Abstract
Despite the adverse impact of old age on their health, the vulnerable older adults tend to live with their adult children in a shared living arrangement. Since fewer children being available to care for and the traditional family-based care is becoming less common, the present study investigates what are the factors that lead to rotational living arrangement in later ages and examines the health outcomes of older adults who rotationally live with their adult children. Using data from Building Knowledge Base on Population Ageing in India (BKPAI), we employed bivariate and logistic regression on a sample of 4952 older adults to carve out the results. About 13.5% of the older adults were rotationally living in India. Rotationally living older adults were significantly more likely to have low psychological health [OR: 1.31, CI: 1.02–1.71] low subjective well-being [OR: 1.55, CI: 1.21–1.98] and poor self-rated health [OR: 1.56, CI: 1.26–1.23] than were constant stayers with a single child. While the feelings of care-giving burden often outweigh the support exchanges among children, the rotational living results in the worsening of health status among older adults. Thus, the attention must be paid to promote effective co-residence in old age with adult children on a shared basis without affecting their health through several polices and financial incentives. The adult children who take care of their older parents should be provided more assistance to ease their increased responsibility for caregiving.
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References
Agrawal, S. (2012). Effect of living arrangements on the health: Findings from a national cross sectional survey. 1730, 1744–1749. https://doi.org/10.1080/17441730.2012.646842.
Arokiasamy, P, Bloom, D., Lee, J., Feeney, K., & Ozolins, M. (2011). Longitudinal aging study in India: Vision, design, implementation, and some early results. Program on the Global Demography of Aging, Working Pa(82), 1–44.
Arokiasamy, P., Uttamacharya, K. P., & Chatterji, S. (2016). Age and socioeconomic gradients of health of Indian adults: An assessment of self-reported and biological measures of health. Journal of Cross-Cultural Gerontology, 31(2), 193–211. https://doi.org/10.1007/s10823-016-9283-3.
Bhat, A. K., Dhruvarajan, R. A. J., & Bhat, A. K. (2001). Ageing in India: drifting intergenerational relations , challenges and options. Ageing and Society, 21, 621–640. https://doi.org/10.1017/S0144686X0100842X.
Borsch-Supan, A., Hajivassiliou, V., Kotlikoff, L. J., & Morris, J. N. (1992). Health, children, and elderly living arrangements: A multiperiod multinomial probit model with unobserved heterogeneity and autocorrelated errors. In D. A. Wise (Ed.), Topics in the economics of aging (pp. 79–107). Chicago: University of Chicago Press.
Checkovich, T. J., & Stern, S. (2002). Shared caregiving responsibilities of adult siblings with elderly parents. The Journal of Human Resources, 37(3), 441–478.
Choi, N. O. (1996). Older persons who move: Reasons and health consequences. Journal of Applied Gerontology, 15(3), 325–344. https://doi.org/10.1177/073346489601500304.
Cutchin, M. P. (2001). Deweyan integration: Moving beyond place attachment in elderly migration theory. International Journal of Aging and Human Development, 52(1), 29–44. https://doi.org/10.2190/AF2D-A0T4-Q14C-1RTW.
Funk, L. M. (2012). “Returning the love”, not “balancing the books”: Talk about delayed reciprocity in supporting ageing parents. Ageing and Society, 32(4), 634–654. https://doi.org/10.1017/S0144686X11000523.
Funk, L. M. (2015). Constructing the meaning of filial responsibility: Choice and obligation in the accounts of adult children. Families, Relationships and Societies, 4, 2–3.
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), 116–146. https://doi.org/10.1177/0003122416686521.
Hays, J. C. (2002). Living arrangements and health status in later life: A review of recent literature. Public Health Nursing, 19(2), 136–151. https://doi.org/10.1046/j.1525-1446.2002.00209.x.
Jacob, K. S., Bhugra, D., & Mann, A. H. (1997). General health questionnaire −12: Psychometric properties and factor structure among Indian women living in the United Kingdom. Indian Journal of Psychiatry, 39(3), 196–199.
Jadhav, A., Sathyanarayana, K. M., Kumar, S., & James, K. S. (2013). Living arrangements of the elderly in India: Who lives alone and what are the patterns of familial support? Busan: IUSSP.
Joe, W., Perkins, J. M., & Subramanian, S. V. (2019). Community involvement, trust, and health-related outcomes among older adults in India: A population-based, multilevel, cross-sectional study. Age and Ageing, 48(1), 87–93. https://doi.org/10.1093/ageing/afy154.
Kao, Y., Chang, L., Huang, W., & Tsai, Y. (2013). Health characteristics of older people who rotationally live with families: A Nationwide survey. Journal of the American Medical Directors Association, 14(5), 331–335. https://doi.org/10.1016/j.jamda.2012.10.024.
Kumar, S. V. (1999). Elderly in the changing traditional family structure: An Indian scenario. Social Change, 29(1–2), 77–89. https://doi.org/10.1177/004908579902900207.
Kumar, S., & Kumar, K. A. (2019). Living arrangement and economic dependency among the elderly in India: A comparative analysis of EAG and non EAG states. Ageing International, 44(4), 352–370. https://doi.org/10.1007/s12126-019-9344-3.
Ladusingh, L., & Ngangbam, S. (2016). Domains and determinants of well-being of older adults in India. Journal of Cross-Cultural Gerontology, 31(1), 89–111. https://doi.org/10.1007/s10823-016-9279-z.
Leinonen, R., Heikkinen, E., & Jylhä, M. (2001). Predictors of decline in self-assessments of health among older people - A 5-year longitudinal study. Social Science and Medicine, 52(9), 1329–1341. https://doi.org/10.1016/S0277-9536(00)00249-5.
Lewis, M. A., & Butterfield, R. M. (2005). Antecedents and reactions to health-related social control. Personality and Social Psychology Bulletin, 31(3), 416–427. https://doi.org/10.1177/0146167204271600.
Lewis, M. A., & Rook, K. S. (1999). Social control in personal relationships: Impact on health behaviors and psychological distress. Health Psychology, 18(1), 63–71. https://doi.org/10.1037/0278-6133.18.1.63.
Meyer, J., & Speare, A. (1985). Distinctively elderly mobility: Types and determinants. Economic Geography, 61(1), 79–88.
Pal, S. (2004). Do children act as old age security in rural India? Evidence from an analysis of elderly living arrangements. Cardiff, Cardiff Business School, (April). Retrieved from http://repec.org/res2004/Pal.pdf. Accessed 11 March 2020.
Perkins, J. M., Lee, H. Y., James, K. S., Oh, J., Krishna, A., Heo, J., … Subramanian, S. V. (2016). Marital status, widowhood duration, gender and health outcomes: A cross-sectional study among older adults in India. BMC Public Health, 16(1), 1–12. https://doi.org/10.1186/s12889-016-3682-9.
Pinto, F. N. F. R., Barham, E. J., & Del Prette, Z. A. P. (2016). Interpersonal conflicts among family caregivers of the elderly: The importance of social skills. Paideia, 26(64), 161–170. https://doi.org/10.1590/1982-43272664201605.
Samanta, T., Chen, F., & Vanneman, R. (2015). Living arrangements and health of older adults in India. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 70(6), 937–947. https://doi.org/10.1093/geronb/gbu164.
Sell, H., & Taylor, P. (1994). The. Subjective Well-Being Inventory ( SUBI )., 23(3), 89–102.
Sereny, M. D., & Gu, D. (2011). Living arrangement concordance and its association with self-rated health among institutionalized and community-residing older adults in China. Journal of Cross-Cultural Gerontology, 26(3), 239–259. https://doi.org/10.1007/s10823-011-9145-y.
Shidhaye, R., & Patel, V. (2010). Association of socio-economic, gender and health factors with common mental disorders in women: A population-based study of 5703 married rural women in India. International Journal of Epidemiology, 39(6), 1510–1521. https://doi.org/10.1093/ije/dyq179.
Skirbekk, V., Loichinger, E., & Weber, D. (2012). Variation in cognitive functioning as a refined approach to comparing aging across countries. Proceedings of the National Academy of Sciences of the United States of America, 109(3), 770–774. https://doi.org/10.1073/pnas.1112173109.
Sommers, D. G., & Rowell, K. R. (1992). Factors differentiating elderly residential movers and nonmovers: A longitudinal analysis. Population Research and Policy Review, 11(3), 249–262 Retrieved from http://www.jstor.com/stable/40229808.
Tucker, J. S. (2002). Health-related social control within older adults’ relationships. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 57(5), 387–395. https://doi.org/10.1093/geronb/57.5.P387.
Ugargol, A. P., & Bailey, A. (2018). Family caregiving for older adults: Gendered roles and caregiver burden in emigrant households of Kerala, India. Asian Population Studies, 14(2), 194–210. https://doi.org/10.1080/17441730.2017.1412593.
Ugargol, A. P., & Bailey, A. (2020). Reciprocity between older adults and their care-givers in emigrant households of Kerala, India. Ageing and Society, 1–27. https://doi.org/10.1017/S0144686X19001685.
Ugargol, A. P., Hutter, I., James, K. S., & Bailey, A. (2016). Care needs and caregivers: Associations and effects of living arrangements on caregiving to older adults in India. Ageing International, 41(2), 193–213. https://doi.org/10.1007/s12126-016-9243-9.
Umberson, D., Crosnoe, R., & Reczek, C. (2010). Social relationships and health behavior across the life course. Annual Review of Sociology, 36(1), 139–157. https://doi.org/10.1146/annurev-soc-070308-120011.
Wang, H., Chen, K., Pan, Y., Jing, F., & Liu, H. (2013). Associations and impact factors between living arrangements and functional disability among older Chinese adults. PLoS One, 8(1), e53879. https://doi.org/10.1371/journal.pone.0053879.
Xu, D., Arling, G., & Wang, K. (2019). A cross-sectional study of self-rated health among older adults: A comparison of China and the United States. BMJ Open, 9(7), e027895. https://doi.org/10.1136/bmjopen-2018-027895.
Zhang, W., & Wang, Y. (2010). Meal and Residence Rotation of Elderly Parents in Contemporary Rural Northern China. Journal of cross-cultural gerontology, 25(3) 217–237. https://doi.org/10.1007/s10823-010-9121-y.
Zhou, Z., Mao, F., Ma, J., Hao, S., Qian, Z. (Min), Elder, K., … Fang, Y. (2018). A longitudinal analysis of the association between living arrangements and health among older adults in China. Research on Aging, 40(1), 72–97. https://doi.org/10.1177/0164027516680854.
Zimmer, Z. (2005). Health and living arrangement transitions among China’s oldest-old. Research on Aging, 27(5), 526–555. https://doi.org/10.1177/0164027505277848.
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Muhammad, T., Srivastava, S. Why Rotational Living Is Bad for Older Adults? Evidence from a Cross-Sectional Study in India. Population Ageing 15, 61–78 (2022). https://doi.org/10.1007/s12062-020-09312-4
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DOI: https://doi.org/10.1007/s12062-020-09312-4