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Published in: BMC Geriatrics 1/2021

Open Access 01-12-2021 | Research article

To be or not to be: relationship between grandparent status and health and wellbeing

Authors: Daniel W. L. Lai, Jia Li, Xue Bai

Published in: BMC Geriatrics | Issue 1/2021

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Abstract

Background

It is common for older people to become grandparents in later life. However, the impacts of grandparenting on their health and well-being remain ambiguous, especially in Chinese society, where the family is in the core of culture. The current study explored the relationship between grandparenthood and Chinese older people’s health and psychological well-being in Hong Kong.

Methods

Cross-sectional data were collected from a sample of 1208 Hong Kong Chinese older people aged 55 and above through a telephone survey conducted in 2019. Participants were grouped into three categories: current grandparents (n = 507), grandparents-to-be (n = 275), and grandparents-not-to-be (n = 426). Multivariate linear regressions were performed to examine the relationship between grandparenting status and health and well-being outcomes, including self-rated physical health, mental health, resilience, and happiness. The potential moderating roles of older adults’ demographic characteristics, including age, sex, education, marital status, financial status, were also examined.

Results

Bivariate analyses suggested statistically significant differences between health and well-being across the three groups of participants. Regression models showed that, compared with grandparents-not-to-be, being a current grandparent was associated with a significantly higher happiness level. Being a future grandparent was associated with significantly higher levels of happiness, resilience, and self-rated physical health. Moderating analyses showed that age, marital status, and educational level could moderate the relationship between grandparent status and resilience and self-rated mental health.

Conclusions

The current study offers preliminary insights into the significant relationship between grandparenthood and older adults’ health and well-being. It calls for future studies to further explore the mechanisms between grandparenthood and the healthy ageing of different subgroups of older adults.
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Literature
1.
go back to reference Di Gessa G, Bordone V, Arpino B. Becoming a grandparent and its effect on well-being: the role of order of transitions, time, and gender. J Gerontol B. 2019;75(10):2250-62. Di Gessa G, Bordone V, Arpino B. Becoming a grandparent and its effect on well-being: the role of order of transitions, time, and gender. J Gerontol B. 2019;75(10):2250-62.
2.
go back to reference Leopold T, Skopek J. The demography of grandparenthood: an international profile. Soc Forces. 2015;94(2):801–32.CrossRef Leopold T, Skopek J. The demography of grandparenthood: an international profile. Soc Forces. 2015;94(2):801–32.CrossRef
3.
go back to reference Margolis R. The changing demography of grandparenthood. J Marriage Fam. 2016;78(3):610–22.CrossRef Margolis R. The changing demography of grandparenthood. J Marriage Fam. 2016;78(3):610–22.CrossRef
6.
go back to reference Fruhauf CA, Bundy-Fazioli K. Grandparent caregivers’ self-care practice: moving towards a strengths-based approach. Resilient Grandparent Caregivers: A strengths-based perspective; 2013. p. 88–102. Fruhauf CA, Bundy-Fazioli K. Grandparent caregivers’ self-care practice: moving towards a strengths-based approach. Resilient Grandparent Caregivers: A strengths-based perspective; 2013. p. 88–102.
7.
go back to reference Waldrop DP, Weber JA. From grandparent to caregiver: the stress and satisfaction of raising grandchildren. Fam Soc. 2001;82:461–72.CrossRef Waldrop DP, Weber JA. From grandparent to caregiver: the stress and satisfaction of raising grandchildren. Fam Soc. 2001;82:461–72.CrossRef
8.
go back to reference Haglund K. Parenting a second time around: an ethnography of African American grandmothers parenting grandchildren due to parental cocaine abuse. J Fam Nurs. 2000;6(2):120–35.CrossRef Haglund K. Parenting a second time around: an ethnography of African American grandmothers parenting grandchildren due to parental cocaine abuse. J Fam Nurs. 2000;6(2):120–35.CrossRef
9.
go back to reference Fung HH, Siu CMY, Choy WCW, McBride-Chang C. Meaning of grandparenthood: do concerns about time and mortality matter? Ageing Int. 2005;30(2):122–46.CrossRef Fung HH, Siu CMY, Choy WCW, McBride-Chang C. Meaning of grandparenthood: do concerns about time and mortality matter? Ageing Int. 2005;30(2):122–46.CrossRef
10.
11.
go back to reference Thiele DM, Whelan TA. The relationship between grandparent satisfaction, meaning, and generativity. Int J Aging Hum Dev. 2008;66(1):21–48.PubMedCrossRef Thiele DM, Whelan TA. The relationship between grandparent satisfaction, meaning, and generativity. Int J Aging Hum Dev. 2008;66(1):21–48.PubMedCrossRef
13.
go back to reference Mahne K, Huxhold O. Grandparenthood and subjective well-being: moderating effects of educational level. J Gerontol B Psychol Sci Soc Sci. 2015;70(5):782–92.PubMedCrossRef Mahne K, Huxhold O. Grandparenthood and subjective well-being: moderating effects of educational level. J Gerontol B Psychol Sci Soc Sci. 2015;70(5):782–92.PubMedCrossRef
14.
go back to reference Mhaka-Mutepfa M, Hunter C, Mpofu E, Cumming R. Personal and social resourcing of everyday health and wellbeing among Zimbabwean grandparents in Carer roles. Int J Aging Soc. 2016;6(3):51–64.CrossRef Mhaka-Mutepfa M, Hunter C, Mpofu E, Cumming R. Personal and social resourcing of everyday health and wellbeing among Zimbabwean grandparents in Carer roles. Int J Aging Soc. 2016;6(3):51–64.CrossRef
15.
go back to reference Lu N, Lou VWQ, Zuo D, Chi I. Intergenerational relationships and self-rated health trajectories among older adults in rural China: does gender matter? Res Aging. 2017;39(2):322–44.PubMedCrossRef Lu N, Lou VWQ, Zuo D, Chi I. Intergenerational relationships and self-rated health trajectories among older adults in rural China: does gender matter? Res Aging. 2017;39(2):322–44.PubMedCrossRef
16.
go back to reference Tian Q. Intergeneration social support affects the subjective well-being of the elderly: mediator roles of self-esteem and loneliness. J Health Psychol. 2016;21(6):1137–44.PubMedCrossRef Tian Q. Intergeneration social support affects the subjective well-being of the elderly: mediator roles of self-esteem and loneliness. J Health Psychol. 2016;21(6):1137–44.PubMedCrossRef
17.
go back to reference Bai X, Guo Y, Fu YY. Self-image and intergenerational relationships as correlates of life satisfaction in Chinese older adults: will gender make a difference? Ageing Soc. 2018;38(7):1502–19.CrossRef Bai X, Guo Y, Fu YY. Self-image and intergenerational relationships as correlates of life satisfaction in Chinese older adults: will gender make a difference? Ageing Soc. 2018;38(7):1502–19.CrossRef
18.
go back to reference Wang J, Zhao X. Family functioning and social support for older patients with depression in an urban area of Shanghai, China. Arch Gerontol Geriatr. 2012;55(3):574–9.PubMedCrossRef Wang J, Zhao X. Family functioning and social support for older patients with depression in an urban area of Shanghai, China. Arch Gerontol Geriatr. 2012;55(3):574–9.PubMedCrossRef
19.
go back to reference Lai DWL, Lee VWP, Li J, Dong X. The impact of intergenerational relationship on health and well-being of older Chinese Americans. J Am Geriatr Soc. 2019;67(S3):S557–S63.PubMedCrossRef Lai DWL, Lee VWP, Li J, Dong X. The impact of intergenerational relationship on health and well-being of older Chinese Americans. J Am Geriatr Soc. 2019;67(S3):S557–S63.PubMedCrossRef
20.
21.
go back to reference Komonpaisarn T, Loichinger E. Providing regular care for grandchildren in Thailand: an analysis of the impact on grandparents’ health. Soc Sci Med. 2019;229:117–25.PubMedCrossRef Komonpaisarn T, Loichinger E. Providing regular care for grandchildren in Thailand: an analysis of the impact on grandparents’ health. Soc Sci Med. 2019;229:117–25.PubMedCrossRef
22.
go back to reference Bundy-Fazioli K, Fruhauf CA, Miller JL. Grandparents caregivers' perceptions of emotional distress and well-being. J Fam Soc Work. 2013;16(5):447–62.CrossRef Bundy-Fazioli K, Fruhauf CA, Miller JL. Grandparents caregivers' perceptions of emotional distress and well-being. J Fam Soc Work. 2013;16(5):447–62.CrossRef
23.
go back to reference Tang F, Xu L, Chi I, Dong X. Psychological well-being of grandparents caring for grandchildren among older Chinese Americans: Burden or blessing? J Am Geriatr Soc. 2016;64(11):2356-61. Tang F, Xu L, Chi I, Dong X. Psychological well-being of grandparents caring for grandchildren among older Chinese Americans: Burden or blessing? J Am Geriatr Soc. 2016;64(11):2356-61.
24.
go back to reference Landry-Meyer L, Newman BM. An exploration of the grandparent caregiver role. J Fam Issues. 2004;25(8):1005–25.CrossRef Landry-Meyer L, Newman BM. An exploration of the grandparent caregiver role. J Fam Issues. 2004;25(8):1005–25.CrossRef
25.
go back to reference Hoang N-PT, Kirby JN. A meta-ethnography synthesis of joint care practices between parents and grandparents from asian cultural backgrounds: benefits and challenges. J Child Fam Stud. 2020;29(3):605–19.CrossRef Hoang N-PT, Kirby JN. A meta-ethnography synthesis of joint care practices between parents and grandparents from asian cultural backgrounds: benefits and challenges. J Child Fam Stud. 2020;29(3):605–19.CrossRef
26.
go back to reference Sheppard P, Monden C. Becoming a first-time grandparent and subjective well-being: a fixed effects approach. J Marriage Fam. 2019;81(4):1016–26.CrossRef Sheppard P, Monden C. Becoming a first-time grandparent and subjective well-being: a fixed effects approach. J Marriage Fam. 2019;81(4):1016–26.CrossRef
27.
go back to reference Xu H. Physical and mental health of Chinese grandparents caring for grandchildren and great-grandparents. Soc Sci Med. 2019;229:106–16.PubMedCrossRef Xu H. Physical and mental health of Chinese grandparents caring for grandchildren and great-grandparents. Soc Sci Med. 2019;229:106–16.PubMedCrossRef
28.
go back to reference Pan X, Zhang D, Shi L. Longitudinal evidence on Grandparenting and cognitive function in older adults in China. J Intergener Relation. 2020:1–21. Pan X, Zhang D, Shi L. Longitudinal evidence on Grandparenting and cognitive function in older adults in China. J Intergener Relation. 2020:1–21.
29.
go back to reference Leung C, Fung B. Non-custodial grandparent caregiving in Chinese families: implications for family dynamics. J Child Serv. 2014. Leung C, Fung B. Non-custodial grandparent caregiving in Chinese families: implications for family dynamics. J Child Serv. 2014.
30.
go back to reference Lou VWQ. Depressive symptoms of older adults in Hong Kong: the role of grandparent reward. Int J Soc Welf. 2011;20:S135–S47.CrossRef Lou VWQ. Depressive symptoms of older adults in Hong Kong: the role of grandparent reward. Int J Soc Welf. 2011;20:S135–S47.CrossRef
31.
go back to reference Lc L. Gender matters: rethinking the childcare model in Hong Kong. Child Soc. 2018;32(5):393–404.CrossRef Lc L. Gender matters: rethinking the childcare model in Hong Kong. Child Soc. 2018;32(5):393–404.CrossRef
32.
33.
34.
go back to reference Department CaS. Women and men in Hong Kong: key statistics. Hong Kong: HongKong Special Administrative Region; 2018. Department CaS. Women and men in Hong Kong: key statistics. Hong Kong: HongKong Special Administrative Region; 2018.
35.
go back to reference Department CaS. Hong Kong monthly digest of statistics. 2019. Department CaS. Hong Kong monthly digest of statistics. 2019.
36.
go back to reference Ahmad F, Jhajj AK, Stewart DE, Burghardt M, Bierman AS. Single item measures of self-rated mental health: a scoping review. BMC Health Serv Res. 2014;14(1):1–11.CrossRef Ahmad F, Jhajj AK, Stewart DE, Burghardt M, Bierman AS. Single item measures of self-rated mental health: a scoping review. BMC Health Serv Res. 2014;14(1):1–11.CrossRef
37.
go back to reference Wu S, Wang R, Zhao Y, Ma X, Wu M, Yan X, et al. The relationship between self-rated health and objective health status: a population-based study.BMC Public Health. 2013;13:320. Wu S, Wang R, Zhao Y, Ma X, Wu M, Yan X, et al. The relationship between self-rated health and objective health status: a population-based study.BMC Public Health. 2013;13:320.
38.
go back to reference Nan H, Ni MY, Lee PH, Tam WWS, Lam TH, Leung GM, et al. Psychometric evaluation of the Chinese version of the subjective happiness scale: evidence from the Hong Kong FAMILY cohort. Int J Behav Med. 2014;21(4):646–52.PubMedPubMedCentralCrossRef Nan H, Ni MY, Lee PH, Tam WWS, Lam TH, Leung GM, et al. Psychometric evaluation of the Chinese version of the subjective happiness scale: evidence from the Hong Kong FAMILY cohort. Int J Behav Med. 2014;21(4):646–52.PubMedPubMedCentralCrossRef
39.
go back to reference Vaishnavi S, Connor K, Davidson JR. An abbreviated version of the Connor-Davidson resilience scale (CD-RISC), the CD-RISC2: psychometric properties and applications in psychopharmacological trials. Psychiatry Res. 2007;152(2–3):293–7.PubMedPubMedCentralCrossRef Vaishnavi S, Connor K, Davidson JR. An abbreviated version of the Connor-Davidson resilience scale (CD-RISC), the CD-RISC2: psychometric properties and applications in psychopharmacological trials. Psychiatry Res. 2007;152(2–3):293–7.PubMedPubMedCentralCrossRef
40.
go back to reference Powdthavee N. Life satisfaction and grandparenthood: Evidence from a nationwide survey. Bonn: Institute for the Study of Labor (IZA); 2011. Powdthavee N. Life satisfaction and grandparenthood: Evidence from a nationwide survey. Bonn: Institute for the Study of Labor (IZA); 2011.
41.
go back to reference Tanskanen AO, Danielsbacka M, Coall DA, Jokela M. Transition to grandparenthood and subjective well-being in older Europeans: a within-person investigation using longitudinal data. Evol Psychol. 2019;17(3):1–12.CrossRef Tanskanen AO, Danielsbacka M, Coall DA, Jokela M. Transition to grandparenthood and subjective well-being in older Europeans: a within-person investigation using longitudinal data. Evol Psychol. 2019;17(3):1–12.CrossRef
42.
go back to reference Schoklitsch A, Baumann U. Generativity and aging: A promising future research topic? J Aging Stud. 2012;26(3). Schoklitsch A, Baumann U. Generativity and aging: A promising future research topic? J Aging Stud. 2012;26(3).
43.
go back to reference Mahne K, Motel-Klingebiel A. The importance of the grandparent role—a class specific phenomenon? Evidence from Germany. Adv Life Course Res. 2012;17(3):145–55.CrossRef Mahne K, Motel-Klingebiel A. The importance of the grandparent role—a class specific phenomenon? Evidence from Germany. Adv Life Course Res. 2012;17(3):145–55.CrossRef
44.
go back to reference Beard JR, Officer A, De Carvalho IA, Sadana R, Pot AM, Michel J-P, et al. The world report on ageing and health: a policy framework for healthy ageing. Lancet. 2016;387(10033):2145–54.PubMedCrossRef Beard JR, Officer A, De Carvalho IA, Sadana R, Pot AM, Michel J-P, et al. The world report on ageing and health: a policy framework for healthy ageing. Lancet. 2016;387(10033):2145–54.PubMedCrossRef
45.
go back to reference Braun T, Schmukle SC, Kunzmann U. Stability and change in subjective well-being: the role of performance-based and self-rated cognition. Psychol Aging. 2017;32(2):105.PubMedCrossRef Braun T, Schmukle SC, Kunzmann U. Stability and change in subjective well-being: the role of performance-based and self-rated cognition. Psychol Aging. 2017;32(2):105.PubMedCrossRef
46.
go back to reference Geerling DM, Diener E. Effect size strengths in subjective well-being research. Appl Res Qual Life. 2020;15(1):167–85.CrossRef Geerling DM, Diener E. Effect size strengths in subjective well-being research. Appl Res Qual Life. 2020;15(1):167–85.CrossRef
47.
go back to reference Basten S, Jiang Q. Fertility in China: An uncertain future. Popul Stud. 2015;69(sup1):S97–S105.CrossRef Basten S, Jiang Q. Fertility in China: An uncertain future. Popul Stud. 2015;69(sup1):S97–S105.CrossRef
48.
go back to reference Chen M, Yip PSF. The discrepancy between ideal and actual parity in Hong Kong: fertility desire, intention, and behavior. Popul Res Policy Rev. 2017;36(4):583–605.CrossRef Chen M, Yip PSF. The discrepancy between ideal and actual parity in Hong Kong: fertility desire, intention, and behavior. Popul Res Policy Rev. 2017;36(4):583–605.CrossRef
49.
go back to reference Choi S. Fewer mothers with more colleges? The impacts of expansion in higher education on first marriage and first childbirth. Demogr Res. 2018;39:593–634.CrossRef Choi S. Fewer mothers with more colleges? The impacts of expansion in higher education on first marriage and first childbirth. Demogr Res. 2018;39:593–634.CrossRef
50.
go back to reference Keizer R, Dykstra PA, Poortman A-R. Childlessness and norms of familial responsibility in the Netherlands. J Comp Fam Stud. 2011;42(4):421–38.CrossRef Keizer R, Dykstra PA, Poortman A-R. Childlessness and norms of familial responsibility in the Netherlands. J Comp Fam Stud. 2011;42(4):421–38.CrossRef
51.
go back to reference Min S, Taylor MG. Racial and ethnic variation in the relationship between student loan debt and the transition to first birth. Demography. 2018;55(1):165–88.PubMedCrossRef Min S, Taylor MG. Racial and ethnic variation in the relationship between student loan debt and the transition to first birth. Demography. 2018;55(1):165–88.PubMedCrossRef
52.
go back to reference Xu L, Chi I. Ageing and grandparenting in Asia. In: Quah SR, editor. Routledge Handbook of Families in Asia: Routledge Handbooks Online; 2015. p. 246–58. Xu L, Chi I. Ageing and grandparenting in Asia. In: Quah SR, editor. Routledge Handbook of Families in Asia: Routledge Handbooks Online; 2015. p. 246–58.
53.
go back to reference Gualano MR, Voglino G, Bert F, Thomas R, Camussi E, Siliquini R. The impact of intergenerational programs on children and older adults: a review. Int Psychogeriatr. 2018;30(4):451–68.PubMedCrossRef Gualano MR, Voglino G, Bert F, Thomas R, Camussi E, Siliquini R. The impact of intergenerational programs on children and older adults: a review. Int Psychogeriatr. 2018;30(4):451–68.PubMedCrossRef
Metadata
Title
To be or not to be: relationship between grandparent status and health and wellbeing
Authors
Daniel W. L. Lai
Jia Li
Xue Bai
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Geriatrics / Issue 1/2021
Electronic ISSN: 1471-2318
DOI
https://doi.org/10.1186/s12877-021-02052-w

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