Parent-Child Relationship Typologies and Associated Health Status Among Older Adults in the United States and China: A Cross-Cultural Comparison.

IF 4.9 3区医学 Q1 GERIATRICS & GERONTOLOGY

Innovation in Aging Pub Date : 2024-05-18 eCollection Date: 2024-01-01 DOI:10.1093/geroni/igae050

Dexia Kong, Peiyi Lu, Bei Wu, Merril Silverstein

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引用次数: 0

Abstract

Background and objectives: Cultural differences in intergenerational relationships have been well established in prior research. However, cross-national comparison evidence on the parent-child relationship and its health implications remains limited.

Research design and methods: Data from the 2014 U.S. Health and Retirement Study and the 2015 Health and Retirement Longitudinal Study in China were used (N _{US, non-Hispanic Whites only} = 3,918; N _China = 4,058). Relationship indicators included coresidence, living nearby, having weekly contact, receiving assistance with daily activities, providing grandchild care, and financial transfer to/from children. Latent class and regression analyses were conducted.

Results: Four classes were identified for non-Hispanic White older Americans: (1) distant and uninvolved (6.58%), (2) geographically proximate with frequent contact and downward support (47.04%), (3) coresident with frequent contact and upward support (13.1%), and (4) geographically proximate with frequent contact (33.28%). Three classes were identified among older Chinese: (1) coresident with frequent contact and upward support (37.46%), (2) coresident/interdependent (25.65%), and (3) geographically proximate with frequent contact and upward financial support (36.89%). For non-Hispanic White older Americans, providing downward support was associated with fewer functional limitations and better cognition. Receiving instrumental support from children was associated with more depressive symptoms, more functional limitations, and poorer cognition among older Chinese.

Discussion and implications: Cultural contrasts were evident in parent-child relationship typologies and their health implications. Compared to the U.S. non-Hispanic Whites, parent-child relationships in China tended to be closer and associated with poorer health status. The findings call for culturally relevant strategies to improve parent-child relationships and ultimately promote the health of older adults.

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美国和中国老年人的亲子关系类型及相关健康状况：跨文化比较

背景和目的：代际关系中的文化差异已在先前的研究中得到证实。然而，有关亲子关系及其对健康影响的跨国比较证据仍然有限：研究使用了 2014 年美国健康与退休研究和 2015 年中国健康与退休纵向研究的数据（美国非西班牙裔白人=3918 人；中国非西班牙裔白人=4058 人）。关系指标包括同住、就近居住、每周联系、接受日常活动帮助、提供孙辈照顾以及向子女或从子女处转移资金。研究进行了潜类分析和回归分析：在非西班牙裔美国白人老年人中发现了四个类别：（1）疏远和不参与（6.58%）；（2）地理位置接近，经常联系和向下支持（47.04%）；（3）同住，经常联系和向上支持（13.1%）；（4）地理位置接近，经常联系（33.28%）。华裔老年人分为三类：(1) 经常联系和向上支持的同住者（37.46%），(2) 同住/相互依赖者（25.65%），(3) 经常联系和向上提供经济支持的地理位置相近者（36.89%）。对于非西班牙裔美国白人老年人来说，向下提供支持与较少的功能限制和较好的认知能力有关。在华裔老年人中，接受子女的工具性支持与更多的抑郁症状、更多的功能限制和更差的认知能力有关：亲子关系类型及其对健康的影响存在明显的文化差异。与美国非西班牙裔白人相比，中国的亲子关系更亲密，健康状况更差。研究结果呼吁采取与文化相关的策略来改善亲子关系，并最终促进老年人的健康。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Innovation in Aging GERIATRICS & GERONTOLOGY-

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

15 weeks

期刊介绍： Innovation in Aging, an interdisciplinary Open Access journal of the Gerontological Society of America (GSA), is dedicated to publishing innovative, conceptually robust, and methodologically rigorous research focused on aging and the life course. The journal aims to present studies with the potential to significantly enhance the health, functionality, and overall well-being of older adults by translating scientific insights into practical applications. Research published in the journal spans a variety of settings, including community, clinical, and laboratory contexts, with a clear emphasis on issues that are directly pertinent to aging and the dynamics of life over time. The content of the journal mirrors the diverse research interests of GSA members and encompasses a range of study types. These include the validation of new conceptual or theoretical models, assessments of factors impacting the health and well-being of older adults, evaluations of interventions and policies, the implementation of groundbreaking research methodologies, interdisciplinary research that adapts concepts and methods from other fields to aging studies, and the use of modeling and simulations to understand factors and processes influencing aging outcomes. The journal welcomes contributions from scholars across various disciplines, such as technology, engineering, architecture, economics, business, law, political science, public policy, education, public health, social and psychological sciences, biomedical and health sciences, and the humanities and arts, reflecting a holistic approach to advancing knowledge in gerontology.