Glaser Karen, Di Gessa Giorgio
Department of Global Health & Social Medicine, King's College London, Bush House North East Wing, 30 Aldwych, London, WC2B 4BG, UK; ESRC Centre for Society and Mental Health, King's College London, Melbourne House, 44-46 Aldwych, London, UK.
Department of Epidemiology and Public Health, University College London, 1-19 Torrington Place, 355a, London, WC1E 7HB, UK.
Soc Sci Med. 2025 Feb;366:117711. doi: 10.1016/j.socscimed.2025.117711. Epub 2025 Jan 16.
Despite extensive research on the impact of grandchild care on grandparents' well-being, no studies have examined the frequency of activities that grandparents engage in with their grandchildren or the reasons for care using nationally representative data. We address this gap using waves 8 (2016/2017) and 9 (2018/19) of the English Longitudinal Study of Ageing, a nationally representative study of English older adults. We employ hybrid regression models to distinguish between within- and between-individual effects on grandparents' subjective wellbeing, as captured by quality of life and depressive symptoms. Our findings show that the mostly positive relationships between frequency of grandparental activities and reasons for care and well-being are largely due to between-grandparent differences rather than within-grandparent changes over time. Within-grandparent analyses show a mostly non-significant impact of increased grandparental activities on well-being, except for a detrimental effect when grandchildren stay overnight or are cared for when sick. The influence of reasons for care are more nuanced. Changes in reasons, such as giving parents a break or allowing them to go out in the evening, are significantly associated with a worsening of elevated depressive symptoms. Conversely, changes such as helping grandchildren develop as people or feeling engaged with young people improve the quality of life for the same grandparents over time. When grandparental care is provided because it is difficult to refuse we find a negative association with well-being between grandparents. Overall, our findings highlight the importance of more detailed information on grandparent-grandchild interactions and reasons for care to better understand well-being outcomes.
尽管针对孙辈照料对祖父母幸福感的影响进行了广泛研究,但尚无研究利用具有全国代表性的数据,考察祖父母与孙辈进行活动的频率或照料原因。我们利用英国老龄化纵向研究的第8轮(2016/2017年)和第9轮(2018/19年)数据填补这一空白,该研究是一项针对英国老年人的具有全国代表性的研究。我们采用混合回归模型,以区分对祖父母主观幸福感的个体内效应和个体间效应,主观幸福感通过生活质量和抑郁症状来衡量。我们的研究结果表明,祖父母活动频率、照料原因与幸福感之间大多呈正向关系,这在很大程度上是由于祖父母之间的差异,而非祖父母自身随时间的变化。祖父母自身的分析表明,祖父母活动增加对幸福感的影响大多不显著,不过当孙辈过夜或生病时得到照料会产生不利影响。照料原因的影响更为细微。诸如让父母休息一下或允许他们晚上外出等原因的变化,与抑郁症状加剧显著相关。相反,诸如帮助孙辈成长或感觉与年轻人有互动等变化,会随着时间推移改善同一祖父母的生活质量。当提供祖父母照料是因为难以拒绝时,我们发现祖父母之间的幸福感呈负相关。总体而言,我们的研究结果凸显了获取关于祖孙互动及照料原因的更详细信息对于更好理解幸福感结果的重要性。