided by younger generations.

Bereavement &amp; mental health: The generational consequences of a grandparent's death

Abstract: The COVID-19 pandemic has left millions of children and adolescents grieving the sudden death of a grandparent. Yet, we lack knowledge of the mental health implications of a grandparent's death for youth. This study uses longitudinal data to examine if the loss of a grandparent increases adolescent grandchildren's likelihood of experiencing their mothers' major depressive disorder, and of having depressive symptoms themselves. Using data from the Fragile Families and Child Wellbeing Study, a population-based cohort study of children born in 20 U.S. cities between 1998 and 2000, we estimate associations between the death of a maternal grandparent in mid-childhood and adolescents', and their mothers', depressive outcomes when the adolescent is roughly age 15 (in 2014–17), net of a robust set of covariates, including pre-bereavement depression. Adjusted regression models show no elevated depression risk associated with a grandfather's death—neither for adolescents nor their mothers. A grandmother's death within the previous seven years is associated with a higher likelihood of adolescents having a depressed mother compared to both non-bereaved adolescents (odds ratio (OR) ​= ​2.42; 95% confidence interval (CI) ​= ​1.17, 5.01) and those whose grandmother died more than seven years ago (OR ​= ​3.78; 95% CI ​= ​1.54, 9.31). Furthermore, adolescent boys have a 50% increase in their depressive symptoms following a grandmother's death relative to their non-bereaved peers—an increase that operates independently from the influence of the death on their mother. Together, the results show the death of a grandmother is an underappreciated, persistent risk factor for adolescents experiencing maternal major depressive disorder, and for adolescent boys experiencing depressive symptoms personally.

Internet of Things-Based Patient Cradle System with an Android App for Baby Monitoring with Machine Learning

Abstract: It is becoming more popular because of the widespread availability of high-speed Internet and the widespread use of mobile phones, both of which are contributing to its rise in popularity. One such significant issue is the use of mobile phones by working parents to keep an eye on the behaviour of their children while they are babysitting for others, which is a significant concern. This study introduces the notion of a smart cradle, which enables for this kind of video monitoring to be carried out on an infant. An infant’s scream triggers the automated swinging of this cradle, which begins when the sensor detects it. In addition, if the baby’s cry persists for an extended period of time, the gadget triggers a buzzer and sends a text message to the phone, signalling that the cradle is no longer capable of handling the infant and that the baby needs human assistance if the cradle’s mattress is wet. This cradle is equipped with an automatic spinning toy for the baby’s entertainment, which reduces the likelihood of a newborn crying throughout the day. A notable rise in the number of working mothers has been seen in recent years. Consequently, the vast majority of parents place their children in the care of their grandparents or in the care of child-minding companies. In addition, we developed a new algorithm for our system, which is critical in delivering better newborn care when parents are not there to assist. Due to the fact that parents are unable to continuously monitor their children’s condition in ordinary or atypical situations while they are at work, this is the case. Node is the fundamental building unit of a microcontroller. Over the course of a single day, the controller board will collect data from the sensors and transmit it to the Adafruit MQTT server over Wi-Fi to be processed. In addition to monitoring the baby’s vital signs, sensors are also used to detect environmental conditions such as the temperature, humidity, and amount of crying in the surroundings. Using the NX Siemens software, a prototype for the cradle was created. Red meranti wood was utilized in its construction. Whenever the baby begins to scream, the system design automatically swings the infant cradle, which is powered by a motor that is built into the system. In addition, parents may use an external web camera to keep checks on the health of their children when they are away from home. Every aspect of this network has been tested to guarantee that it functions effectively and safely at all times.

Sedentarization and maternal childcare networks: role of risk, gender and demography

Abstract: Women cooperate over multiple domains and while research from western contexts portrays women's networks as limited in size and breadth, women receive help, particularly with childcare, from a diverse range of individuals (allomothers). Nonetheless, little exploration has occurred into why we see such diversity. Wide maternal childcare networks may be a consequence of a lack of resource accumulation in mobile hunter–gatherers—where instead households rely on risk-pooling in informal insurance networks. By contrast, when households settle and accumulate resources, they are able to retain risk by absorbing losses. Thus, the size and composition of mothers' childcare networks may depend on risk-buffering, as captured by mobile and settled households in the Agta, a Philippine foraging population with diverse lifestyles. Across 78 children, we find that childcare from grandmothers and sisters was higher in settled camps, while childcare from male kin was lower, offering little support for risk-buffering. Nonetheless, girls’ workloads were increased in settled camps while grandmothers had fewer dependent children, increasing their availability. These results point to gender-specific changes associated with shifting demographics as camps become larger and more settled. Evidently, women's social networks, rather than being constrained by biology, are responsive to the changing socioecological context. This article is part of the theme issue ‘Cooperation among women: evolutionary and cross-cultural perspectives’.

Parental Demands for Childcare Services of Infants and Toddlers in China Under the Three-Child Policy

Abstract: The Chinese government announced the three-child policy on May 31, 2021, in order to alleviate the aging population problem. Under the three-child policy, parental demands for childcare services increased, but the degree of socialization of childcare services in China was low. The qualitative research was used with a content analysis approach based on the data acquired using in-depth and semi-structured interviews with 20 groups of parents who were planning to have a third child and were looking for childcare services for their children. Participating parental demands for childcare services covered five themes: two sides of a coin for a family; environment and facilities requirements; professionalism needs; instruction and guidance requirements; and public childcare services system demands. The results of the cross-case comparison showed that different factors, such as family income, educational background of parents, differences in gender roles of parents, and whether grandparents involved in childcare influence parental demands for the length, content, type, and price of childcare services. It is essential for the government to consider professionalism, universality, systematization, convenience, and diversification in the process of accelerating the socialization of childcare services for infants and toddlers under the three-child policy in China.

Work histories and provision of grandparental childcare among Italian older women

Abstract: Abstract This work investigates the link between grandmothers’ participation in the labour market during adult life (between ages 18 and 49) and their provision of grandparental childcare later in life. Our contribution is twofold. First, we consider the Italian case, that despite its reliance on informal care has been under-researched. Second, we test two contrasting arguments on the association between grandchild care provision and grandmother’s work histories. On the one hand, lifelong homemakers could be more family-oriented and more likely to provide grandchild care in later life. On the other hand, ever-employed grandmothers could be more likely to have employed daughters and provide grandchild care to support their working careers. With data from the Multipurpose surveys on Families and Social Subjects (2003, 2009, 2016), we estimate logistic regression models, considering various specifications of grandparental childcare, and measuring labour market attachment in three different ways (having ever worked, length of working career, employment interruptions for family reasons). Results show a dualism between grandmothers who ever worked and those who never did, with the former more likely to provide grandparental childcare, especially when parents are at work. Grandmothers who worked only a few years are more similar, in terms of grandchild care provision, to those who worked throughout their life, than to lifelong homemakers. This association is stronger in the South and North-West of Italy. Overall, we showed that care responsibilities are inextricable from labour market participation, as grandmothers who already juggled family and work are those supporting the most their adult children’s work–family reconciliation.

Depression Symptoms among Family Members of Nyaope Users in the City of Tshwane, South Africa

Abstract: Substance abuse brings major negative social and health impacts in South Africa. Nyaope, a cocktail drug commonly used in the Tshwane townships, has been well documented to be highly addictive and very difficult to quit. The resultant difficulties include financial, social, and mental, specifically depression and anxiety. This study aims to quantify the depression levels among family members with nyaope users in Tshwane, South Africa. The study used a quantitative cross-sectional design to collect data in nine Tshwane communities. The patient health questionnaire-9 (PHQ-9) screening tool and demographic data collection questionnaires were used to collect data from a sample of 390 male and female family members who included mothers, fathers, grandparents, aunts, uncles, partners, and siblings of nyaope users, and who share a home with them. The ages of the participants ranged from 18 to 87 years, with a mean age of 47 years, while the ages of the nyaope users ranged from 17 to 55 years, with a mean age of 30 years. Depression scores ranged from 0 to 27 with a mean of 7. Depressive symptoms, as measured by the PHQ-9 scores of 5 and above, were reported by 49% of the sample. The levels of depression symptoms ranged from mild to severe, and the severity was higher among female, unemployed, and single participants. As with many others, these participants were not diagnosed and therefore were not treated. The study, therefore, identified that living with nyaope users is associated with the development of different levels of depression symptoms and has resulted in reduced quality of life among family members. The study recommends interventions that intentionally focus on families who live with individuals who are addicted to nyaope. Those interventions should focus on screening and treatment of depression and other mental disorders.

A prospective study of peer victimization and depressive symptoms among left-behind children in rural China: the mediating effect of stressful life events

Abstract: The Ministry of Civil Affairs of the People's Republic of China reported that in 2018, 6.97 million left-behind children (LBC), children who live in rural areas away from their parents, were being cared for by grandparents, relatives, elder siblings, or often living alone. Their parents have migrated to cities for better income opportunities. While a number of studies have detailed elevated depressive symptoms among LBC, relatively little is known about the causes of poorer mental health in LBC.This study used longitudinal data to examine associations between peer victimization, stressful life events, and depressive symptom severity in LBC from four randomly-selected middle schools in Guizhou Province, China. A total of 862 children aged 11-18 years, with 472 LBC (54.76%) and 390 non-left-behind children (NLBC) (45.24%), were included in the analysis. T-test was used to compare the depressive symptoms, peer victimization, and stressful life events between LBC and NLBC at baseline and follow-up (6 months later). Multivariable linear regression models were used to examine the mediation effect of follow-up stressful life events on the relationship between baseline peer victimization and follow-up depressive symptoms among LBC.Results suggested that LBC had higher peer victimization and stressful life events than NLBC (β = 1.28, p = 0.04), and peer victimization and stressful life events at baseline were associated with increased follow-up depressive symptoms among LBC (Peer victimization: β = 0.25, p < 0.0001; Stressful life events: β = 0.15, p < 0.001). Peer victimization affected depressive symptoms partially through stressful life events for female LBC and completely through stressful life events for male LBC, controlling for age, perceived socioeconomic status, and school.This study highlights the vulnerability of LBC exhibiting negative mental health outcomes as they were found to experience more peer victimization and feel more stressed when stressful life events happened, compared with NLBC. Results of this study suggested that protecting LBC from peer victimization experiences can potentially prevent LBC from experiencing an increased impact of other stressful life events, thus decreasing the likelihood of their depressive symptoms. Intervention design should consider the different mediating effects of stressful life events on the relationship between peer victimization and depressive symptoms among female and male LBC.

OUP accepted manuscript

Abstract: Abstract Background and Objectives Grandparents are key resources in grandchildren care globally. However, mixed findings indicated that multiple role engagement may enhance well-being and bring demands on grandparent caregivers in different contexts. This systematic review examines the association between the intensity of grandparent caregiving and their health and well-being (i.e., physical, mental, cognitive, and life satisfaction) by continent and country/region. Research Design and Methods Systematic searches were conducted in 4 databases. Peer-reviewed articles with quantitative designs published between 1990 and November 2021 were identified. A rigorous selection process was followed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The studies were critically appraised, and their results were narratively synthesized. Results Sixty-five articles from 29 countries/regions were included. Findings suggested a concave curvilinear relationship between the intensity of grandparent caregiving and their health and well-being, with the optimal caregiving intensity varying across sociocultural contexts. In Europe, Oceania, the Middle East, and South America, providing supplementary or occasional care seems beneficial for grandparents’ health and well-being, especially supporting dual-earner families. In East Asia, economic resources appear to buffer the adverse effect of primary care on grandparents’ well-being. In the United States, findings vary across ethnicity/race. Discussion and Implications Collectively, the intensity of grandparent caregiving, health, and well-being is complicated by grandparents’ roles in the family and cultural differences. Acknowledging the bidirectional relationship between well-being and grandparents’ capacity for providing care, the well-being as outcome is a limitation. Despite so, this systematic review calls for culturally-tailored family programs to support grandparent caregiving.

Mental/behavioural health and educational outcomes of grandchildren raised by custodial grandparents: A mixed methods systematic review

Abstract: Abstract Grandparents caring for grandchildren has increased globally in the past two decades, but we have a limited understanding of its effects on custodial grandchildren's mental/behavioural health and educational outcomes. This mixed methods systematic review aims to synthesise mental/behavioural health and educational outcomes of custodial grandchildren within custodial grandparent‐headed families and with comparison to other types of household structure and further examine factors associated with these outcomes. A systematic review following the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses guidelines was conducted. We searched ERIC, Family Studies Abstracts, PsycINFO, PubMed, Scopus, Social Work Abstract and SocINDEX in March 2021 and screened 14,515 articles, which resulted in the inclusion of 42 studies, including 33 quantitative, seven qualitative and two mixed methods studies. The quality of included studies was assessed. This review covered 10 countries, yet most studies revealed that grandchildren raised by grandparents had adverse mental/behavioural health and educational outcomes compared to their peers raised by biological parents. This review further identified multi‐level factors contributing to custodial grandchildren's adverse outcomes. Methodological limitations and implications for future practice and research were discussed.

Child Health Status and Health Care Use in Grandparent- Versus Parent-Led Households.

Abstract: OBJECTIVES To use a nationally representative sample to compare children in grandparent-led versus parent-led households with regard to diagnosed child health conditions, receipt of timely health care, and burden of caregiving responsibilities. METHODS We used 4 years of pooled data from the National Survey of Children's Health, representative of United States children ages 0 to 17 years, and applied bivariate analyses and logistic regressions adjusted for sociodemographic confounders to compare grandparent- and parent-led households on key measures of interest. RESULTS Compared with children in parent-led households, those in grandparent-led households had increased physical health conditions (oral health problems: 18.9% vs 13.1%, P = .0006; overweight/obesity: 40.3% vs 29.7%, P = .0002); emotional, mental, and developmental health conditions (attention deficit hyperactivity disorder: 16.3% vs 8.0%; behavioral/conduct problems: 13.9% vs 6.1%; depression: 6.6% vs 3.1%; learning disability: 13.9% vs 6.2%, P < .0001 for all); and special health care needs (28.2% vs 17.8%, P < .0001). They also had decreased prevalence of health care utilization (usual source of sick care: 65.7% vs 79.5%, preventive checkups: 64.6% vs 77.1%; preventive dental visits: 73.8% vs 80.6%; specialty care: 78.6% vs 90.2%, P ≤ .0001 for all) and increased prevalence of forgone care (5.9% vs 2.8%, P = .0020). After adjustment, the associations with caregiver type remained statistically significant for all emotional, mental, and developmental conditions listed; special health care needs; usual source of sick care and preventive checkups. CONCLUSIONS Grandparent caregivers may benefit from additional support to ensure that grandchildren receive timely health care services.

Juggling Grandchild Care and Labor Force Participation: The Effect on Psychological Wellbeing of Older Women

Abstract: Although it is well-known that care responsibilities are strongly gendered also in later life, the consequences for older women of juggling work and care responsibilities are understudied. This study contributes to fill this gap by focusing on the wellbeing implications for older European women of combining work and grandchild care. The role strain and role enhancement theories guide our theoretical predictions. While the former predicts a lower wellbeing due to the double burden of grandchild care and paid work, the latter posits an increase in wellbeing through the accumulation of social identities or roles. By using longitudinal data from the Survey of Health, Ageing and Retirement in Europe (SHARE), we investigate whether grandmothers who do and those who do not work experience different levels of quality of life, depressive symptoms and life satisfaction. Our statistical model consists in a fixed-effect regression that adjusts for the lagged outcome. Results show that, among grandmothers engaged in paid work, grandchild care is not significantly associated with any of the three outcomes considered. Instead, non-working grandmothers seem to benefit from provision of grandchild care, in terms of higher quality of life and lower number of depressive symptoms. As thus, the provision of grandchild care tends to be beneficial for grandmothers' wellbeing only if they do not combine this activity with paid work. Juggling paid work and childcare to grandchildren may result in an excessive burden which eliminates the potential benefits of grandchild care on older women's wellbeing.