School of Nursing, Hangzhou Normal University, Hangzhou, People's Republic of China.
Lianyungang Higher Vocational and Technical College of Traditional Chinese Medicine, Lianyungang, People's Republic of China.
Health Soc Care Community. 2022 Nov;30(6):e4479-e4491. doi: 10.1111/hsc.13852. Epub 2022 May 21.
Grandparenting is known to impact psychological health in older people. However, the extent to which the effect is altered by migration-related and sociodemographic determinants is less clear. Therefore, we conducted this cross-sectional study to investigate whether the association between grandparenting and psychological distress differs between rural-urban migrants and local older adults from May to September 2019. A total of 373 rural-urban migrants and 602 local older adults involved in grandparenting in Hangzhou completed measurements assessing sociodemographic characteristics, childcare burden and psychological distress. In total, 22.2% of the grandparents reported psychological distress. Rural-urban migrant grandparents had a lower socioeconomic status (SES), a higher childcare burden (23.6 ± 9.2 vs. 20.7 ± 9.5, p < 0.001) and higher levels of psychological distress (29.8% vs. 17.4%, p < 0.001) than local grandparents. Childcare burden and pressure from adult children were the most significant predictors for psychological distress in both groups (ps < 0.05). Psychological distress was also significantly associated with self-rated health status (β = -0.276, p = 0.033) and willingness to participate in grandparenting (β = -0.659, p = 0.024) in migrant grandparents but associated with female gender (β = 0.346, p = 0.022), caring for children at night (β = 0.424, p = 0.011), conflict with adult children (β = 0.432, p < 0.001) and annual income (β = -0.237, p < 0.001) in local grandparents. Migrant status showed a statistically significant moderating effect between childcare burden and psychological distress. These results may be of assistance in comprehensively understanding the social determinants of mental health of grandparents involved in grandparenting.
隔代养育被认为会影响老年人的心理健康。然而，迁移相关和社会人口统计学决定因素对这种影响的改变程度尚不清楚。因此，我们进行了这项横断面研究，以调查在 2019 年 5 月至 9 月期间，隔代养育与心理困扰之间的关联是否因城乡移民和当地老年人而有所不同。共有 373 名城乡移民和 602 名参与隔代养育的当地老年人完成了社会人口统计学特征、育儿负担和心理困扰的测量。总共有 22.2%的祖父母报告存在心理困扰。城乡移民祖父母的社会经济地位（SES）较低（23.6±9.2 比 20.7±9.5，p<0.001），育儿负担较重（29.8%比 17.4%，p<0.001），心理困扰水平较高。育儿负担和来自成年子女的压力是两组中心理困扰的最显著预测因素（p<0.05）。心理困扰也与移民祖父母的自我评估健康状况（β=-0.276，p=0.033）和参与隔代养育的意愿（β=-0.659，p=0.024）显著相关，但与女性（β=0.346，p=0.022）、夜间照顾孩子（β=0.424，p=0.011）、与成年子女的冲突（β=0.432，p<0.001）和年收入（β=-0.237，p<0.001）相关。移民身份显示出育儿负担与心理困扰之间具有统计学意义的调节作用。这些结果可能有助于全面了解参与隔代养育的祖父母心理健康的社会决定因素。
