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Hammer NM, Bidstrup PE, Olsen M, Hansson H, Abitz M, Larsen HB. The experiences of grandparents involved in the home-based end-of-life care of their grandchild with cancer: A qualitative secondary data analysis. DEATH STUDIES 2024:1-11. [PMID: 38822452 DOI: 10.1080/07481187.2024.2355252] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2024]
Abstract
While grandparents are often a valuable resource in home-based pediatric end-of-life care, they may also experience psychological consequences when faced with their grandchild's illness and death. In this qualitative study, we performed semi-structured interviews with seven bereaved grandparents of four children with cancer who received home-based end-of-life care and died at home at age <18. Through qualitative content analysis we identified the overarching theme: "Navigating complex and unclear roles to support the family" and five themes: (1) Providing comfort and support; (2) Balancing and adapting involvement; (3) Worrying silently; (4) Managing difficult emotions; and (5) Calling for support and understanding. The findings underline the often conflicting roles that grandparents undertake of providing support while respecting parents' autonomy and putting aside their own emotional reactions. Involving grandparents in pediatric end-of-life care may enhance family resources, but should also consider grandparents' perspectives and need for support.
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Affiliation(s)
- Nanna Maria Hammer
- Department of Paediatrics and Adolescent Medicine, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark
| | - Pernille Envold Bidstrup
- Psychological Aspects of Cancer, Danish Cancer Institute, Copenhagen, Denmark
- Institute of Psychology, University of Copenhagen, Copenhagen, Denmark
| | - Marianne Olsen
- Department of Paediatrics and Adolescent Medicine, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark
- Department of Pediatrics and Adolescent Medicine, Section of Pediatric Hematology and Oncology, Aalborg University Hospital, Aalborg, Denmark
| | - Helena Hansson
- Department of Paediatrics and Adolescent Medicine, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark
- Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Maja Abitz
- Department of Paediatrics and Adolescent Medicine, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark
| | - Hanne Bækgaard Larsen
- Department of Paediatrics and Adolescent Medicine, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark
- Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
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Lim-Soh J, Kim D, Kim K. Within-Family Differences in Intergenerational Contact: The Role of Gender Norms in a Patrilineal Society. Res Aging 2024; 46:258-270. [PMID: 38179976 DOI: 10.1177/01640275231225379] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2024]
Abstract
Intergenerational contact is important to older adults' quality of life, but less is known about within-family differences in older parents' contact between sons and daughters, especially in countries with patrilineal traditions. Applying latent profile analysis to data on 3,228 Korean older adults' frequency of meeting and communication with each of their children, this study identified within-family patterns of intergenerational contact. Nearly half of parents exhibited gender-balanced patterns of meeting across children, while 13% reported "more frequent contact with daughters" and 39% reported "more frequent contact with sons." On the other hand, "equally high contact" (77%) was the most common pattern for communication. Multinomial regression results showed that the derived patterns were differentiated by parents' education, marital status, region, economic satisfaction, health, and depressive symptoms. The results highlighted the enduring nature of patrilineal traditions as well as the differing patterns of contact that Korean older adults have with their children.
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Affiliation(s)
- Jeremy Lim-Soh
- Centre for Ageing Research and Education, Duke-NUS Medical School, National University of Singapore, Singapore
| | - Dahye Kim
- Centre for Family and Population Research, National University of Singapore, Singapore
| | - Kyungmin Kim
- Department of Child Development and Family Studies, Seoul National University, Seoul, Republic of Korea
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Sari E. Multigenerational Health Perspectives: The Role of Grandparents' Influence in Grandchildren's Wellbeing. Int J Public Health 2023; 68:1606292. [PMID: 37744417 PMCID: PMC10514349 DOI: 10.3389/ijph.2023.1606292] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2023] [Accepted: 08/30/2023] [Indexed: 09/26/2023] Open
Affiliation(s)
- Emre Sari
- Division for Health and Social Sciences, NORCE Norwegian Research Centre, Tromsø, Norway
- School of Business and Economics, UiT The Arctic University of Norway, Tromsø, Norway
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Kim J, Chon Y, Kim MI. Intergenerational Resource Transfer Patterns between Parents and Children in South Korea and Depression. Healthcare (Basel) 2023; 11:healthcare11081100. [PMID: 37107934 PMCID: PMC10137484 DOI: 10.3390/healthcare11081100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2023] [Revised: 04/07/2023] [Accepted: 04/10/2023] [Indexed: 04/29/2023] Open
Abstract
This study investigated the patterns of intergenerational resources transfer between parents and children in South Korea, and the influence on depression by its patterns. To maintain this, the seventh wave of Korean Longitudinal Study of Aging data were used. For data analysis, Latent Class Analysis (LCA) was used with five sub-factor variables: direct and indirect connections, receiving and providing financial support, and rearing grandchildren. For additional analysis, crosstab, logistic analysis, Analysis of Variance (ANOVA), and multiple regression were used. In the results, the optimal number of latent classes was four (parents offering, financial-centered, mutual offering, and emotional and financial-centered). In addition to the LCA results, there were some differences in predictors of pattern determination in each country. According to the results of ANOVA and multiple regression, parents offering and financial patterns led to more depression than the other two patterns. Based on the results, the importance of mutual communication and emotional connection was suggested for managing depression in South Korean older parents.
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Affiliation(s)
- Junpyo Kim
- School of Social Welfare, Gyeongsang National University, Jinju 52828, Republic of Korea
- Department of Social Welfare, Incheon National University, Incheon 22012, Republic of Korea
| | - Yongho Chon
- Department of Social Welfare, Incheon National University, Incheon 22012, Republic of Korea
| | - Myoung-Il Kim
- Institute of Human Rights and Social Development, Gyeongsang National University, Jinju 52828, Republic of Korea
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von Saenger I, Dahlberg L, Augustsson E, Fritzell J, Lennartsson C. Will your child take care of you in your old age? Unequal caregiving received by older parents from adult children in Sweden. Eur J Ageing 2023; 20:8. [PMID: 37012453 PMCID: PMC10070562 DOI: 10.1007/s10433-023-00755-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/15/2023] [Indexed: 04/05/2023] Open
Abstract
Intergenerational family care provided to older parents by adult children is growing and differs based on gender and socioeconomic status. Few studies consider these elements in relation to both the parent and their adult child, and little is known about the number of care tasks received even though those providing intensive levels of care are at risk of experiencing adverse consequences in their lives. This study uses data from the nationally representative 2011 Swedish Panel Study of Living Conditions of the Oldest Old (SWEOLD) and includes child-specific information from parents aged 76 years and above. Analyses used ordinal logistic regression and are presented as average marginal effects and predictive margins. Results show that parents in need of care report that one-third of all adult children in the sample provide care to three out of five of them. The care is most often non-intensive, yet nearly one in ten of all children provide more intensive care of two or more tasks. When adjusting for dyad characteristics as well as geographic proximity, results show adult-child gender differences where parents receive more care from manual-working-class daughters than manual-working-class sons. Overall, manual-working-class daughters are most commonly reported as carers among adult children, and they are particularly overrepresented in providing intensive care. We conclude that gender and socioeconomic inequalities exist among care receivers' adult children, even in a strong welfare state such as Sweden. Knowledge about levels and patterns of intergenerational care have important implications for how to reduce unequal caregiving.
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Affiliation(s)
- Isabelle von Saenger
- Aging Research Center, Karolinska Institutet and Stockholm University, Stockholm, Sweden.
| | - Lena Dahlberg
- Aging Research Center, Karolinska Institutet and Stockholm University, Stockholm, Sweden
- School of Health and Welfare, Dalarna University, Falun, Sweden
| | - Erika Augustsson
- Aging Research Center, Karolinska Institutet and Stockholm University, Stockholm, Sweden
| | - Johan Fritzell
- Aging Research Center, Karolinska Institutet and Stockholm University, Stockholm, Sweden
| | - Carin Lennartsson
- Aging Research Center, Karolinska Institutet and Stockholm University, Stockholm, Sweden
- Swedish Institute for Social Research, Stockholm University, Stockholm, Sweden
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Lee YL, Lee GS, Teo LLY, Tan RS, Zhong L, Gao F, Koh AS. Effect of psychosocial motivations and technology on physical activity behaviours among community older men and women. BMC Geriatr 2022; 22:933. [PMID: 36463121 PMCID: PMC9719188 DOI: 10.1186/s12877-022-03654-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2022] [Accepted: 11/25/2022] [Indexed: 12/04/2022] Open
Abstract
BACKGROUND Implementation of physical activity strategies in older populations may be influenced by underlying psychosocial and gender-based factors to physical activity. We explored associations between these factors and physical activity behaviors and technology among older men and women. METHODS Community older adults underwent echocardiography and interviewer administered questionnaires that collected physical activity habits, self-motivation, self-empowerment and smartphone usage patterns associated with physical activity. Aerobic capacity was denoted by VO2max (High VO2 was defined as VO2 > 35 (ml/kg/min) for men or VO2 > 27 (ml/kg/min) for women). RESULTS Among 180 participants (mean age 77 (71-80) years; 43% females), 101 (56.1%) had a low VO2max. Barriers to activity were lack of time (27.8%), tiredness (26.7%), affordability (12.8%) and pain while exercising (12.2%). Compared to participants with high VO2max, those with low VO2max were less likely to report feeling good post-exercise (70.3% vs 86.1%, adjusted p = 0.041) and express barriers to exercise (72.3% vs 88.6%, adjusted p = 0.017). Compared to men, women were more likely to express motivation for exercise if they were guided by an instructor (20.5% vs 1.96%, adjusted p = 0.027), less likely to prefer control over exercise type and difficulty (57.7% vs 82.4%, adjusted p = 0.001), express interest in smartphone apps (7.84% vs 24.4%, adjusted p = 0.01) and participate in apps-guided exercise (10.3% vs 29.4%, adjusted p = 0.001). Major factors that motivated the use of smartphone applications to manage individual health were financial incentives (23.9%) and guidance on exercise routines (21.1%) while the reveal of personal information was a major deterrent (28.3%). CONCLUSIONS We observed differences in physical activity motivation, empowerment and technology use based on gender and functional status. Tailoring physical activity strategies, including digital health strategies, that target psychosocial and gender-based factors may improve activity participation in older adults.
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Affiliation(s)
- Yong Lin Lee
- grid.59025.3b0000 0001 2224 0361Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore
| | - Gina S. Lee
- grid.419385.20000 0004 0620 9905National Heart Centre Singapore, 5 Hospital Drive, 169609 Singapore, Singapore
| | - Louis LY Teo
- grid.419385.20000 0004 0620 9905National Heart Centre Singapore, 5 Hospital Drive, 169609 Singapore, Singapore ,grid.428397.30000 0004 0385 0924Duke-NUS Medical School, Singapore, Singapore
| | - Ru-San Tan
- grid.419385.20000 0004 0620 9905National Heart Centre Singapore, 5 Hospital Drive, 169609 Singapore, Singapore ,grid.428397.30000 0004 0385 0924Duke-NUS Medical School, Singapore, Singapore
| | - Liang Zhong
- grid.419385.20000 0004 0620 9905National Heart Centre Singapore, 5 Hospital Drive, 169609 Singapore, Singapore ,grid.428397.30000 0004 0385 0924Duke-NUS Medical School, Singapore, Singapore
| | - Fei Gao
- grid.419385.20000 0004 0620 9905National Heart Centre Singapore, 5 Hospital Drive, 169609 Singapore, Singapore ,grid.428397.30000 0004 0385 0924Duke-NUS Medical School, Singapore, Singapore
| | - Angela S. Koh
- grid.419385.20000 0004 0620 9905National Heart Centre Singapore, 5 Hospital Drive, 169609 Singapore, Singapore ,grid.428397.30000 0004 0385 0924Duke-NUS Medical School, Singapore, Singapore
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Special Issue: Parent-Child Interactions: Paths of Intergenerational Transmission of Psychopathological Risk. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17249222. [PMID: 33321716 PMCID: PMC7763481 DOI: 10.3390/ijerph17249222] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/01/2020] [Accepted: 12/07/2020] [Indexed: 12/14/2022]
Abstract
The developmental psychopathology clinical and theoretical framework has proposed a bio-psycho-social model that integrates biological, environmental, social, and psychological factors to disentangle the underpinning mechanisms of the intergenerational transmission of psychopathological risk [...].
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