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Functional disability and the role of children in U.S. older adults’ core discussion networks

Published online by Cambridge University Press:  26 February 2021

Markus H. Schafer*
Affiliation:
University of Toronto, Department of Sociology
Laura Upenieks
Affiliation:
Baylor University, Department of Sociology (e-mail: [email protected])
*
*Corresponding author. Email: [email protected]

Abstract

This study considered the role of adult children in the core networks of U.S. older adults with varying levels of functional health. Taking a multidimensional perspective of the ego network system, we considered (a) presence of child(ren) in the network, (b) contact with children network members, and (c) embeddedness of children within the network. We observed older parents from three waves of the National Social Life, Health, and Aging Project (NSHAP). The common ‘important matters’ name generator was used to construct egocentric network variables, while self-reported difficulty with activities of daily life was used to measure disablement transitions. Parameters were estimated with Generalized Estimating Equations (GEE). Though child turnover was common in parents’ core networks, there was no evidence linking disablement transitions to systematic forms of child reshuffling. Children that remained in parents’ networks, however, showed increased contact with parents and with other members of the network when the parent underwent disability progression. Disability onset was not significantly linked to either outcome. There was limited evidence of gender variation in these patterns. Overall, results strengthen the view that children are distinctive members of older adults’ core networks. Further, the role of adult children shifts most noticeably at advanced stages of the disablement process.

Type
Research Article
Copyright
© The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Action Editor: Stanley Wasserman

References

Aarsten, M. J., Smits, C. H., Van Tilburg, T., Knipscheer, K., & Deeg, J. H. (2002). Activity in older adults: cause or consequence of cognitive functioning? A longitudinal study on everyday activities and cognitive performance in older adults. The Journals of Gerontology, Series B, Psychological Sciences and Social Sciences, 57(2), 153162.Google Scholar
Aartsen, M. J., Van Tilburg, T., Smits, C. H., & Knipscheer, K. C. (2004). A longitudinal study of the impact of physical and cognitive decline on the personal network in old age. Journal of Social and Personal Relationships, 21(2), 249266.CrossRefGoogle Scholar
Agneessens, F., Waege, H., & Lievens, J. (2006). Diversity in social support by role relations: A typology. Social Networks, 28(4), 427441.CrossRefGoogle Scholar
Allison, P. D. (1999). Multiple Regression: A Primer. Thousand Oaks, CA: Pine Forge.Google Scholar
Arbel, I., Bingham, K. S., & Dawson, D. R. (2019). A scoping review of literature on sex and gender differences among dementia spousal caregivers. The Gerontologist. https://doi.org/10.1093/geront/gny177CrossRefGoogle ScholarPubMed
Ashida, S., & Heaney, C. A. (2008). Differential associations of social support and social connectedness with structural features of social networks and the health status of older adults. Journal of Aging and Health, 20(7), 872893.CrossRefGoogle ScholarPubMed
Baltes, E. B., & Baltes, M.M. (1990). Psychological perspectives on successful aging: The model of selective optimization with compensation. In Baltes, E B. & Baltes, M.M. (Eds.), Successful aging: Perspectives from the behavioral sciences (pp. 134). New York: Cambridge University PressCrossRefGoogle Scholar
Birditt, K. S., Manalel, J. A., Kim, K., Zarit, S. H., & Fingerman, K. L. (2017). Daily interactions with aging parents and adult children: Associations with negative affect and diurnal cortisol. Journal of Family Psychology, 31(6), 699709.CrossRefGoogle ScholarPubMed
Boyczuk, A. M., & Fletcher, P. C. (2016). The ebbs and flows: Stresses of sandwich generation caregivers. Journal of Adult Development, 23(1), 5161.CrossRefGoogle Scholar
Brody, E. M., Hoffman, C., Kleban, M. H., & Schoonover, C. B. (1989). Caregiving daughters and their local siblings: Perceptions, strains, and interactions. The Gerontologist, 29(4), 529538.CrossRefGoogle ScholarPubMed
Cahill, E., Lewis, L. M., Barg, F. K., & Bogner, H. R. (2009). “You don’t want to burden them”: Older adults’ views on family involvement in care. Journal of Family Nursing, 15(3), 295317.CrossRefGoogle ScholarPubMed
Carstensen, L. L. (1992). Social and emotional patterns in adulthood: support for socioemotional selectivity theory. Psychology and Aging, 7(3), 331338.CrossRefGoogle ScholarPubMed
Cela, E., & Fokkema, T. (2017). Being lonely later in life: A qualitative study among Albanians and Moroccans in Italy. Ageing & Society, 37(6), 11971226.CrossRefGoogle Scholar
Connidis, I. A., & Davies, L. (1990). Confidants and companions in later life: The place of family and friends. Journal of Gerontology, 45(4), S141S149.CrossRefGoogle ScholarPubMed
Cornwell, B., Schumm, L. P., Laumann, E. O., & Graber, J. (2009). Social networks in the NSHAP Study: rationale, measurement, and preliminary findings. The Journals of Gerontology, Series B, Psychological Sciences and Social Sciences, 64(suppl.1), i47–i55.Google ScholarPubMed
Crimmins, E. M., Zhang, Y., & Saito, Y. (2016). Trends over 4 decades in disability-free life expectancy in the United States. American Journal of Public Health, 106(7), 12871293.CrossRefGoogle ScholarPubMed
Duchowny, K. A., Clarke, P. J., & Peterson, M. D. (2018). Muscle weakness and physical disability in older Americans: Longitudinal findings from the US Health and Retirement Study. The Journal of Nutrition, Health & Aging, 22(4), 501507.CrossRefGoogle Scholar
Edwards, H.S. (2017, November 17). Dignity, death and America’s crisis in elder care. Time. Retrieved from http://time.com/5027076/dignity-death-and-americas-crisis-in-elder-care/Google Scholar
Finch, J., & Mason, J. (1993). Negotiating family obligations. The Sociological Review, 38(2), 219246.CrossRefGoogle Scholar
Funk, L. M. (2012). ‘Returning the love’, not ‘balancing the books’: talk about delayed reciprocity in supporting ageing parents. Ageing & Society, 32(4), 634654.CrossRefGoogle Scholar
Gautun, H., & Bratt, C. (2017). Caring too much? Lack of public services to older people reduces attendance at work among their children. European Journal of Ageing, 14(2), 155166.CrossRefGoogle ScholarPubMed
Girardin, M., Widmer, E. D., Connidis, I. A., Castrén, A. M., Gouveia, R., & Masotti, B. (2018). Ambivalence in later-life family networks: Beyond intergenerational dyads. Journal of Marriage and Family, 80(3), 768784.CrossRefGoogle Scholar
Goldman, A. W., & Cornwell, B. (2018). Social disadvantage and instability in older adults’ ties to their adult children. Journal of Marriage and Family, 80(5), 13141332.CrossRefGoogle ScholarPubMed
Greve, B. (Ed.). 2017. Long-term care for the elderly in Europe. Development and prospects. Oxon: RoutledgeCrossRefGoogle Scholar
Grigoryeva, A. (2017). Own gender, sibling’s gender, parent’s gender: The division of elderly parent care among adult children. American Sociological Review, 82(1), 116146.CrossRefGoogle Scholar
Grundy, E., & Henretta, J. C. (2006). Between elderly parents and adult children: a new look at the intergenerational care provided by the ‘sandwich generation’. Ageing & Society, 26(5), 707722.CrossRefGoogle Scholar
Huo, M., Graham, J. L., Kim, K., Zarit, S. H., & Fingerman, K. L. (2017). Aging parents’ disabilities and daily support exchanges with middle-aged children. The Gerontologist, 58(5), 872882.CrossRefGoogle Scholar
Ingersoll-Dayton, B., Neal, M. B., Ha, J. H., & Hammer, L. B. (2003). Redressing inequity in parent care among siblings. Journal of Marriage and Family, 65(1), 201212.CrossRefGoogle Scholar
Kalmijn, M. (2016). Father–child contact, interparental conflict, and depressive symptoms among children of divorced parents. European Sociological Review, 32(1), 6880.CrossRefGoogle Scholar
Kim, K., Bangerter, L. R., Liu, Y., Polenick, C. A., Zarit, S. H., & Fingerman, K. L. (2016). Middle-aged offspring’s support to aging parents with emerging disability. The Gerontologist, 57(3), 441450.Google Scholar
Laditka, J. N., & Laditka, S. B. (2001). Adult children helping older parents: Variations in likelihood and hours by gender, race, and family role. Research on Aging, 23(4), 429456.CrossRefGoogle Scholar
Lee, G. R., Coward, R. T., & Netzer, J. K. (1994). Residential differences in filial responsibility expectations among older persons. Rural Sociology, 59(1), 100109.CrossRefGoogle Scholar
Lee, J., Lau, S., Meijer, E., & Hu, P. (2020). Living longer, with or without disability? A global and longitudinal perspective. The Journals of Gerontology, Series A, 75(1), 162167.CrossRefGoogle ScholarPubMed
Lin, N. (2002). Social capital: A theory of social structure and action (Vol. 19). Cambridge University Press.Google Scholar
Litwin, H. (2020). Ego-centered network analysis: two approaches, four domains. Presented at Social Network Analysis Workshop of the Israel Science Foundation, Ramat Gan, Israel.Google Scholar
Litwin, H., & Shiovitz-Ezra, S. (2006). Network type and mortality risk in later life. The Gerontologist, 46(6), 735743.CrossRefGoogle ScholarPubMed
Marcum, C. S., Ashida, S., & Koehly, L. M. 2018. Primary caregivers in a network context. The Journals of Gerontology, Series B, doi: 10.1093/geronb/gbx165Google Scholar
Marsden, P. V. (1987). Core discussion networks of Americans. American Sociological Review, 52(1), 122131.CrossRefGoogle Scholar
McCarty, C., Bernard, H. R., Killworth, P. D., Shelley, G. A., & Johnsen, E. C. (1997). Eliciting representative samples of personal networks. Social Networks, 19(4), 303323.CrossRefGoogle Scholar
Mollenhorst, G., Volker, B., & Flap, H. (2014). Changes in personal relationships: How social contexts affect the emergence and discontinuation of relationships. Social Networks, 37(3), 6580.CrossRefGoogle Scholar
Nikolova, R., Demers, L., Béland, F., & Giroux, F. (2011). Transitions in the functional status of disabled community-living older adults over a 3-year follow-up period. Archives of Gerontology and Geriatrics, 52(1), 1217.CrossRefGoogle Scholar
Offer, S., & Fischer, C. S. (2018). Difficult people: Who is perceived to be demanding in personal networks and why are they there? American Sociological Review, 83(1), 111142.CrossRefGoogle Scholar
Paik, A., & Sanchagrin, K. (2013). Social isolation in America: An artifact. American Sociological Review, 78(3), 339360.CrossRefGoogle Scholar
Pavela, G. (2015). Functional status and social contact among older adults. Research on Aging, 37(8), 815836.CrossRefGoogle ScholarPubMed
Pinquart, M., Sörensen, S., & Peak, T. (2005). Helping older adults and their families develop and implement care plans. Journal of Gerontological Social Work, 43(4), 323.CrossRefGoogle Scholar
Reinhardt, J. P., Boerner, K., & Horowitz, A. (2006). Good to have but not to use: Differential impact of perceived and received support on well-being. Journal of Social and Personal Relationships, 23(1), 117129.CrossRefGoogle Scholar
Schafer, M. H. (2018). (Where) is functional decline isolating? Disordered environments and the onset of disability. Journal of Health and Social Behavior, 59(1), 3855.CrossRefGoogle ScholarPubMed
Silverstein, M., & Bengtson, V. L. (1991). Do close parent-child relations reduce the mortality risk of older parents? Journal of Health and Social Behavior, 32(4), 382395.CrossRefGoogle ScholarPubMed
Silverstein, M., Gans, D., & Yang, F. M. (2006). Intergenerational support to aging parents: The role of norms and needs. Journal of Family Issues, 27(8), 10681084.CrossRefGoogle Scholar
Silverstein, M., Parrott, T. M., & Bengtson, V. L. (1995). Factors that predispose middle-aged sons and daughters to provide social support to older parents. Journal of Marriage and the Family, 57(2), 465475.CrossRefGoogle Scholar
Small, M. L. (2013). Weak ties and the core discussion network: why people regularly discuss important matters with unimportant alters. Social Networks, 35(3), 470483.CrossRefGoogle Scholar
Small, M.L., & Sukhu, C. (2016). Because they were there: access, deliberation, and the mobilization of networks for support. Social Networks, 47(4), 7384.CrossRefGoogle Scholar
Stolee, P., Zaza, C., & Sharratt, M. T. (2014). Later life care planning conversations for older adults and families. Journal of Applied Gerontology, 33(6), 710736.CrossRefGoogle ScholarPubMed
Swinkels, J., Tilburg, T. V., Verbakel, E., & van Groenou, B.M. (2017). Explaining the gender gap in the caregiving burden of partner caregivers. The Journals of Gerontology, Series B, Psychological Sciences and Social Sciences, 74(2), 309317.Google Scholar
Taylor, M. G. (2010). Capturing transitions and trajectories: the role of socioeconomic status in later life disability. The Journals of Gerontology, Series B, Psychological Sciences and Social Sciences, 65(6), 733743.CrossRefGoogle ScholarPubMed
Uhlenberg, P. (1992). Population aging and social policy. Annual Review of Sociology, 18(1), 449474.CrossRefGoogle ScholarPubMed
Umberson, D. (1992). Relationships between adult children and their parents: Psychological consequences for both generations. Journal of Marriage and the Family, 54(3), 664674.CrossRefGoogle Scholar
United Nations Department of Economic and Social Affairs. (n.d.). Ageing and disability. Retrieved from https://www.un.org/development/desa/disabilities/disability-and-ageing.html.Google 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. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 53(6), S313S323.CrossRefGoogle Scholar
Van Tilburg, T.,& van Groenou, B.M. (2002). Network and health changes among older Dutch adults. Journal of Social Issues, 58(4), 697713.CrossRefGoogle Scholar
Verbrugge, L. M., & Sevak, P. (2002). Use, type, and efficacy of assistance for disability. The Journals of Gerontology Series B, Psychological Sciences and Social Sciences, 57(6), S366S379.CrossRefGoogle ScholarPubMed
Ward, R. A. (2008). Multiple parent–adult child relations and well-being in middle and later life. The Journals of Gerontology, Series B, Psychological Sciences and Social Sciences, 63(4), S239S247.CrossRefGoogle ScholarPubMed
Ward, R., Deane, G., & Spitze, G. (2014). Life-course changes and parent–adult child contact. Research on Aging, 36(5), 568602.CrossRefGoogle ScholarPubMed
Wiemers, E. E., & Bianchi, S. M. (2015). Competing demands from aging parents and adult children in two cohorts of American women. Population and Development Review, 41(1), 127146.CrossRefGoogle ScholarPubMed
Wellman, B., Wong, R. Y. L., Tindall, D., & Nazer, N. (1997). A decade of network change: Turnover, persistence and stability in personal communities. Social Networks, 19(1), 2750.CrossRefGoogle Scholar
Williams, S. R., Pham-Kanter, G., & Leitsch, S. A. (2009). Measures of chronic conditions and diseases associated with aging in the national social life, health, and aging project. The Journals of Gerontology Series B, Psychological Sciences and Social Sciences, 64(1), i67–i75.Google ScholarPubMed
Wrzus, C., Hänel, M., Wagner, J., & Neyer, F. J. (2013). Social network changes and life events across the life span: a meta-analysis. Psychological Bulletin, 139(1), 5380.CrossRefGoogle ScholarPubMed
Youm, Y., Laumann, E. O., Ferraro, K. F., Waite, L. J., Kim, H. C., Park, Y. R., & Lee, J. A. (2014). Social network properties and self-rated health in later life: comparisons from the Korean social life, health, and aging project and the national social life, health and aging project. BMC Geriatrics, 14(1), 102.CrossRefGoogle ScholarPubMed
Zimmer, Z., & House, J. S. (2003). Education, income, and functional limitation transitions among American adults: contrasting onset and progression. International Journal of Epidemiology, 32(6), 10891097.CrossRefGoogle ScholarPubMed