Sibling Influences, Sibling Similarities, and Parent Care in Late Life.

Researchers have extensively examined why some particular adult children provide care to their aged parents, but rarely considered sibling similarities and influences in their examinations. Guided by social learning theory and diffusion of responsibility theory, we investigate whether sibling similarities are associated with adult children's care hours, net of the parent's and child's characteristics. Based on social comparison theory, we further examine whether such associations differ across adult children, depending on whether adult children share the same characteristics as their siblings. Using Round 5 data from the National Health and Aging Trends Study, we find that adult children provide more care hours when siblings are close in age, supporting social learning theory. In contrast, adult children provide fewer care hours in the presence of a greater share of siblings who are unpartnered or close to the parents, supporting diffusion of responsibility theory. Consistent with social comparison theory, social learning is stronger for younger adult children, and diffusion of responsibility is weaker when adult children are unpartnered or close to the parents. Findings from this study highlight the importance for future research of going beyond parent-child dyads and incorporate sibling influences when studying the caregiving behavior of adult children.

Dimensions of Reproductive Attitudes and Knowledge Related to Unintended Childbearing Among U.S. Adolescents and Young Adults.

Measures of attitudes and knowledge predict reproductive behavior, such as unintended fertility among adolescents and young adults. However, there is little consensus as to the underlying dimensions these measures represent, how to compare findings across surveys using different measures, or how to interpret the concepts captured by existing measures. To guide future research on reproductive behavior, we propose an organizing framework for existing measures. We suggest that two overarching multidimensional concepts-reproductive attitudes and reproductive knowledge-can be applied to understand existing research using various measures. We adapt psychometric analytic techniques to analyze two data sets: the National Longitudinal Survey of Adolescent to Adult Health (Add Health) and the Relationship Dynamics and Social Life study (RDSL). Although the specific survey measures and sample composition of the two data sets are different, the dimensionality of the concepts and the content of the items used to measure their latent factors are remarkably consistent across the two data sets, and the factors are predictive of subsequent contraceptive behavior. However, some survey items do not seem strongly related to any dimension of either construct, and some dimensions of the two concepts appear to be poorly measured with existing survey questions. Nonetheless, we argue that the concepts of reproductive attitudes and reproductive knowledge are useful for categorizing and analyzing social psychological measures related to unintended fertility. The results can be used to guide secondary data analyses to predict reproductive behavior, compare results across data sets, and structure future data collection efforts.

Early-Life Parent-Child Relationships and Adult Children's Support of Unpartnered Parents in Later Life.

OBJECTIVES: The proportion of older adults who are unpartnered has increased significantly over the past 25 years. Unpartnered older adults often rely on their adult children for support. Most previous studies have focused on proximal factors associated with adult children's support of their parents, while few have examined distal factors, such as parent-child relationships formed during childhood. This study fills the gap by investigating the direct and indirect associations between early-life parent-child relationships and adult children's upward transfers to unpartnered parents. METHOD: Data came from two supplements to the Panel Study of Income Dynamics, in which respondents were asked about their relationships with mothers and fathers before age 17 and their transfers of time and money to parents in 2013. Path models were estimated for unpartnered mother-adult child dyads and father-adult child dyads separately. RESULTS: For adult children of unpartnered mothers, psychological closeness has a direct, positive association with time transfer, while physical violence has an indirect association with time transfer through adult children's marital status. For adult children of unpartnered fathers, psychological closeness has neither a direct nor an indirect association with time or money transfer, but physical violence has a direct, negative association with time transfer. DISCUSSION: Early-life parent-child relationships play a pivotal role in influencing adult children's caregiving behavior, both directly and indirectly. Our findings suggest that by improving their relationships with children early in life, parents may be able to increase the amount of time transfer that they receive in late life.

Intergenerational Transfer and Reporting Bias: An Application of the MIMIC Model.

Objectives: Parents' and adult children's reports of transfer do not always agree, because each has respective bias. This study demonstrates a method to separate reporting bias from transfer and identify their respective correlates. Method: The analysis was based on 4,947 parent-child dyads from the Family Roster and Transfer Module added to the 2013 wave of the Panel Study of Income Dynamics. Drawing on classical test theory, a multiple-indicators-and-multiple-causes (MIMIC) model was used to decompose parents' and adult children's reports of time and money transfers into a latent factor (true transfer) and unique factors (bias). This model further identified respective covariates associated with true transfer and bias. Results: A substantial amount of bias existed in parents' and adult children's reports. The self-enhancement hypothesis did not fully explain how resources to help and need for support relate to the direction of reporting bias. Some correlates of transfer identified in prior studies were associated with transfer only, some with bias only, and others with both transfer and bias. Discussion: Bias is common in both parents' and adult children's reports of transfer. Separating bias from transfer and identifying their respective correlates makes it possible to explain why intergenerational transfer and reporting bias occur.

Activity limitations, use of assistive devices or personal help, and well-being: variation by education.

OBJECTIVES: This study examined the associations among self-care or mobility limitations, use of assistive devices or personal help, and well-being while giving special attention to 3 dimensions of well-being and older adults' educational attainment. METHOD: The analysis was based on 4,456 community-dwelling older adults with self-care or mobility limitations who completed interviews in the first round of the National Health and Aging Trends Study. Path models were estimated to examine the associations among limitations, use of assistive devices or personal help, and 3 dimensions of well-being (positive affect, self-realization, and self-efficacy) for different educational groups of older adults. RESULTS: Self-care or mobility limitations had a negative association with 3 dimensions of well-being. The use of assistive devices was positively related, but the use of personal help was negatively related to well-being. Older adults with more education demonstrated weaker associations between assistive devices and well-being and stronger inverse associations between personal help and well-being than those with less education. DISCUSSION: The use of coping strategies to address self-care or mobility limitations is not necessarily associated with better well-being, and education does not seem to play a protective role once limitations develop. More research is needed to unpack population heterogeneity in the association between coping strategies and well-being.

Patterns of coping among family caregivers of frail older adults.

Past studies have extensively examined factors associated with coping strategies that caregivers use to ameliorate distress or solve problems. While these studies have found that stressors and individual resources influence choices of coping strategies, they have tended to overlook caregivers' social resources and have rarely considered the possibility that distinct groups of caregivers may use different sets of coping strategies. We conducted latent-class analyses to identify distinct groups of caregivers: those using no particular patterns of coping (unpatterned-coping), those centering on ameliorating distress (emotional-coping), and those focusing on both ameliorating distress and solving problems (hybrid-coping). Stressors distinguished all three coping groups, individual resources differentiated the hybrid-coping group from the emotional-coping group and the unpatterned-coping group, and social resources separated the emotional-coping group and the hybrid-coping group from the unpatterned-coping group. These findings indicate different factors contributing to caregivers' use of different coping styles and suggest ways to better help caregivers.

Intergenerational Exchange and Expected Support Among the Young-Old.

The authors used data from the Wisconsin Longitudinal Study (N = 5,023) to determine how 3 attributes of intergenerational exchange (content, direction, and recency) are associated with older adults' expected sick care and comfort from their adult children. They found more like-kind associations (expecting same types of support that had been exchanged before) than spillover associations (expecting different types of support than that had been exchanged before). Same patterns of like-kind associations were found for expected sick care and comfort, regardless of the direction and recency of exchange, but expected sick care and comfort had different patterns of spillover associations. Specifically, recent emotional transfer, upward or downward, was related to expected sick care, but only recent upward instrumental transfer was related to expected comfort. This study advances the gerontological literature by elucidating the complex relations between each of the 3 attributes of intergenerational exchange and expected support among older adults.

NEGATIVE AND POSITIVE CAREGIVING EXPERIENCES: A CLOSER LOOK AT THE INTERSECTION OF GENDER AND RELATIOSHIPS.

Using data from the 2004 wave of the National Long-Term Care Survey, we examined how negative and positive caregiving experiences differ by caregivers' gender and relationship to care recipients. We further considered how their caregiving experiences are affected by caregivers' demographic characteristics, care recipients' problem behavior and dependency, caregivers' involvement, reciprocal help from care recipients, and social support available for caregivers. We found that female and adult-child caregivers, in general, reported having had more negative experiences than male and spouse caregivers, respectively. Wife caregivers were least likely to report positive experiences. We also found different risk factors for negative and positive caregiving experiences, and these factors varied depending on caregivers' gender and relationship to the care recipient. The findings underscore the heterogeneity of caregiving experiences. To sustain informal care, state and local agencies need to tailor services to wife, husband, daughter, and son caregivers' unique needs.

Does informal care attenuate the cycle of ADL/IADL disability and depressive symptoms in late life?

OBJECTIVE: Prior studies have extensively examined the reciprocal relation between disability and depressive symptoms in late life, but little is known about whether informal care attenuates the reciprocal relation over time. This study examined whether disability and depressive symptoms mobilize informal care and whether informal care, once mobilized, protects older adults against the progression of disability and depressive symptoms. METHODS: The analysis was based on 6,454 community-dwelling older adults who were interviewed in one or more waves of the Health and Retirement Study between 1998 and 2006. Extending an autoregressive cross-lagged model, we constructed 3 cycles of the relations among disability, depressive symptoms, and informal care. Comparing the relations across 3 cycles informs us about the attenuating effect of informal care on the relation between disability and depressive symptoms over time. RESULTS: Although older adults' disability and depressive symptoms mobilized informal care initially, worsening disability and depressive symptoms often exhausted support. Receipt of care generally increased, rather than decreased, disability and depressive symptoms, and the detrimental effects remained the same over time. DISCUSSION: We need to better understand the linkage between disability and depressive symptoms and seek effective interventions to reduce caregiver strain and enhance care receivers' well-being.