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Characteristics of Family/Friend Care Networks of Frail Seniors

Published online by Cambridge University Press:  13 September 2016

Janet Fast*
Affiliation:
Department of Human Ecology, University of Alberta
Norah Keating
Affiliation:
Department of Human Ecology, University of Alberta
Pam Otfinowski
Affiliation:
Department of Human Ecology, University of Alberta
Linda Derksen
Affiliation:
Department of Human Ecology, University of Alberta
*
Dr. Janet Fast, 3–02 Human Ecology Building, Department of Human Ecology, University of Alberta, Edmonton, AB T6G 2N1 ([email protected])

Abstract

This paper tests assumptions often made by policy makers and practitioners that networks of family, friends, and neighbours are able to provide sustained care to frail elderly Canadians. Using national survey data, we examined characteristics of the care networks of 1,104 seniors living with a long-term health problem. Care networks were found to vary considerably in size, relationship composition, gender composition, age composition, and proximity, and these network characteristics were found to help explain variations in the types and amounts of care received. As a result, network characteristics that might place seniors at risk of receiving inadequate care (including small size and higher proportions of non-kin, male, and geographically distant members) were identified. These risk factors appear to be poorly reflected in most existing policy.

Résumé

Ce mémoire explore certaines hypothèses souvent formulées par les décideurs et praticiens, à savoir que les réseaux informels, comme la famille, les amis et les voisins, peuvent fournir une aide soutenue aux Canadiens fragilisés âgés. À partir des données d'une enquête nationale, nous avons étudié les caractéristiques des réseaux de soins offerts à 1104 personnes âgées ayant une affection chronique. Nous avons constaté que les réseaux de soins différaient considérablement par la taille, la composition des relations, des sexes et de l'âge, et la proximité, et ces caractéristiques permettaient d'expliquer les variations entre le type et la quantité de soins reçus. Nous avons pu ainsi identifier certaines caractéristiques pouvant être préjudiciables aux personnes âgées parce qu'elles se traduisent par des soins inadéquats (p. ex., petits réseaux, forte proportion d'intervenants sans lien de parenté avec la personne âgée, forte proportion d'hommes, et éloignement géographique). Pourtant ces facteurs de risque ne semblent pas pris en compte dans les politiques actuelles.

Type
Research Article
Copyright
Copyright © Canadian Association on Gerontology 2004

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References

Angus, D.E., Auer, L., Cloutier, J.E., & Albert, T. (1995). Sustainable health care for Canada. Ottawa, ON: Queen's-University of Ottawa Economic Projects.Google Scholar
Armstrong, M.J., & Goldsteen, K.S. (1990). Friendship support patterns of older American women. Journal of Aging Studies, 4(4), 391404.CrossRefGoogle Scholar
Armstrong, P., & Kits, O. (2001). Hundred years ofcaregiving. (Report Commissioned by the Law Commission of Canada).Google Scholar
Barrett, A.E., & Lynch, S.M. (1999). Caregiving networks of elderly persons: Variation by marital status. Gerontologist, 39(6), 695704.CrossRefGoogle ScholarPubMed
Boaz, R.F., & Hu, J. (1997). Determining the amount of help used by disabled elderly persons at home: The role of coping resources. Journal of Gerontology: Social Sciences, 52B(6), S317–S324.CrossRefGoogle Scholar
Bowling, A., & Browne, P.D. (1991). Social networks, health, and emotional well-being among the oldest old in London. Journal of Gerontology, 46(1), S20–S32.CrossRefGoogle Scholar
Bowling, A., Farquhar, M., & Browne, P. (1991). Life satisfaction and associations with social network and support variables in three samples of elderly people. International Journal of Geriatric Psychiatry, 6(8), 549566.CrossRefGoogle Scholar
Campbell, L.D., Connidis, I.A., & Davies, L. (1999). Sibling ties in later life: A social network analysis. Journal of Family Issues, 20(1), 114148.CrossRefGoogle Scholar
Carpentier, N., & Ducharme, F. (2003). Care-giver network transformations: The need for an integrated perspective. Ageing and Society, 23, 19.CrossRefGoogle Scholar
Cicirelli, V.G., Coward, R.T., & Dwyer, J.W. (1992). Siblings as caregivers for impaired elders. Research on Aging, 14(3), 331350.CrossRefGoogle Scholar
Denton, M. (1997). The linkages between informal and formal care of the elderly. Canadian Journal on Aging, 16(1), 3050.CrossRefGoogle Scholar
Eales, J., Keating, N., & Fast, J. (2001, August). Analysis of the impact of federal, provincial, territorial, and regional policies on caregivers' economic security. Ottawa, ON: Health Canada.Google Scholar
Fast, J., Eales, J., & Keating, N. (2001). Economic impact of health, income security and labour policies on informal caregivers of frail seniors. Ottawa, ON: Status of Women Canada.Google Scholar
Feeny, D., Furlong, W., Boyle, M., & Torrance, G.W. (1995). Multi-attribute health status classification systems: Health utilities index. PharmacoEconomics, 7(6), 490502.CrossRefGoogle ScholarPubMed
Frederick, J. (1995). As time goes by … Time use of Canadians. Ottawa, ON: Statistics Canada.Google Scholar
Fruin, D. (1998). A matter of chance for carers? Inspection of local authority support for carers. London, UK: Department of Health, Social Care Group.Google Scholar
Gallagher, S.K. (1994). Doing their share: Comparing patterns of help given by older and younger adults. Journal of Marriage and the Family, 56, 567578.CrossRefGoogle Scholar
Globerman, J. (1996). Motivations to care: Daughters- and sons-in-law caring for relatives with Alzheimer's disease. Family Relations, 45, 3745.CrossRefGoogle Scholar
Gori, C. (2000). Solidarity in Italy's policies towards the frail elderly: A value at stake. International Journal of Social Welfare, 9, 261269.CrossRefGoogle Scholar
Harlton, S.-V., Keating, N., & Fast, J. (1998). Defining eldercare for policy and practice: Perspectives matter. Family Relations, 47, 281288.CrossRefGoogle Scholar
Havens, B., Donovan, C., & Hollander, M. (2001, July). Policies that have positive or negative impacts on informal care in Canada. Presentation to the International Association of Gerontology, Vancouver, BC.Google Scholar
Hawkins, B. (1996). Daughters and caregiving: Taking care of our own. American Association of Occupational Health Nurses Journal, 44(9), 433437.Google Scholar
Hirsch, C. (1996). Understanding the influence of gender role identity on the assumption of family caregiving roles by men. International Journal on Aging and Human Development, 42(2), 103121.CrossRefGoogle ScholarPubMed
Ingersoll-Dayton, B., & Antonucci, T.C. (1988). Reciprocal and nonreciprocal social support: Contrasting sides of intimate relationships. Journal of Gerontology: Social Sciences, 43(3), S65–S73.CrossRefGoogle ScholarPubMed
Israel, B.A., & Antonucci, T.C. (1987). Social network characteristics and psychological well-being: A replication and extension. Health Education Quarterly, 14(4), 461481.CrossRefGoogle Scholar
Jayakody, R. (1993). Neighborhoods and neighbor relations. In Jackson, J.S., Chatters, L.M., & Taylor, R.J. (Eds.), Aging in Black America (pp. 2137). Newbury Park, CA: Sage.Google Scholar
Keating, N., & Fast, J. (2000). Time and consequences of informal care to frail seniors. Journal of the Society of Obstetricians and Gynecologists of Canada, 22(2), 939943.Google Scholar
Keating, N., Fast, J., Frederick, J., Cranswick, K., & Perrier, C. (1999). Eldercare in Canada: Context, content and consequences. Ottawa, ON: Statistics Canada.Google Scholar
Keating, N., Kerr, K., Warren, S., Grace, M., & Wertenberger, D. (1994). Who's the family in family caregiving? Canadian Journal on Aging, 13(2), 268286.CrossRefGoogle Scholar
Keating, N., Otfinowski, P., Wenger, G.C., Fast, J., & Derksen, L. (2003). Understanding the caring capacity of informal networks of frail seniors: A case for care networks. Ageing and Society, 23, 115127.CrossRefGoogle Scholar
Klein Ikkink, K., & van Tilburg, T. (1998). Do older adults' network members continue to provide instrumental support in unbalanced relationships? Journal of Social and Personal Relationships, 15(1), 5975.CrossRefGoogle Scholar
Litwak, E., Messeri, P., & Silverstein, M. (1990). The role of formal and informal groups in providing help to older people. Marriage and Family Review, 25(1/2), 171193.CrossRefGoogle Scholar
Litwin, H. (1995). The social networks of elderly immigrants: An analytic typology. Journal of Aging Studies, 9(2), 155174.CrossRefGoogle Scholar
Lubben, J., & Gironda, M. (1996). Assessing social support networks among older people in the United States. In Litwin, H. (Ed.), The social networks of older people: A cross-national analysis (pp. 143161). Westport, CN: Praeger.Google Scholar
Matthews, S.H., & Rosner, T.T. (1988). Shared filial responsibility: The family as the primary caregiver. Journal of Marriage and the Family, 50, 185195.CrossRefGoogle Scholar
National Advisory Council on Aging. (1999). 1999 and beyond: Challenges of an aging Canadian society. Ottawa, ON: Author.Google Scholar
Nocon, A., & Pearson, M. (2000). The roles of friends and neighbours in providing support for older people. Ageing and Society, 20, 341367.CrossRefGoogle Scholar
Nolan, M., Grant, G., & Keady, J. (1996). Towards a more holistic conceptualization of caring. In Understanding family care: A multidimensional model of caring and coping (pp. 2851). Buckinghamshire, UK: Open University Press.Google Scholar
Peace, S., & Holland, C. (2001). Homely residential care: A contradiction in terms? Journal of Social Policy, 30(3), 393410.CrossRefGoogle Scholar
Peek, M.K., & Lin, N. (1999). Age differences in the effects of network composition on psychological distress. Social Science and Medicine, 49, 621636.CrossRefGoogle ScholarPubMed
Penrod, J.D., Kane, R.A., Kane, R.L., & Finch, M.D. (1995). Who cares? The size, scope, and composition of the caregiver support system. Gerontologist, 35(4), 489497.CrossRefGoogle ScholarPubMed
Phillipson, C. (1997). Family care in Great Britain: Sociological perspectives. Ageing International, (Summer), 6379.Google Scholar
Phillipson, C. (2001, July). Theorising family relations and family support in old age: The role of social capital and social networks. Presentation to the International Association of Gerontology, Vancouver, BC.Google Scholar
Piercy, K.W. (1998). Theorizing about family caregiving: The role of responsibility. Journal of Marriage and the Family, 60(1), 109118.CrossRefGoogle Scholar
Pruchno, R.A., Burant, C.J., & Peters, N.D. (1997). Typologies of caregiving families: Family congruence and individual well-being. Gerontologist, 37(2), 157167.CrossRefGoogle Scholar
Siebert, D.C., Mutran, E.J., & Reitzes, D.C. (1999). Friendship and social support: The importance of role identity to aging adults. Social Work, 44(6), 522533.CrossRefGoogle ScholarPubMed
Stephens, S.A., & Christianson, J.B. (1986). Informal care of the elderly. Lexington, MA: Lexington.Google Scholar
Stone, L., & Rosenthal, C. (1996). Profiles of the social networks of Canada's elderly: An analysis of 1990 General Social Survey data. In Litwin, H. (Ed.), The social networks of older people: A cross-national analysis (pp. 7797). Westport, CN: Praeger.Google Scholar
Tennstedt, S.L., Crawford, S.L., & McKinlay, J.B. (1993). Is family care on the decline? A longitudinal investigation of the substitution of formal long-term care services for informal care. Milbank Quarterly, 72(4), 601624.CrossRefGoogle Scholar
Tennstedt, S.L., McKinlay, J.B., & Sullivan, L.M. (1989). Informal care for frail elders: The role of secondary caregivers. Gerontologist, 29(5), 677683.CrossRefGoogle ScholarPubMed
Tijhuis, M.A.R., Flap, H.D., Foets, M., & Groenewegen, P.P. (1998). Selection in the social network: Effects of chronic diseases. European Journal of Public Health, 8(4), 286293.CrossRefGoogle Scholar
van Tilburg, T. (1998). Losing and gaining in old age: Changes in personal network size and social support in a four-year longitudinal study. Journal of Gerontology: Social Sciences, 53B(6), S313–S323.CrossRefGoogle Scholar
Velkoff, V.A., & Lawson, V.A. (1998). Caregiving. Gender and Aging, (December), 17.Google Scholar
Walker, A. (1991). The relationship between the family and the state in the care of older people. Canadian Journal on Aging, 20(2), 94112.CrossRefGoogle Scholar
Walker, A.J., Pratt, C.C., & Eddy, L. (1995). Informal caregiving to aging family members: A critical review. Family Relations, 44, 402411.CrossRefGoogle Scholar
Wenger, G.C. (1991). A network typology: From theory to practice. Journal of Aging Studies, 5(2), 147162.CrossRefGoogle Scholar
Wenger, G.C. (1994). Understanding support networks and community care: Network assessment for elderly people. Aldershot, HPH: Avebury.Google Scholar
Wenger, G.C. (1996). Social networks and gerontology. Reviews in Clinical Gerontology, 6, 285293.CrossRefGoogle Scholar