Psychological Well-being of Grandparents Caring for Grandchildren among Older Chinese Americans: Burden or Blessing?

摘要

The rapid increase in grandparents caring for grandchildren has received growing attention; however, relatively little research has focused on Chinese American grandparents and their caregiving experiences. Drawing on cross-sectional data from the Population Study of Chinese Elderly (PINE) – a community-engaged, epidemiological study of Chinese American adults aged 60 and older, we examined the relationships between caregiving experiences and psychological well-being. Among 2,365 older adults who answered the question about grandparent caregiving, 818 (35%) were designated as caregivers, spending an average of 12 hours a week on childcare. About one in five caregivers reported caregiving burden, pressure, or negative health effect of caregiving. Compared with noncaregivers, caregivers had better psychological well-being, with significantly lower levels of depressive symptoms, anxiety, stress, and loneliness. But increased levels of caregiving burden, pressure from adult children, and perceived negative effect were related to increased rates for psychological distress. With a strong cultural expectation for family care, grandparent caregiving is generally associated with positive psychological well-being; but it is also a stress process, especially when older adults feel pressured and/or burdened to provide childcare. The study implies that cultural values and life transitions may shape grandparent caregiving experiences and well-being, pointing to the importance of respecting cultural differences in family caregiving. Understanding both positive and negative aspects of grandparent caregiving and the underlying mechanisms will help healthcare professionals identify caregivers at risk of psychological distress and provide proper interventions to attenuate negative outcomes while maximizing positive experience in Chinese American older adults.