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Kendler KS, Ohlsson H, Sundquist J, Sundquist K. Familial transmission of externalizing syndromes in extended Swedish families. Am J Med Genet B Neuropsychiatr Genet 2018; 177:308-318. [PMID: 29243876 PMCID: PMC5849570 DOI: 10.1002/ajmg.b.32611] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/15/2017] [Accepted: 11/13/2017] [Indexed: 11/10/2022]
Abstract
Risk for criminal behavior (CB), alcohol use disorder (AUD), and drug abuse (DA) are known to be familial. We know less about their transmission across three generations. We examined 844,109 probands born in Sweden 1980-1990, their parents, aunts/uncles, and grandparents for registration in population-based registers for CB, AUD, and DA. Mean tetrachoric relative-proband correlations (95% CIs) were highest for DA (+0.24, 0.24-0.25), followed by CB (+0.23,0.22-0.23) and AUD (+0.17, 0.16-0.17). AUD and CB were relatively stably transmitted across generations, while DA resemblance among relatives was stronger in the younger generations. For all three syndromes, male-male transmission was modestly stronger than female-female. Cross-sex transmission was significantly weaker than same-sex transmission for DA and CB but not AUD. Risk to probands with only an affected grandparent or aunt/uncle were increased 50-60% for CB and AUD, and 70-100% for DA. Parallel figures for affected parents only and parents + grandparent or aunt/uncle were 2-3-fold and 4-5-fold for CB and AUD, and 4-5-fold and 6-7-fold for DA. CB, AUD, and DA are all substantially familial in the Swedish population with the transmission across three generations stable for CB and AUD but not DA. Modest quantitative sex effects are seen in the familial transmission of CB, AUD, and DA, and qualitative sex effects for CB and DA. Risk prediction in offspring is orderly with affection status in grandparental and avuncular relationships adding appreciably to that from the parental generation.
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Mhaka-Mutepfa M. Sociodemographic Factors and Health-Related Characteristics That Influence the Quality of Life of Grandparent Caregivers in Zimbabwe. Gerontol Geriatr Med 2018; 4:2333721418756995. [PMID: 29468187 PMCID: PMC5813855 DOI: 10.1177/2333721418756995] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2017] [Revised: 01/05/2018] [Accepted: 01/10/2018] [Indexed: 11/16/2022] Open
Abstract
Very few studies have examined quality of life (QOL) in elderly carers of orphaned children in African settings. This study explored sociodemographic factors and health-related characteristics that influence QOL of grandparent carers in Zimbabwe. A cross-sectional study stratified by district was done to collect information on socioeconomic factors, health-related characteristics, and QOL of grandparent carers (N = 327; age: M = 62.4, SD = 11.2). Data were collected on socioeconomic factors, self-perceived health, health care access, chronic disease condition, health insurance status, types of health care services, and medications taken using the World Health Organization Quality of Life Questionnaire (WHOQOL-BREF). Bivariate and multivariate analyses were used to investigate the associations between QOL and the predictor variables. Caregivers' level of education (odds ratio [OR] = 3.0; confidence interval [95% CI] = [1.0, 27]), fostering orphans only (OR = 0.4; 95% CI = [0.2, 0.7]), self-perceived health (OR = 10.2; 95% CI = [4.5, 25]), medical insurance (OR = 9.8; 95% CI = [1.9, 54]), and satisfaction with health care services (OR = 2.2; 95% CI = [1.2, 4.4]) were associated with QOL, after adjusting for all influencing factors. The results confirm that QOL is compromised by specific demographic and self-rated health characteristics. Thus, eradicating poverty and providing services and changing caregiver's perceptions about self-rated health may enhance QOL among grandparent caregivers.
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McGarrigle CA, Timonen V, Layte R. Choice and Constraint in the Negotiation of the Grandparent Role: A Mixed-Methods Study. Gerontol Geriatr Med 2018; 4:2333721417750944. [PMID: 29372176 PMCID: PMC5774728 DOI: 10.1177/2333721417750944] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2017] [Revised: 10/13/2017] [Accepted: 11/30/2017] [Indexed: 12/04/2022] Open
Abstract
Few studies have examined how the allocation and consequences of grandchild care vary across different socioeconomic groups. We analyze qualitative data alongside data from The Irish Longitudinal Study on Ageing (TILDA), in a convergent mixed-methods approach. Regression models examined characteristics associated with grandchild care, and the relationship between grandchild care and depressive symptoms and well-being. Qualitative data shed light on processes and choices that explain patterns of grandchild care provision. Tertiary-educated grandparents provided less intensive grandchild care compared with primary educated. Qualitative data indicated that this pattern stems from early boundary-drawing among higher educated grandparents while lower socioeconomic groups were constrained and less able to say no. Intensive grandchild care was associated with more depressive symptoms and lower well-being and was moderated by participation in social activities and level of education attainment. The effect of grandchild care on well-being of grandparents depends on whether it is provided by choice or obligation.
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Jessee V, Adamsons K. Father Involvement and Father-Child Relationship Quality: An Intergenerational Perspective. PARENTING, SCIENCE AND PRACTICE 2018; 18:28-44. [PMID: 30881229 PMCID: PMC6415916 DOI: 10.1080/15295192.2018.1405700] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Abstract
OBJECTIVE The present study looks at predictors that may be associated with father-child relationship quality and whether relationship quality appears to be transmitted across generations. DESIGN This study includes 2,970 U.S. families who participated in the Fragile Families and Child Well-Being Study. Structural equation modeling was used to assess associations between fathers' relationship with paternal grandfathers (PGF) during their own childhood and when their own children are 1 year old, father involvement at age 1, and child reports of father-child relationship quality at age 9. RESULTS PGF involvement with fathers during childhood was positively associated with the father-PGF relationship at child age 1, which in turn was associated with greater father involvement at age 1. More father involvement at age 1 was associated with child reports of better father-child relationships at age 9. The pathways from PGF involvement during fathers' childhood and father-PGF relationships at age 1 to father-child relationship quality at age 9 were fully mediated by father involvement at age 1. CONCLUSIONS Patterns of father involvement and the quality of father-child relationships tend to be passed down across generations. To ensure active, positive father involvement and its associated benefits for children, parenting interventions should focus promoting positive fathering behaviors to promote positive relationships with children in their own and future generations.
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Kendler KS, Ohlsson H, Sundquist J, Sundquist K. Transmission of alcohol use disorder across three generations: a Swedish National Study. Psychol Med 2018; 48:33-42. [PMID: 28956523 PMCID: PMC5726917 DOI: 10.1017/s0033291717000794] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
BACKGROUND While risk for alcohol use disorder (AUD) is correlated in twins, siblings and parent-offspring pairs, we know little of how this syndrome is transmitted across three generations. METHOD We examined 685 172 individuals born in Sweden from 1980 to 1990 with four grandparents, and both parents alive in 1980. AUD was assessed in all these individuals from nationwide medical, criminal and pharmacy registries. RESULTS AUD was stably transmitted across three generations. Parent-child and grandparent-grandchild tetrachoric correlations equaled +0.25 and +0.12, respectively. Grandchild AUD risk did not vary as a function of the sex of the parent or grandparent. However, from grandparents and parents, transmission to grandchildren was stronger in same-sex than opposite-sex pairs. Compared with a grandchild with unaffected parents and grandparents, risk for AUD with a grandparent but no parent affected, a parent but no grandparent affected or both affected increased approximately 70% and 3 and 4-fold, respectively. Grandchildren with ⩾2 grandparents affected had a 40% greater AUD risk than those with only one affected. Tetrachoric correlations for AUD between offspring and great-aunts/uncles, and aunts/uncles equaled +0.06 and +0.13, respectively. CONCLUSIONS The transmission of AUD in Sweden across three generations is relatively stable. An orderly pattern of resemblance is seen with correlations declining by approximately 50% between first and second, and second and third-degree relatives. While the transmission of risk from affected male and female relatives does not differ, we find consistent evidence for greater resemblance in same-sex v. opposite-sex across generational pairs of relatives.
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81
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Sneed RS, Schulz R. Grandparent Caregiving, Race, and Cognitive Functioning in a Population-Based Sample of Older Adults. J Aging Health 2017; 31:415-438. [PMID: 29254404 DOI: 10.1177/0898264317733362] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Objective: The aim of this study was to evaluate the association between noncustodial grandparent caregiving and cognition using the Health and Retirement Study (HRS), a population-based study of older adults. Method: Participants were White and African American grandparents aged ≥65 years. Only noncustodial grandparents who reported not living with their grandchildren over the three waves were included in our analyses. Grandparent caregiving status and cognition were assessed in 2006, 2008, and 2010. Analyses controlled for demographics, baseline health, depressive symptoms, and baseline cognition. Results: Both the number of waves of grandparent caregiving and the total number of grandparent caregiving hours across the three waves were associated with better cognitive functioning at 4-year follow-up in 2010. Associations were observed among Whites, but not among African Americans. Discussion: This study uses longitudinal data to evaluate the association between grandparent caregiving and cognitive functioning. Findings suggest that providing care may be beneficial for some grandparents.
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Celdrán M, Villar F, Antón M, Benito E. Grandparent Visitation Rights in Spain: Which Psychosocial Arguments are Taken into Account to Grant or Deny Visits? PSYCHIATRY, PSYCHOLOGY, AND LAW : AN INTERDISCIPLINARY JOURNAL OF THE AUSTRALIAN AND NEW ZEALAND ASSOCIATION OF PSYCHIATRY, PSYCHOLOGY AND LAW 2017; 25:59-71. [PMID: 31984006 PMCID: PMC6876421 DOI: 10.1080/13218719.2017.1347934] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
The purpose of this study was to assess reports by psychologists and social workers in lawsuits regarding grandparent visitation rights in Barcelona (Spain). Seventy-three reports written during a five-year period were analysed Sixty-three per cent of cases recommended grandparents being granted visitation rights. A content analysis of the reports revealed that they were more likely to contain negative rather than positive comments about a family member (especially grandparents). Finally, the analysis showed that aspects such as grandparent abilities and a hidden agenda on the part of grandparents were associated with a recommendation that a visitation schedule be denied, whereas the presence of a strong bond between grandparents and the grandchild was related to a favourable recommendation. The article discusses directions for further research and the potential value of drawing up guidelines to assess grandparent rights in the event of family conflict.
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Sicherman N, Loewenstein G, Tavassoli T, Buxbaum JD. Grandma knows best: Family structure and age of diagnosis of autism spectrum disorder. AUTISM : THE INTERNATIONAL JOURNAL OF RESEARCH AND PRACTICE 2017; 22:368-376. [PMID: 28177257 DOI: 10.1177/1362361316679632] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
This pilot study estimates the effects of family structure on age of diagnosis, with the goal of identifying factors that may accelerate or delay diagnosis. We conducted an online survey with 477 parents of children with autism. In addition, we carried out novel, follow-up surveys of 196 "friends and family," who were referred by parents. Family structure and frequency of interactions with family members have significant effects on age of diagnosis (p < 0.05). In all, 25% of parents report that other individuals indicated that their child might have a serious condition before they themselves suspected it. Moreover, around 50% of friends and family report that they suspected that the child had a serious condition before they were aware that either parent was concerned, suggesting that the clues were there to see, especially for experienced viewers. While half of those individuals shared their concerns with the parents, the other half either did not raise any concern (23%) or just "hinted" at their concern (27%). Among children with siblings, children with an older sibling are diagnosed approximately 10 months earlier (p < 0.01) than those without, and children with no siblings were diagnosed 6-8 months earlier than children with siblings (p < 0.01). Interestingly, frequent interactions with grandparents, especially grandmothers, significantly lowered the age of diagnosis by as much as 5 months (p < 0.05). While this pilot study requires replication, the results identify potential causes for accelerated or delayed diagnosis, which if better understood, could ultimately improve age of diagnosis and treatment, and hence outcomes.
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Gray PB, Brogdon E. Do Step- and Biological Grandparents Show Differences in Investment and Emotional Closeness With Their Grandchildren? EVOLUTIONARY PSYCHOLOGY 2017; 15:1474704917694367. [PMID: 28229624 PMCID: PMC10367540 DOI: 10.1177/1474704917694367] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2016] [Accepted: 01/24/2017] [Indexed: 11/17/2022] Open
Abstract
Human children are raised by a variety of caregivers including grandparents. A few studies have assessed potential differences in direct caregiving, financial expenditures, and emotional closeness between biological and step-grandparents. Drawing upon kin selection theory, we hypothesized that step-grandparents would provide less care and be less emotionally close to grandchildren than would biological grandparents. A sample of 341 heterosexual U.S. adults 25-35 years of age in a long-term partnership and with a biological child 5 years of age or younger were recruited via Amazon Mechanical Turk. Subjects provided sociodemographic information and answered questions about the dynamics between their own parent/stepparent and their own youngest biological child (hence, biological/step-grandparenting dynamics). Main analyses were restricted to within-subject comparisons. Results showed that biological grandmothers provided more direct childcare, financial expenditures, and had more emotionally close relationships with grandchildren than did step-grandmothers. Biological grandfathers provided less direct care and had less emotionally close relationships than step-grandfathers but did not exhibit differences in financial expenditures. Biological grandmothers provided more direct care, financial investment, and were more emotionally close to the referential grandchild than were biological grandfathers. Step-grandfathers were more emotionally close and more often played with grandchildren than step-grandmothers. These findings partially support kin selection theory. We discuss the relevance of factors such as competing demands on grandmothers' investment in biological and step-grandchildren and grandfathering serving in part as mating effort. Sex differences in biological grandparenting also mirror those in parenting. We suggest directions for future research, including on grandfathers, particularly in patrilineal societies.
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Sichimba F, Mooya H, Mesman J. Predicting Zambian Grandmothers' Sensitivity Toward Their Grandchildren. Int J Aging Hum Dev 2016; 85:185-203. [PMID: 27940904 DOI: 10.1177/0091415016680070] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Whereas child care by grandmothers is widespread in the African cultural context, few studies have examined predictors of the quality of grandmaternal care in Africa. In the current study, we collected observational data to investigate predictors of the quality of grandmother-grandchild interactions in Zambia. Data were collected from 46 grandmothers and their 12 to 27-month-old infant grandchildren. The results revealed that grandmothers with fewer children and those who enjoyed the grandparenting tasks more were more sensitive in their interactions with their grandchildren. Unexpectedly, parenting beliefs favoring sensitive parenting predicted lower observed sensitivity in grandmothers. Further, grandmothers with a more individualistic cultural orientation were more intrusive toward their grandchildren. The results underscore the importance of time and emotional resources as predictors of sensitive parenting among grandmothers.
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Pilkauskas NV, Dunifon RE. Understanding Grandfamilies: Characteristics of Grandparents, Nonresident Parents, and Children. JOURNAL OF MARRIAGE AND THE FAMILY 2016; 78:623-633. [PMID: 27346892 PMCID: PMC4916965 DOI: 10.1111/jomf.12291] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/15/2023]
Abstract
Using data from the Year 9 Fragile Families and Child Wellbeing Study (N~3,182), we investigated the characteristics grandfamilies (grandparents raising their grandchildren with no parent present, N = 84) and compared them to other key groups, including children's nonresident parents and other economically disadvantaged families with children. Results show that grandparents raising their grandchildren were generally better off in terms of educational attainment, marital status, and economic well-being than the child's parents. Grandparents raising their grandchildren also had very similar characteristics to other disadvantaged mothers. Academic and socioemotional well-being was poorer among children in grandfamilies compared with those living with their mothers, but parenting practices were very similar. These findings suggest that although children in grandfamilies may be at a disadvantage academically and socioemotionally, grandparent caregivers are in many ways similar to other fragile-family mothers. Overall, this study enhances our knowledge of an important, yet understudied family type.
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Hill L. Haudenosaunee Grandmothers Caring for their Grandchildren: The Process of Assuming the Caregiving Role. JOURNAL OF GERONTOLOGICAL SOCIAL WORK 2016; 59:281-295. [PMID: 27449315 DOI: 10.1080/01634372.2016.1214660] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The purpose of this grounded theory study was to understand the processes, motivations, and reasons for Aboriginal grandmothers assuming the full-time caregiving role for their grandchildren. Fifteen Haudenosaunee grandmothers who were from the Six Nations community participated in this study. The results indicate that a series of complex factors, circumstances, and processes contributed to them caring for their grandchildren. Of particular significance is that, prior to assuming their full-time caregiving roles, they had intermittently cared for their grandchildren as a means of preventing family breakdown. Many of them were accustomed to this type of care arrangement as over half of the grandmothers had been cared for by their grandmothers or great-mothers. Ultimately, they cared for their grandchildren as a means of "keeping the state's hands off" their grandchildren and avoiding child welfare involvement. Furthermore, the women in this study served as important vital roles for healing in Aboriginal families and communities.
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Whitley DM, Lamis DA, Kelley SJ. Mental Health Stress, Family Resources and Psychological Distress: A Longitudinal Mediation Analysis in African American Grandmothers Raising Grandchildren. J Clin Psychol 2016; 72:563-79. [PMID: 26918307 DOI: 10.1002/jclp.22272] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2014] [Revised: 11/13/2015] [Accepted: 12/20/2015] [Indexed: 01/22/2023]
Abstract
OBJECTIVES This study examines the effectiveness of a multidisciplinary intervention for African American grandmothers raising grandchildren on the relationship between dichotomized levels of mental health stress (low vs. high) and elevated levels of psychological distress, mediated by perceptions of family resources. METHOD A nonrandom sample of African American grandmothers (N = 679) was assessed to test the predictive relations among study constructs in the context of a prospective mediational model. RESULTS Perception of family resources contributes to lower psychological distress among custodial grandmothers exhibiting low and high levels of mental health stress. There was no significant difference in the strength of the mediated effects between the 2 mental health stress groups. CONCLUSION The findings suggest appropriate resource-focused interventions can enhance grandmothers' subjective assessments of family resources and reduce psychological distress. However, additional research is needed to ascertain the consistency and generalizability of findings.
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Whitley DM, Kelley SJ, Lamis DA. Depression, Social Support, and Mental Health: A Longitudinal Mediation Analysis in African American Custodial Grandmothers. Int J Aging Hum Dev 2016; 82:166-87. [PMID: 26798077 DOI: 10.1177/0091415015626550] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
Custodial grandparents raising grandchildren experience intense levels of stress that can lead to depression and other forms of psychological distress. Drawing on a coping model of family stress, adjustment, and adaptation, we explored the relationship between depression and mental health quality of life mediated by social support and moderated by grandparent's age. The sample consisted of 667 African American custodial grandmothers, dichotomized into two age groupings, ≤55 (n = 306) and 55 + (n = 361). All grandmothers participated in a 12-month support intervention. The prospective analysis revealed social support was a mediator in the association between depressive symptoms and mental health quality of life for older African American grandmothers; however, this same relationship did not hold for their younger counterparts. Study limitations and future research directions are discussed.
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90
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Vega A. The Time Intensity of Childcare Provided by Older Immigrant Women in the United States. Res Aging 2016; 39:823-848. [PMID: 26763223 DOI: 10.1177/0164027515626774] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Older adults comprise an increasing share of new legal admits to the United States. While many are financially dependent on their families, a more complete picture requires taking into account the nonmonetary contributions of this population. Using the American Time Use Survey, this study examines whether older recent immigrant women provide more unpaid childcare than their native-born and more established immigrant counterparts. Results suggest that while older recent immigrant women are more likely to provide unpaid childcare, this effect is eliminated upon controlling for demographic characteristics. However, among those who do provide childcare, older recent immigrant women provide more hours of care even after controlling for demographic and household characteristics. This pattern holds up even after restricting the analysis to women living with young children. These results may signal reciprocal supportive networks. Working-age adults may financially support older recent immigrants, while older recent immigrants provide unremunerated childcare for working-age adults.
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91
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Transmission of Smoking across Three Generations in Finland. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2015; 13:74. [PMID: 26712771 PMCID: PMC4730465 DOI: 10.3390/ijerph13010074] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/22/2015] [Revised: 12/17/2015] [Accepted: 12/21/2015] [Indexed: 11/30/2022]
Abstract
The influence of parents’ smoking on children’s smoking is well known, but few studies have examined the association between grandparents’ and grandchildren’s smoking. We studied the association between paternal and maternal grandparents’ smoking and their grandchildren’s tobacco use and assessed whether parents’ smoking is a mediator in this process. Data were obtained from a national survey of 12–18-year-old Finns in 2013 (N = 3535, response rate 38%). Logistic regression and mediation analyses were used. Both boys and girls had higher odds for smoking experimentation, daily smoking and other tobacco or tobacco-like product use if their mother, father or any of the four grandparents were current or former smokers. When parents’ and grandparents’ smoking status were included in the same model, grandparents’ smoking generally lost statistical significance. In the mediation analysis, 73% of the total effect of grandparents’ smoking on grandchildren’s daily smoking was mediated through parents’ smoking, 64% on smoking experimentation and 63% on other tobacco or tobacco-like product use. The indirect effect of a mother’s smoking was higher than that of a father’s. To conclude, paternal and maternal grandparents’ smoking increases grandchildren’s tobacco use. The influence is mainly, but not completely, mediated through parents’ smoking.
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Youngblut JM, Brooten D, Blais K, Kilgore C, Yoo C. Health and Functioning in Grandparents After a Young Grandchild's Death. J Community Health 2015; 40:956-66. [PMID: 25820932 PMCID: PMC4556739 DOI: 10.1007/s10900-015-0018-0] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
This cross-sectional study examined the physical and mental health, grief and role functioning of 136 grandparents in the first year after death of their young grandchild (newborn through 6 years). Grandparents were 36-77 years old; 73% female; 24% Hispanic, 38% Black/African American, and 38% White. Mean age of the 115 deceased grandchildren was 12.8 months (SD = 20.71) with 37% <1 month old; 65% were male, 77% died in the hospital. Grandparents were recruited through state death records and interviewed by telephone. Grandparents experienced: clinical depression (31%), PTSD (35%); illnesses (28%), hospitalizations, new chronic health conditions (mental disorders, hypertension, angina, cancer), and medication changes. Grandparents who provided care for the deceased grandchild had more intense symptoms of grief, depression and PTSD and more trouble focusing at their jobs. Severity of depressive and/or PTSD symptoms were more likely to be at clinically important levels for grandparents who had provided childcare for the deceased grandchild than for non-caregiving grandparents. Black grandparents had more severe symptoms of PTSD and thought more about their deceased grandchild on the job than White grandparents. The interaction effect of race/ethnicity and provision of child care was significant for PTSD and Blame and Anger. Hispanic grandparents who provided some child care for their deceased grandchild had less severe PTSD symptoms than caregiving Black and White grandparents. Caregiving Hispanic grandparents also experienced less Blame and Anger than White caregiving grandparents.
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Siordia C. Demographic, Economic, Household, and Health Profile of Grandparents Responsible for Grandchildren. JOURNAL OF CHILD AND FAMILY STUDIES 2015; 24:2661-2667. [PMID: 26504368 PMCID: PMC4616159 DOI: 10.1007/s10826-014-0068-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
The objective of this brief report was to outline the demographic, economic, household, and health profile of "grandparents responsible for grandchildren" (GRfGs) in the United States (US). Public Use Microdata Sample (PUMS) from the 2009-2011 American Community Survey (ACS) 3-year file was used to investigate characteristics of GRfGs by race-ethnic groups and the geographical distribution over the US mainland (contiguous states). The 9,177 actual units in the microdata are estimated to represent about 306,122 GRfGs. Population profiles are presented in tables for GRfGs of any age and the characteristics for those aged 65 and over are discussed. Amongst GRfGs aged 65 and over (n=33,168): 27% have ambulatory difficulty; 33% own their home free and clear; 77% have resided in their current residence for more than four years; 41% care for grandchild(ren) with the parent being absent; 61% are married; 36% have a college education; 77% are not in the labor force; and the majority (55%) are Non-Latino-Whites. Qualitative comparisons from descriptive statistics suggest race-ethnic minority GRfGs may be more economically and socially vulnerable than Non-Latino-Whites. Research on GRfGs and efforts on understanding how best to assist them should continue.
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Crowther MR, Ford CD, Peterson T. A Qualitative Examination of Barriers for Urban and Rural Custodial Grandparents. JOURNAL OF INTERGENERATIONAL RELATIONSHIPS 2015; 12:207-226. [PMID: 26401123 DOI: 10.1080/15350770.2015.1058212] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Focus groups were conducted with 33 community dwelling, urban and rural, custodial grandparents to explore their willingness to comply with a behavioral intervention targeting improving their well-being and financial management. Most participants were African American (91%), female (79%) and middle-aged. Major themes included: 1) inability to access social services; 2) legal assistance; 3) emotional well-being; 4) problems related to the parents of grandchildren; and 5) identification of structured activities for grandchildren. Findings suggest custodial grandparents underutilize services. Future research should address methods to enhance grandparents' utilization of resources facilitated via a peer navigator system along with policy level changes.
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Formisano A, Hunsberger M, Bammann K, Vanaelst B, Molnar D, Moreno LA, Tornaritis M, Veidebaum T, Lissner L, Barba G, Siani A. Family structure and childhood obesity: results of the IDEFICS Project. Public Health Nutr 2014; 17:2307-15. [PMID: 24053908 PMCID: PMC10282634 DOI: 10.1017/s1368980013002474] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2013] [Revised: 07/04/2013] [Accepted: 08/07/2013] [Indexed: 11/06/2022]
Abstract
OBJECTIVE To analyse the association between family structure and adiposity in children. DESIGN Cross-sectional and longitudinal analysis of the IDEFICS (Identification and prevention of dietary- and lifestyle-induced health effects in children and infants) study cohort. SETTING Primary schools and kindergartens. SUBJECTS Children (n 12 350; aged 7·9 (SD 1·8) years) for the cross-sectional analysis and children (n 5236; at baseline: normal weight, aged 5·9 (SD 1·8) years) for the longitudinal study underwent anthropometry. Family structure was analysed as (i) number and type of cohabiting adults and (ii) number of siblings. RESULTS In the cross-sectional analysis, after controlling for covariates, children living with grandparents had significantly higher BMI Z-score than those living with both parents (0·63; 95% CI 0·33, 0·92 v. 0·19; 95% CI 0·17, 0·22; P < 0·01); in addition, the higher the number of siblings, the lower the BMI Z-score (only child = 0·31; 95% CI 0·24, 0·38; 1 sibling = 0·19; 95% CI 0·16, 0·23; 2 siblings = 0·15; 95% CI 0·09, 0·20; >2 siblings = 0·07, 95% CI 0·04, 0·19; P < 0·001). Over the 2-year follow-up, differences in weight gain were observed across family-structure categories. Further, the risk of incidence of overweight/obesity was significantly lower the higher the number of siblings living in the household (v. only child: 1 sibling = 0·74, 95% CI 0·57, 0·96; 2 siblings = 0·63, 95% CI 0·45, 0·88; >2 siblings = 0·40, 95% CI 0·21, 0·77), independently of confounders. CONCLUSIONS The study suggests that an independent association between family structure and childhood obesity exists.
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Pilkauskas NV. Breastfeeding initiation and duration in coresident grandparent, mother and infant households. Matern Child Health J 2014; 18:1955-63. [PMID: 24549650 PMCID: PMC4138278 DOI: 10.1007/s10995-014-1441-z] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
In the US, the prevalence of three-generation households, where a grandparent, parent and child coreside, has increased in the last decade. Three-generation coresidence during infancy is particularly common and as many as 15 % of infants live in a three-generation household shortly after birth. Although prior research has linked family structure with breastfeeding behavior, no research has studied whether breastfeeding behavior varies by grandparent coresidence. This study is the first to investigate the association between three-generation coresidence and breastfeeding behaviors. This paper uses two data sets, the Early Childhood Longitudinal Study--Birth Cohort (n ~ 8,250), a nationally representative study of US children, and the Fragile Families and Child Wellbeing Study (n = 4,053), an urban sample of mostly low-income unmarried US mothers, to study the association between three-generation coresidence and breastfeeding initiation and duration using multivariate logistic regressions with extensive socio-demographic controls. Three-generation coresidence was associated with lower odds of breastfeeding initiation among the less advantaged mothers but not in the nationally representative sample of mothers. In comparison, three-generation coresidence was associated with lower odds of breastfeeding for 6 months or greater in both study samples. Three-generation coresidence may serve as a marker for differences in the likelihood of breastfeeding that can help inform public health strategies aimed at increasing breastfeeding rates. Research studying interventions with grandparents and the effects on breastfeeding behaviors may be a useful next step in public health promotion of breastfeeding.
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Lê-Scherban F, Diez Roux AV, Li Y, Morgenstern H. Associations of grandparental schooling with adult grandchildren's health status, smoking, and obesity. Am J Epidemiol 2014; 180:469-81. [PMID: 25106617 DOI: 10.1093/aje/kwu154] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Despite persistent schooling-related health disparities in the United States, little is known about the multigenerational effects of schooling on adult health. As expected lifespans increase, direct influences of grandparental schooling on grandchildren's health may become increasingly important. We used multigenerational data spanning 41 years from a national sample of US families to investigate associations of grandparents' educational attainment with global health status, smoking, and obesity in their grandchildren who were aged 25-55 years in 2009. We estimated total effects of grandparental schooling and, by using marginal structural models, we estimated controlled direct effects that were independent of parents' and participants' schooling. Among whites, lower levels of grandparental schooling were monotonically associated with poor health status, current smoking, and obesity in adult grandchildren. There was also evidence suggesting direct effects, which was stronger for poor health status among participants whose highest-educated grandparent lived in the same state. Among blacks, the only association suggesting a total or direct effect of grandparental schooling was for smoking. Despite the relative imprecision of our estimates and possible residual bias, these results suggest that higher levels of grandparental schooling may benefit the health of grandchildren in adulthood, especially among whites. Furthermore, part of those apparent effects, especially for obesity, may not be mediated by parents' and grandchildren's schooling.
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98
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Abstract
Over the past 50 years, academic interest in the experiences of parents who lose a baby to stillbirth or neonatal death has grown. Stillbirth is defined in the UK as the death of a baby after 24 weeks' gestation and neonatal death is death within the first 4 weeks of life. Less is known about the experience of grandparents after such an event. As grandparents might expect to play an important role in their putative grandchild's life, including the provision of childcare to support parental employment, it seems likely that the baby's death will impact upon them. We argue that existing academic knowledge of grandparents' experiences of reproductive loss is 'by the way' knowledge, garnered incidentally from other research projects, for example, losing a grandchild per se or where researchers have interviewed grandparents as part of wider family research. The experience of grandparents who lose a grandchild at or around the time of birth should not go unnoticed. Research into their experiences can inform about the place in the family, if any, that is afforded to the unborn child before birth and whether, like fathers and the siblings of babies who have died, grandparents are also 'forgotten mourners'.
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Leinaweaver J. Informal Kinship-Based Fostering Around the World: Anthropological Findings. CHILD DEVELOPMENT PERSPECTIVES 2014; 8:131-136. [PMID: 26973709 DOI: 10.1111/cdep.12075] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Anthropological research around the world has documented informal, kinship-based foster care cross culturally. That research suggests that children are more likely to benefit from informal kinship-based fostering in cultural contexts where fostering expands the pool of relatives rather than substituting one parent for another, fostering is expected to provide children with positive opportunities for learning and development, and/or children are granted some autonomy or decision-making power. However, informal kinship-based fostering seems to place children at risk in cultural contexts where the process of children's attachment to caregivers resembles the Western child development model, communities are highly stratified along socioeconomic lines, and/or exploitation of children is permitted. The article concludes with a discussion of implications for both research and policy.
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Three-Generation Family Households in Early Childhood: Comparisons between the United States, the United Kingdom, and Australia. DEMOGRAPHIC RESEARCH 2014; 30:1639-1652. [PMID: 25429249 DOI: 10.4054/demres.2014.30.60] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND Shifting demographic trends in the United States (US) have resulted in increasing numbers of three-generation family households, where a child lives with a parent(s) and grandparent(s). Although similar demographic trends have been occurring in the United Kingdom (UK) and Australia, very little research has studied three-generation coresidence in these countries and no research has documented trends cross-nationally. OBJECTIVE We investigate differences in the rates of three-generation coresidence in early childhood cross-nationally. METHOD This study uses three longitudinal birth cohort studies: the Early Childhood Longitudinal Study - Birth Cohort for the US, the Millennium Cohort Study for the UK, and the Longitudinal Study of Australian Children - Birth Cohort to investigate cross-national differences three-generation coresidence in early childhood. RESULTS We find that nearly one quarter of US children live in a three-generation household during early childhood, compared with 8% of children in the UK and 11% in Australia. Although there are large differences in the frequency of coresidence cross-nationally, we find that similar demographic groups live in three-generation households across contexts. In general, younger, less educated, lower income and minority mothers are more likely to live in three-generation households in all three countries.
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