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Challenges of Female Older Adults Caring for Their very old Parents in Rural Southeast Nigeria: A Qualitative Descriptive Inquiry

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Abstract

As a result of population aging, more family caregivers are maturing into older adult status alongside their parents who constitute the ‘very old.‘ However, very little is known about the challenges faced by family caregivers who have reached old age status, especially in sub-Saharan Africa. Following this, we explored the challenges of female older adults caring for their very old parents in rural Southeast Nigeria. We adopted a qualitative descriptive study design, and purposively selected and interviewed 14 older adults who were caregivers of their very old parents. The collected data were analyzed using conventional content analysis. Findings show that participants felt psychologically stressed for still taking care of their older parents and avoided seeking psychological support because they will be shamed for complaining or seeking help as a result of the caregiving burden. Caregiving also led to feelings of frustration as a result of the economic demand, feminization of caregiving, and caregiving-induced social isolation. Factors such as depression, fatigue, poor finance, and poor support from male siblings have heightened the burden of caregiving for their very old parents. This small-scale study in rural Southeast Nigeria will inform future research directions and potentially influence policies and interventions to meet the needs of family caregivers entering senior age status.

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References

  • Akpınar, B., Küçükgüçlü, O., & Yener, G. (2011). Effects of gender on burden among caregivers of Alzheimer’s patients.Journal of Nursing Scholarship, 43:248–254

  • American Association of Retired Persons [AARP] (2014). Caregiving and long-term care.https://press.aarp.org/2014-04-14-New-Report-Finds-That-Spouses-Who-Are-Caregivers-Are-More-Likely-Than-Other-Caregivers-to-Perform-Demanding-Medical-Nursing-Tasks.

  • American Senior Communities (2022). Thechallengesfacingfamilycaregivers.https://www.asccare.com/the-challenges-facing-a-family-caregiver/.

  • Animashaun, V. J., & Chapman, H. J. (2017). Psychosocial health challenges of the elderly in Nigeria: a narrative review.African Health Science, 17(2):575–583.DOI:https://doi.org/10.4314/ahs.v17i2.35

  • Asuquo, E. F., & Akpan-Idiok, P. A. (2020). TheexceptionalroleofwomenasprimarycaregiversforpeoplelivingwithHIV/AIDSinNigeria,WestAfrica.InM.Caswella&M.JStones.SuggestionsforAddressingClinicalandNon-ClinicalIssuesinPalliativeCare.http://foreveryoungnews.com/posts/2086-survey-confirms-woman-assumemajor-burden-as-caregivers.

  • Australian Bureau of Statistic (2018). Disability,AgeingandCarers,Australia:SummaryofFindings.2018.https://www.abs.gov.au/ausstats/abs@.nsf/mf/4430.0?OpenDocument.

  • Blum, K., & Sherman, D. W. (2010). Understanding the experience of caregivers: Â Focus on Transitions,Seminars in Oncology Nursing, 26,4,243–258,https://doi.org/10.1016/j.soncn.2010.08.005.

  • Boerner, K., Kim, Y. K., Gallagher, E. A., Kim, K., & Jopp, D. A. (2022). “I’m Getting Older Too”: Challenges and Benefits Experienced by Very Old Parents and Their Children.Journal of Applied Gerontology, 41(3),769–779.https://doi.org/10.1177/07334648211016113

  • Brandão, D., Ribeiro, O., Oliveira, M., & Paúl, C. (2017). Caring for a centenarian parent: An exploratory study on role strains and psychological distress.Scandinavian Journal of Caring Sciences, 31(4),984–994.https://doi.org/10.1111/scs.12423

  • Carers, NSW Australia. (2018). Australia Focus group discussion with culturally and linguistically diverse carers in NSW: Summary of finding a.www.carersnsw.org.au.

  • Carmel, S. (2019). Health and well-being in late life: Gender differences worldwide.Frontier in Medicine.https://doi.org/10.3389/fmed.2019.00218.

  • City Population (2021). ImostateNigeria,populationstatistics.https://www.citypopulation.de/php/nigeria-admin.php?adm1id=NGA017.

  • Colino, S. (2019). Familyconflict:Yourmarriagecansufferwhenyou’reacaregiver.https://www.google.com/amp/s/feeds.aarp.org/caregiving/life-balance/info-2019/conflicts-with-spouse-marriage.html%3f_amp=true.

  • Cummings, S. M., & Kropf, N. P. (2015). Predictors of depression among caregivers of older adults with severe mental illness.Journal of Gerontological Social Work.58(3):253–71.DOI:https://doi.org/10.1080/01634372.2014.978927

  • Dale, J. (2016). Caregivingandyourmarriage.https://www.focusonthefamily.com/marriage/caregiving-and-your-marriage/.

  • del-Pino-Casado, R., Frías-Osuna, A., Palomino-Moral, P. A., & Martínez-Riera, R. (2012). J.Gender differences regarding informal caregivers of older people.Journal of Nursing Scholarship,44:349–357.doi:https://doi.org/10.1111/j.1547-5069.2012.01477.x

  • del-Pino-Casado, R., Palomino-Moral, P. A., Pastor-Bravo, M. D. M., & Frías-Osuna, A. (2017). Determinantsofdepressioninprimarycaregiversofdisabledolderrelatives:apathanalysis.BMC Geriatrics. 23;17(1):274.DOI:https://doi.org/10.1186/s12877-017-0667-1

  • Diameta, E., Adandom, I., Jumbo, S., Nwankwo, H., Obi, P., & Kalu, M. (2018). The burden experience of formal and informal caregivers of older adults with hip fracture in Nigeria.SAGE Open 4(6).https://doi.org/10.1177/2377960818785155.

  • Ebimgbo, S. O., Obi-Keguna, C. N., Chukwu, N. E., Onalu, C. E., Abonyi, S. E., & Okoye, U. O. (2019). Culture-based Social support to Older Adults in Nnewi, South-East Nigeria.Etude de la population africaine = African population studies 33(2)4891–4990.DOI:https://doi.org/10.11564/33-2-1402

  • Ellece, S. E. (2007). Gendered Marriage Discourses in Botswana. Dissertation, Lancaster University

  • Ekoh, P. C., Agbawodikeizu, P. U., Ejimkaraonye, E., George, E., Ezulike, D & Nnebe, I (2021). COVID-19 in rural Nigeria: Diminishing social support for older people in Nigeria. Gerontology and Geriatric Medicine, 6. https://doi.org/10.1177/2333721420986301

  • Faronbi, J. O., Faronbi, G. O., Ayamolowo, S. J., & Olaogun, A. A. (2019). Caring for the seniors with chronic illness: The lived experience of caregivers of older adults.Archives of Gerontology and Geriatrics, 82:8–14.DOI:https://doi.org/10.1016/j.archger.2019.01.013

  • Ferrant, G., Pesando, L. M., & Nowacka, K. (2014). UnpaidCareWork:Themissinglinkintheanalysisofgendergapsinlabouroutcomes.OECDDevelopmentCentre,December2014.https://www.empowerwomen.org/en/resources/documents/2015/5/unpaid-care-work-the-missing-link-in-the-analysis-of-gender-gaps-in-labour-outcomes

  • Garlo, K., O’Leary, J. R., Van Ness, P. H., & Fried, T. R. (2010). Burden in caregivers of older adults with advanced illness.Journal of American Geriatriatric Society. 58:2315–22.doi:https://doi.org/10.1111/j.1532-5415.2010.03177.x

  • Geisler, G. (2004). Women and the Remaking of Politics in Southern Africa. Upsalla: Nordisk Afrikainstitutet

    Google Scholar 

  • Help Age (2019). Agewatchreportcard.Availableat:https://www.helpage.org/global-agewatch/population‐ageing-data/country‐ageing‐data/?country=Nigeria

  • Home Care Ontario (2015). FamilyCaregiving.Availablefrom:https://www.homecareontario.ca/home-care-reports/other-home-care-publications/family-caregivingCaregivingFamilyCaregiverAlliance;NationalCenteronCaregiving.https://www.caregiver.org/27-things-you-may-not-know-about-women-and-caregiving.

  • Hooyman, N., & Gonyea, J. (1999). A feminist model of family care: Practice and policy directions,Journal of Women & Aging, 11,2–3,149–169http://dx.doi.org/10.1300/J074v11n02_11.

  • Hsieh, H., & Shannon, E. (2005). Three approaches to qualitative content analysis.Qualitative Health Research 15(9):1277–88.https://doi.org/10.1177/1049732305276687.

  • Imo State Government (2012). Mbaitoli historical background.https://web.archive.org/web/20140910215742/http://www.imostate.gov.ng/imo-government/imo-local-governments.php?idx=mbaitoli_imo_state.

  • Iwuagwu, A. O & Kalu, M.E (2021). A promising approach to reducing social loneliness among older adults in Nigeria during COVID-19 pandemic. Journal of Gerontological Social work, 64(5) 449-451. https://doi.org/10.1080/01634372.2021.1901818

  • Iwuagwu, A. O., Ugwu, L. O., Ugwuanyi, C. C & Ngwu, C. N (2022). Family caregivers awareness and perceived access to formal support care services available for older adults in Enugu State Nigeria. African Journal of Social work, 12(2), 12-20

  • Kelly, G., Mrengqwa, L., & Geffen, L. (2019). “They don’t care about us”: older people’s experiences of primary healthcare in Cape Town, South Africa.BMC Geriatrics, 19,98.https://doi.org/10.1186/s12877-019-1116-0.

  • Kyei-Arthur, F., & Codjoe, S. N. (2020). “Caring for the elderly is very difficult”: Challenges and coping strategies of caregivers in urban poor Accra, Ghana.Clinical Nursing Research,1–8,https://doi.org/10.1177/1054773820982307.

  • Li, L., Wister, A. V., & Mitchell, B. A. (2020). Social isolation among spousal and adult-child caregivers: Findings from the Canadian longitudinal study on aging.The Journals of Gerontology Series B Psychological Sciences and Social Sciences76(3).DOI:https://doi.org/10.1093/geronb/gbaa197

  • Maier, K. (2022). EconomicsofneweraunravelsAfrica’ssafetynetforreveredelderly.https://www.washingtonpost.com/archive/politics/1992/07/21/economics-of-new-era-unravels-africas-safety-net-for-revered-elderly/ec4c17b3-a913-4d85-bb73-9d387f2de67c/.

  • Maresova, P., Lee, S., Fadeyi, O. O., & Kuka, K. (2020). The social and economic burden on family caregivers for older adults in the Czech Republic.BMC Geriatrics 20,171.https://doi.org/10.1186/s12877-020-01571-2.

  • Nadash, P., Doty, P., & von Schwanenflügel, M. (2018). The German long-term care insurance program: evolution and recent developments. The Gerontologist, 58(3), 588–597. https://doi.org/10.1093/geront/gnx018

    Article  Google Scholar 

  • National Institutes of Health (Mar, 2022). 28 World’s older population grows dramatically. https://www.nih.gov/news-events/news-releases/worlds-older-population-grows-dramatically#:~:text=Highlights%20of%20the%20report%20include&text=The%20global%20population%20of%20the,predicted%20to%20quadruple%20by%202050

  • Nigeria Galleria (Mar. 26, 2021). Prominent towns in Imo state. https://www.nigeriagalleria.com/Nigeria/States_Nigeria/Imo/History-of-Mbaitoli-in-Imo-State.html.

  • Nortey, S. T., Aryeetey, G. C., Aikins, M., Amendah, D., & Nonvignon, J. (2017). Economic burden of family caregiving for elderly population in southern Ghana: The case of a peri-urban district. International Journal for Equity in Health, 16(1),16.doi:https://doi.org/10.1186/s12939-016-0511-9

  • Okoye, U. O. (2012). Family care-giving for ageing parents in Nigeria: Gender differences, cultural imperatives and the role of education. International Journal of Education and Ageing, 2(2),139–154.https://www.researchgate.net/publication/233762967_Family_care-giving_for_ageing_parents_in_Nigeria_gender_differences_cultural_imperatives_and_the_role_of_education

  • Okoye, U. O. (2013). Community-BasedCareforhomeboundelderlypersonsinNigeria;APolicyOption.International Journal of Innovative Research in Science, Engineering and Technology. 2(12).doi.org.10.1.1.1062.80

  • Olagundoye, O., Akhuemokhan, V., & Alugo, M. (2017). Towards caring for caregivers: assessing the burden of care and experience of associative stigma among caregivers of patients with chronic mental illnesses at a mental health. Family Medicine & Primary Care Review,149–155.DOI:https://doi.org/10.5114/fmpcr.2016.67124

  • Oyewumi, O. (2005). African Gender Studies: A Reader. New York NY: Palgrave Macmillan

    Google Scholar 

  • Parker O. D., Albright, D. L., Washington, K., Wittenberg-Lyles, E., Gage, A., Mooney, M., & Demiris, G. (2013). Hospice caregiver depression: the evidence surrounding the greatest pain of all.Journal of Social Work End Life Palliative Care, 9:256–71

  • Reinhard, S. C., Given, B., Petlick, N. H., & Bemis, A. (2008). Supporting Family Caregivers in Providing Care. In R. G. Hughes (Ed.), Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality. US) .https://www.ncbi.nlm.nih.gov/books/NBK2665/#_NBK2665_pubdet_ Chap. 14

  • Rushing, A. B.(1996). On becoming a feminist: Learning from Africa.InWomen in Africa and the African Diaspora, R. Terborg-Penn & Andrea BentonRushing(Eds.) (Ed.),121–134.Washington DC:Howard University Press

  • Sallim, A. B., Sayampanathan, A. A., Cuttilan, A., & Ho, C. M. (2015). R.Prevalence of mental health disorders among caregivers of patients with Alzheimer disease.Journal of American Medical Directors Association, 16:1034–41.doi:https://doi.org/10.1016/j.jamda.2015.09.007

  • Sandelowski, M. (2000). Whatever happened to qualitative description?Research in Nursing & Health, 23,(4)334–340.https://doi.org/10.1002/1098-240X(200008)23:4<334::AID-NUR9>3.0.CO;2-G

  • Sanders, G. F., Pittman, J. F., & Montgomery, J. E. (1986). Family caregivers of centenarians: Support for the very old. Journal of Applied Gerontology, 5(2),113–125.https://doi.org/10.1177/073346488600500202.

  • Sanuade, O. A., & Boatemaa, S. (2015). Caregiver profiles and determinants of caregiving burden in Ghana. Public Health, 129(7),941–947.doi:https://doi.org/10.1016/j.puhe.2015.05.016

  • Saunders, B., Sim, J., Kingstone, T., Baker, S., Waterfield, J., Bartlam, B., Burroughs, H., & Jinks, C. (2018). Saturation in qualitative research: exploring its conceptualization and operationalization. Qual Quant 52,1893–1907.https://doi.org/10.1007/s11135-017-0574-8

  • Scerri, C. (2014). The curvy side of dementia: the impact of gender on prevalence and caregiving.Journal of Malta College of Pharmacy Practice20:37–39.https://www.researchgate.net/publication/264011331_The_curvy_side_of_dementia_the_impact_of_gender_on_prevalence_and_caregiving

  • Sinclair, A. J., Armes, D. G., Randhawa, G., & Bayer, A. J. (2010). Caring for older adults with diabetes mellitus: characteristics of carers and their prime roles and responsibilities.Diabetic Medicine 27(9),1055–1059.doi:https://doi.org/10.1111/j.1464-5491.2010.03066.x

  • Smith, H. J., Chen, J., & Liu, X. (2008). Language and rigour in qualitative research: Problems and principles in analyzing data collected in Mandarin. BMC Medical Research Methodology, 8,44,https://doi.org/10.1186/1471-2288-8-44

  • Stephens, M., Townsend, A., Matire, M., & Druley, J. (2001). Balancing parent care with other roles: Interrole conflict of adult daughter caregivers.Journals of Gerontology Series B Psychological Sciences and Social Sciences 56(1):P24-34.https://doi.org/10.1093/geronb/56.1.P24.

  • Sun, A. Y., Finkelstein, E., & Ouchida, K. (2019). Social isolation, loneliness, and caregiver burden among paid and unpaid caregivers of homebound older adults. Innov Aging.DOI:https://doi.org/10.1093/geroni/igz038.3505

  • Tanyi, P., Andre, P., & Mbah, P. (2018). Care of the elderly in Nigeria: Implications for policy.Cogent Social Sciences, 4(1)https://doi.org/10.1080/23311886.2018.1555201.

  • Tong, A., Sainsbury, P., & Craig, J. (2007). Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups.International Journal for Quality in Health Care, 19,6,349–357,https://doi.org/10.1093/intqhc/mzm042.

  • United Nations. (2015). World Population Ageing 2015. (ST/ESA/SER.A/390). New York: United Nations

    Google Scholar 

  • van der Lee, J., Bakker, T. J., Duivenvoorden, H. J., & Droes, R. M. (2014). Multivariate models of subjective caregiver burden in dementia; a systematic review.Ageing Research Review, 15:76–93.doi:https://doi.org/10.1016/j.arr.2014.03.003

  • Vanderwerker, L., Laff, C., Kadan-Lottick, E. R., McColl, N. S., A &, & Prigerson, H. G. (2005). Psychiatric disorders and mental health service use among caregivers of advanced cancer patients.Journal of Clinical Oncology 23(28):6899–6907.https://doi:10.1200/JCO.2005.01.370.

  • Vitaliano, P. P., Zhang, J., & Scanlan, J. M. (2003). Is caregiving hazardous to one’s physical health? A meta-analysis.Psychol Bull. 129(6):946–72.https://doi:10.1037/0033-2909.129.6.946.

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Iwuagwu, A.O., Ngwu, C.N. & Ekoh, C.P. Challenges of Female Older Adults Caring for Their very old Parents in Rural Southeast Nigeria: A Qualitative Descriptive Inquiry. Population Ageing 15, 907–923 (2022). https://doi.org/10.1007/s12062-022-09392-4

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