Pezzin Liliana E, Pollak Robert A, Schone Barbara S
Department of Medicine and Health Policy Institute, Medical College of Wisconsin, Milwaukee.
Department of Economics, Olin Business School, Washington University in St. Louis, Missouri.
J Gerontol B Psychol Sci Soc Sci. 2015 Nov;70(6):969-80. doi: 10.1093/geronb/gbu079. Epub 2014 Jul 3.
To examine the effect of changes in parent-child coresidence on caregiving decisions of non-resident siblings over a 5-year period while controlling for characteristics of the elderly parent and adult children in the family network.
We use difference-in-difference models applied to Health and Retirement Study-Assets and Health Dynamics of the Elderly data to test the hypothesis that the formation of a joint household between a parent and one of her children raises the bargaining power of non-resident siblings, who then reduce their care to the parent. Similarly, the dissolution of a parent-child household is expected to increase the bargaining power of the child who no longer coresides with the parent relative to her siblings.
We find that children whose parent and sibling begin coresiding during the study period are less likely to provide care and provide fewer hours of care than children whose parents never coresided with a child. Adult children whose parent cease coresiding with a sibling, on the other hand, have a higher likelihood of providing care and provide significantly more hours of care relative to children whose parents either coresided with a sibling in both time periods or never coresided with a child.
Meeting the needs of the growing elderly population while maintaining them in the community is a particular focus of long-term care policy. To the extent that shared living is an important component of such care, the observed sensitivity of non-resident children's caregiving efforts has implications for the well-being of both disabled parents and their coresiding adult children.
在控制家庭网络中老年父母和成年子女特征的同时,研究亲子共同居住变化对非居住在一起的兄弟姐妹在5年期间的照料决策的影响。
我们使用应用于健康与退休研究-老年人资产与健康动态数据的双重差分模型,来检验以下假设:父母与其中一个子女组成联合家庭会提高非居住在一起的兄弟姐妹的议价能力,进而他们会减少对父母的照料。同样,亲子家庭的解体预计会增加不再与父母共同居住的子女相对于其兄弟姐妹的议价能力。
我们发现,在研究期间父母与兄弟姐妹开始共同居住的子女,比父母从未与子女共同居住的子女提供照料的可能性更低,且照料时长更少。另一方面,相对于父母在两个时期都与兄弟姐妹共同居住或从未与子女共同居住的子女,父母不再与兄弟姐妹共同居住的成年子女提供照料的可能性更高,且照料时长显著更多。
在让老年人留在社区的同时满足其需求是长期护理政策的一个特别关注点。鉴于共同居住是此类照料的一个重要组成部分,观察到的非居住子女照料努力的敏感性对残疾父母及其共同居住的成年子女的幸福都有影响。