Filial Closeness and Attitudes on Intergenerational Familial Care in Lebanon: Implications for Future Care Policy for Older Adults.

Objectives: Population aging, as well as the rise in chronic health conditions and economic hardships, in Lebanon has led to a greater significance of the role of family in caring for older adults. This study examined attitudes and beliefs towards family- and state-based care in Lebanon among midlife and older adults, and their association with filial closeness.

Methods: We used data from the Family Ties and Aging Study (2009) collected in Beirut, Lebanon, from adults aged 40-91 (N = 216). We used linear regression models to assess whether perceived filial closeness was associated with endorsement of family care. We also used multinomial logistic regression models to assess preference for either family care, state care, or care from both equally.

Results: Situational factors such as reporting better self-rated health and having a greater proportion of children who live close were associated with a weaker endorsement of family care over and above filial closeness. Preference for government or both family and government equally concerning care for financial, household, and personal needs were similarly associated with situational factors over and above filial closeness.

Discussion: Our results underscore the importance of considering contextual and situational factors that relate to older adults' attitudes and preferences for care. They suggest that 1) parents' attitudes and beliefs may relate to their desire to decrease strain on family members and increase solidarity; and 2) the potential importance of strengthening family ties through state interventions.