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Caregiving Practice Patterns of Asian, Hispanic, and Non-Hispanic White American Family Caregivers of Older Adults Across Generations

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Abstract

This study is a cross-sectional investigation of caregiving practice patterns among Asian, Hispanic and non-Hispanic White American family caregivers of older adults across three immigrant generations. The 2009 California Health Interview Survey (CHIS) dataset was used, and 591 Asian, 989 Hispanic and 6537 non-Hispanic White American caregivers of older adults were selected. First, descriptive analyses of caregivers’ characteristics, caregiving situations and practice patterns were examined by racial/ethnic groups and immigrant generations. Practice patterns measured were respite care use, hours and length of caregiving. Three hypotheses on caregiving patterns based on assimilation theory were tested and analyzed using logistic regression and generalized linear models by racial/ethnic groups and generations. Caregiving patterns of non-Hispanic White caregivers supported all three hypotheses regarding respite care use, caregiving hours and caregiving duration, showing less caregiving involvement in later generations. However, Asian and Hispanic counterparts showed mixed results. Third generation Asian and Hispanic caregivers used respite care the least and spent the most caregiving hours per week and had the longest caregiving duration compared to earlier generations. These caregiving patterns revealed underlying cultural values related to filial responsibility, even among later generations of caregivers of color. Findings suggest the importance of considering the cultural values of each racial/ethnic group regardless of generation when working with racially and ethnically diverse populations of family caregivers of older adults.

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References

  • Aranda, M., & Knight, B. G. (1997). The influence of ethnicity and culture on the caregiver stress and coping process: a sociocultural review and analysis. The Gerontologist, 37, 342–354.

    Article  Google Scholar 

  • Aranda, M., Villa, V., Ramirez, R., Trejo, L., & Ranney, M. J. (2003). El portal Alzheimer’s project: model program for Latino caregivers of Alzheimer’s disease-affected people. Social Work, 48, 259–271.

    Article  Google Scholar 

  • Bhattacharya, G., & Shibusawa, T. (2009). Experiences of aging among immigrants from India to the United States: social work practice in a global context. Journal of Gerontological Social Work, 52, 445–462. doi:10.1080/01634370902983112.

    Article  Google Scholar 

  • Blieszner, R. & Hamon, R. (1992). Filial responsibility: Attitudes, motivation and behaviors. In J. W. Dwyer & R. T. Coward (Eds.), Gender, families and elder care (pp. 195–219). Newberry Park, CA: Sage.

  • Brown, E.L., Friedemann, M-L. & Mauro, A.C. (2012). Use of adult day care service centers in an ethnically diverse sample of seniors. Journal of Applied Gerontology XX: 1–19. doi:10.1177/0733464812460431.

  • California Health Interview Survey. (2009). CHIS sample design: Overview. Retrieved from http://healthpolicy.ucla.edu/chis/design/Documents/sample_desc_2009.pdf.

  • California Health Interview Survey. (2011a). CHIS 2009 methodology series: Report 2 – data collection methods. Los Angeles, CA: UCLA Center for Health Policy Research.

    Google Scholar 

  • California Health Interview Survey. (2011b). CHIS 2009 methodology series: Report 5 – weighting and variance estimation. Los Angeles, CA: UCLA Center for Health Policy Research.

    Google Scholar 

  • Chappell, N. L., & Kusch, K. (2007). The gendered nature of filial piety - a study among Chinese Canadians. Journal of Cross Cultural Gerontology, 22, 29–45. doi:10.1007/s10823-006-9011-5.

    Article  Google Scholar 

  • Chow, J. C.-C., Auh, E. Y., Scharlach, A. E., Lehning, A. J., & Goldstein, C. (2010). Types and sources of support received by family caregivers of older adults from diverse racial/ethnic groups. Journal of Ethnic and Cultural Diversity in Social Work, 19, 175–194. doi:10.1080/15313204.2010.499318.

    Article  Google Scholar 

  • Connell, C. M., & Gibson, G. D. (1997). Racial, ethnic, and cultural differences in dementia caregiving: review and analysis. The Gerontologist, 37, 355–364.

    Article  Google Scholar 

  • Cox, C. (1996). Outcomes of hospitalization: factors influencing the discharge of African American and white dementia patients. Social Work in Health Care, 23, 23–38.

    Article  Google Scholar 

  • Crist, J. D., & Speaks, P. (2011). Keeping it in the family: when Mexican American older adults choose not to use home healthcare services. Home Healthcare Nurse, 29, 282–290.

    Article  Google Scholar 

  • Crist, J. D., McEwen, M. M., Herrera, A. P., Kim, S-S., Pasvogel, A. & Hepworth, J. T. (2009). Caregiving burden, acculturation, familism, and Mexican American elders’ use of home care services. Research and Theory for Nursing Practice: An International Journal 23, 165–180. doi:10.1891/1541-6577.23.3.165.

  • Dilworth-Anderson, P., Williams, I. C., & Gibson, B. E. (2002). Issues of race, ethnicity, and culture in caregiving research: a 20-year review (1980–2000). The Gerontologist, 42, 237–272.

    Article  Google Scholar 

  • Fuligni, A. J., Tseng, V., & Lam, M. (1999). Attitudes toward family obligations among American adolescents with Asian, Latin American, and European backgrounds. Child Development, 70, 1030–1044.

    Article  Google Scholar 

  • Gallagher-Thompson, D., Haley, W., Guy, D., Rupert, M., Argüelles, T., Zeiss, L. M., Long, C., Tennstedt, S., & Ory, M. (2003). Tailoring psychological interventions for ethnically diverse dementia caregivers. Clinical Psychology: Science and Practice, 10, 423–438.

    Google Scholar 

  • Gordon, M. M. (1964). Assimilation in American life: The role of race, religion, and national origins. New York: Oxford University Press.

    Google Scholar 

  • Han, H.-R., Choi, Y. J., Kim, M. T., Lee, J. E., & Kim, K. B. (2008). Experiences and challenges of informal caregiving for Korean immigrants. Journal of Advanced Nursing, 63, 517–526.

    Article  Google Scholar 

  • Herrera, A. P., Lee, J. W., Palos, G., & Torres-Vigil, I. (2008). Cultural influences in the patterns of long-term care use among Mexican American family caregivers. Journal of Applied Gerontology, 27, 141–165.

    Article  Google Scholar 

  • Ho, B., Friedland, J., Rappolt, S., & Noh, S. (2003). Caregiving for relatives with Alzheimer’s disease: feelings of Chinese-Canadian women. Journal of Aging Studies, 17, 301–321.

    Article  Google Scholar 

  • Janevic, M. R., & Connell, C. M. (2001). Racial, ethnic, and cultural differences in the dementia caregiving experience: Recent findings. The Gerontologist, 41, 334–347.

  • Jiménez, T. R. (2010). Replenished ethnicity: Mexican Americans, immigration, and identity. Berkeley and Los Angeles, CA: University of California Press.

  • Jolicoeur, P. M., & Madden, T. (2002). The good daughters: acculturation and caregiving among Mexican-American women. Journal of Aging Studies, 16, 102–120.

    Article  Google Scholar 

  • Jones, P. S., Zhang, X. E., Jaceldo-Siegl, K., & Meleis, A. I. (2002). Caregiving between two cultures: an integrative experience. Journal of Transcultural Nursing, 13, 202–209.

    Article  Google Scholar 

  • Kim, J. H., & Theis, S. L. (2000). Korean-American caregivers: who are they? Journal of Transcultural Nursing, 11, 264–273.

    Article  Google Scholar 

  • Kobayashi, K. M., & Funk, L. (2010). Of the family tree: congruence on filial obligation between older parents and adult child in Japanese Canadian families. Canadian Journal on Aging, 29, 85–96.

    Article  Google Scholar 

  • Kong, E.-H., Deatrick, J. A., & Evans, L. K. (2010). The experiences of Korean immigrant caregivers of non-Enlgish-speaking older relatives with dementia in American nursing homes. Qualitative Health Research, 20, 319–329.

    Article  Google Scholar 

  • Lai, D. W. L. (2007). Cultural predictors of caregiving burden of Chinese-Canadian family caregivers. Canadian Journal on Aging, 26(suppl 1), 133–148.

    Article  Google Scholar 

  • Lai, D. W. L. (2010). Filial piety, caregiving appraisal, and caregiving burden. Research on Aging, 32, 200–223.

    Article  Google Scholar 

  • Lehman, D., (n.d.). Supporting caregivers of all cultural background. Retrieved from http://www.matherlifewaysinstituteonaging.com/wp-content/uploads/2012/03/Supporting-Caregivers-of-All-Cultural-Backgrounds.pdf.

  • Losada, A., Shurget, G. R., Knight, B. G., Márquez, M., Montorio, I., Izal, M., & Ruiz, M. A. (2006). Cross-cultural study comparing the association of familism with burden and depressive symptoms in two samples of Hispanic dementia caregivers. Aging & Mental Health, 10, 69–76.

    Article  Google Scholar 

  • Malley-Morrison, K., & Hines, D. A. (2004). Family violence in a cultural perspective: Defining, understanding, and combating abuse. Thousand Oaks, CA: Sage Publications.

    Google Scholar 

  • Miyawaki, C. E. (2015a). Characteristics of Asian, Hispanic, and non-Hispanic White American family caregivers of older adults across generations. Journal of Ethnic and Cultural Diversity in Social Work, 24(4). doi:10.1080/15313204.2015.1050145.

  • Miyawaki, C. E. (2015b). Association of filial responsibility, ethnicity, and acculturation among Japanese-American family caregivers of older adults. The Journal of Applied Gerontology. doi:10.1177/0733464815581484.

  • Mokuau, N., & Tomioka, M. (2010). Caregiving and older Japanese adults: lessons learned from the periodical literature. Journal of Gerontological Social Work, 53, 117–136.

    Article  Google Scholar 

  • Mui, A. C., & Shibusawa, T. (2008). Asian American elders in the twenty-first century: Key indicators of well-being. New York: Columbia University Press.

    Google Scholar 

  • Navaie-Waliser, M., Feldman, P. H., Gould, D. A., Levine, C., Kuerbis, A. N., & Donelan, K. (2001). The experiences and challenges of informal caregivers: common themes and differences among whites, blacks, and Hispanics. The Gerontologist, 41, 733–741.

    Article  Google Scholar 

  • Phillips, L. R., Torres de Ardon, E., Komnenich, P., Killeen, M., & Rusinak, R. (2000). The Mexican American caregiving experience. Hispanic Journal of Behavioral Sciences, 22, 296–313. doi:10.1177/0739986300223002.

    Article  Google Scholar 

  • Phinney, J. S., Ong, A., & Madden, T. (2000). Cultural value and intergenerational value discrepancies in immigrant and non-immigrant families. Child Development, 71, 528–539.

    Article  Google Scholar 

  • Pinquart, M., & Sörensen, S. (2005). Ethnic differences in stressors, resources, and psychological outcomes of family caregiving: a meta-analysis. The Gerontologist, 45, 90–106.

    Article  Google Scholar 

  • Portes, A., & Zhou, M. (1993). The new second generation: segmented assimilation and its variants. Annals of the American Academy of Political and Social Sciences, 530, 74–96.

    Article  Google Scholar 

  • Rudolph, B., Chavez, M., Quintana, F., & Salinas, G. (2011). Filial responsibility expectations among Mexican American undergraduates: gender and biculturalism. Journal of Hispanic Higher Education, 10, 168–182.

    Article  Google Scholar 

  • Ruiz, M. E. (2007). Familismo and filial piety among Latino and Asian elders: reevaluating family and social support. Hispanic Heath Care International, 5, 81–89.

    Article  Google Scholar 

  • Scharlach, A. E., Kellam, R., Ong, N., Baskin, A., Goldstein, C., & Fox, P. J. (2006). Cultural attitudes and caregiver service use. Journal of Gerontological Social Work, 47, 133–156. doi:10.1300/J083v47n01_09.

    Article  Google Scholar 

  • Scharlach, A. E., Giunta, N., Chow, J. C.-C., & Lehning, A. (2008). Racial and ethnic variations in caregiving service use. Journal of Aging and Health, 20, 326–346. doi:10.1177/0898264308315426.

    Article  Google Scholar 

  • Schoenberg, N. E., Coward, R. T., & Dougherty, M. C. (1998). Perceptions of community-based services among African American and White elders. Journal of Applied Gerontology, 17, 67–78.

    Article  Google Scholar 

  • Snowden, L. R., & Yamada, A. M. (2005). Cultural differences in access to care. Annual Review of Clinical Psychology, 1, 143–166. doi:10.1146/annurev.clinpsy.1.102803.143846.

    Article  Google Scholar 

  • Sun, F., Ong, R., & Burnette, D. (2012). The influence of ethnicity and culture on dementia caregiving: a review of empirical studies on Chinese Americans. American Journal of Alzheimer's Disease and Other Dementias, 27, 13–22.

    Article  Google Scholar 

  • Tang, M. (2011). Can cultural values help explain the positive aspects of caregiving among Chinese American caregivers? Journal of Gerontological Social Work, 54, 551–569.

    Article  Google Scholar 

  • Tuan, M. (1998). Forever foreigners or honorary whites? The Asian ethnic experience today. New Brunswick, NJ: Rutgers University Press.

  • US Census Bureau. (2012). Average number of people per family household with own children under 18, by race and Hispanic origin/1, marital status, age, and education of householder: 2012. Retrieved from http://www.census.gov/hhes/families/data/cps2012AVG.html.

  • Weng, S. S., & Nguyen, P. V. (2011). Factors affecting elder caregiving in multigenerational Asian American families. Families in Society: The Journal of Contemporary Social Services, 92, 329–335. doi:10.1606/1044-3894.4133.

    Article  Google Scholar 

  • Young, H. M., McCormick, W. M., & Vitaliano, P. P. (2002). Attitudes toward community-based services among Japanese American families. The Gerontologist, 42, 814–825.

    Article  Google Scholar 

  • Zhan, L. (2004). Caring for family members with Alzheimer’s disease. Journal of Gerontological Nursing, 30, 19–29.

    Article  Google Scholar 

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Funding

This project was funded by the T32 Women’s Health Postdoctoral Fellowship, National Institutes of Health (NIH), through Grant AG027677. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the NIH.

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Correspondence to Christina E. Miyawaki.

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Miyawaki, C.E. Caregiving Practice Patterns of Asian, Hispanic, and Non-Hispanic White American Family Caregivers of Older Adults Across Generations. J Cross Cult Gerontol 31, 35–55 (2016). https://doi.org/10.1007/s10823-016-9281-5

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