Relationship between Grandparental Care and Subjective Well-being of the Elderly: Testing the Effect of Inter-generational Care in China

Special Article: Elderly Care

Gerontol Geriatr Res. 2024; 10(2): 1102.

Relationship between Grandparental Care and Subjective Well-being of the Elderly: Testing the Effect of Inter-generational Care in China

Hua Li1; Ka Lin2,3*; Maggie Lau3; Heikki Hiilamo4

1Department of Administrative Management, School of Economics & Management, Huzhou University, Huzhou, PR China

2College of Public Administration, Zhejiang University, Hangzhou, PR China

3School of Graduate Studies, Lingnan University, Hong Kong, PR China

4Faculty of Social Sciences, University of Helsinki, Finland

*Corresponding author: Ka Lin Zhejiang University, Yuhangtang Road 866, Hangzhou, 310058, & Adjunct Professor, Lingnan University, 8 Castle Peak Road, Tuen Mun, Hong Kong, 999077, PR China. Email: ka_lin_2004@aliyun.com

Received: August 05, 2024 Accepted: August 29, 2024 Published: September 06, 2024

Abstract

Objectives: This study explores the association between the four types of grandparenting and the mental health of grandparents in China.

Methods: This study analyses the data from the 2018 China Health and Retirement Longitudinal Study (CHARLS) with the application of the General Linear Model. It compares the situation of subjective well-being among the four groups of the Maternal Grandmother (MGMs), the Maternal Grandfathers (MGFs), the paternal grandmothers (PGMs) and the Paternal Grandfathers (PGFs).

Results: MGMs’ and the PGMs’ grandparenting behaviour is significantly associated with depression. Nevertheless, this significant feature mainly appears in the families with two parental generations and more than three parental generations but not in the families with only one parental generation.

Conclusion: Although grandmothers are more likely to report depression than grandfathers in the cases of grandchild care, grandparenting type is not significantly associated with the feeling of happiness, thus not support the kinship-selection hypothesis.

Keywords: Grandparenthood; Child care; Intergenerational relations; Mental health; Subjective wellbeing

Introduction

Grandparenting is a form of inter-generational care relationship that assigns grandparents as caregivers and grandchildren as care receivers. For the caregivers, the studies on grandparents engaged in care activities help enhance the ideals of ‘active ageing’ and ‘productive ageing’. In contrast, the investigation into grandparenting is also reasonable for exploring the motivation, feelings and condition of the subjective well-being of the elders as caregivers. Thus, this study examines the care activities of older people to understand the behavioural and psychological features of their actions, testing their happiness and satisfaction through survey data. The focus of this study is not on finding a source of childcare but on the subjective well-being and happiness of the grandparents in the sense of ‘successful ageing’. To conduct this research, there must be a solid theoretical grounding in sociological and gender studies. The study uses evolutionary psychology theory to uncover the grandparents' attitudes, perceptions and subjective views. As a general assumption of evolutionary psychology, females play a biological role in the reproduction of new generations. Since they have no issue with paternity uncertainty [2], they are more motivated and inclined to care for their children and grandchildren. The kin selection theory heavily influenced this evolutionary psychological approach, underscored by fitness benefits and altruistic kinship behaviour [21]. Using survey data, the study investigates the willingness of older adults to take care of their grandparents. It also adopts gender perception to study the action of grandchild care along the parental lineage or maternal line. Thus, it is essential to examine the impact of grandparenting on the subjective well-being of older adults. The problem of paternity uncertainty prompts men to have more children to increase the probability of replicating their genes instead of investing in their children altruistically [24]. In this discussion, the assumption is that women are more willing than men to spend time and energy caring for their offspring and are, therefore, more likely to have a closer relationship with their children and grandchildren. Meanwhile, assuming that grandparents’ undertaking of the care is based on the power of generation reproduction, gene-motivated female grandparents shall voluntarily undertake more responsibility in grandchild care affairs. Using the samples of grandparental care, many European and American scholars have proved the validity of inclusive fitness, maternal grandmothers invest the most and paternal grandfathers the least in their grandchildren [9,11]. Empirical evidence has proved these inferences and found that the maternal grandmothers were more willing to look after their grandchildren compared to the paternal grandfathers, maternal grandfathers and paternal grandmothers [7]. his study aims to the subjective well-being of the elderly as caregivers of grandchildren. We test the levels of self-reported happiness and depression among different categories of caregivers, the grandfathers or grandmothers in the paternal or maternal lineages.

This study advances the discussion by considering influential factors on the subjective well-being of the grandparents motivated by human biological instinct as well as social, cultural and institutional factors. When we study the psychological effect of grandparental care, we should look at the power of lineage, kinship and kin selection, and on a practical basis, the difference in behaviour between grandparents on the paternal and maternal sides of the lineage. The uncertainty of the kinship ensures that the obligation of childcare relies on mothers and maternal grandparents with certain psychological impacts on childcare [28]. However, The is approach are not as popular in Asia as in Europe and the US, and its application to the study of grandchild care is also rarely seen in China.

This study used data from 2018’s CHARLS, adopting empirical data into the analysis, taking happiness and depression as indicators and applying the comparative method. It is worth noting that the approach of this study is not derived from individual psychology but from service relations, though the study of happiness must reflect the state of individual psychology across genders and generations. It develops along the respects of social and care relations rather than on human instincts and the behavioural models of care activities. For testing the impacts of kinship on childcare issues, we classify care relations into four groups of grandparenting types: Paternal Grandfathers (PGF), Maternal Grandfathers (MGF), Paternal Grandmothers (PGM) and Maternal Grandmothers (MGM). We adopt the following assumption on the levels of paternity uncertainty in the grandparent–grandchild kinship relationship: PGF<MGF<PGM<MGM [27]. This assumption sets out the effects of both gender and lineage factors and tests the levels of subjective well-being for these four groups. Using this classification, we explore the nexus between grandchild care participation and the subjective well-being of the grandparents in the four groups. In the context of this assumption, the levels of subjective well-being in grandparents engaged in grandchild care in these four groups could be: PGF<MGF<PGM<MGM.

Methods

Data

This study used the data from CHARLS and utilised a general linear model for further analyses. The sample, collected from 28 provinces in China, 150 municipalities and 450 communities, included 19,816 participants. CHARLS used a probability proportionate to the size sampling method of data collection to produce a weighted sample from this dataset. Cases are only selected if the informant takes care of at least one grandchild. We imposed another rule to simplify the kinship relations being tested and ensure only one kind of intergenerational kinship relation is targeted by the investigation. This is to avoid the complication of intergenerational relations since a grandmother who looks after several children simultaneously can play the roles of the grandmother in both the paternal and maternal lines and thus engage with different kinship relations. Therefore, this case selection method can help to make the relationships clearer. Using this rule, we obtained 3,454 survey participants from the CHARLS, 2018 data, although not all these samples provide answers to all the questions (the selected independent variables). Through the process of data cleaning, we got the actual number of samples in each model, as shown in Tables 2–5.

Measures

Drawing on previous studies [5,8,33], the dependent variables included are household type, marital status, age, education level, work status, health status, duration of care, frequency of contact, number of social activities, personal income and the number of grandchildren. In order to examine the kinship effect, the different types of family relations need to be identified. Accordingly, we classified the grandparental relations of the targeted families into three groups. Group 1 refers to families with one adult child, a result of the one-child policy that has been implemented for three decades. This model was more prominent in urban areas as the one-child policy was not rigorously enforced in rural areas. Group 2 refers to families with two adult children, and Group 3 refers to those families with three or more adult children.

Happiness and depression were adopted as measures of the positive and negative subjective well-being of grandparents in this analysis, allowing an adaptive two-factor approach to be utilised [5,15,33]. CHARLS used the 10-item Center for Epidemiologic Studies Depression (CES-D) scale to assess the happiness and depressive symptoms of the elderly. Participants were asked questions about their feelings during the previous week to assess depressive symptoms (e.g. ‘I was bothered by things that don’t usually bother me’). For each question, they were asked to select an answer from four options: ‘1 = rarely or none of the time’ (<1 day); ‘2 = some or a little of the time’ (1–2 days); ‘3 = occasionally or a moderate amount of the time’ (3–4 days); ‘4 = most or all of the time’ (5–7 days).

For comparison purposes, we separate the happiness indicator from the CES-D scale and regard it as an independent variable. Meanwhile, the sum of the remaining variables of the CES-D scale was calculated and regarded as the variable for measuring the level of depression. Hence, the scale of depressive symptoms ranged from 9–36 – a higher score indicates negative outcomes. We can make comparisons between the four groups – PGF, MGF, PGM and MGM – on grandparents’ feelings and attitudes regarding grandchild care, revealing their kin relations and illustrating the explanatory power of evolutionary psychological theory on intergenerational relations and grandparental care.

In the following section, we will present the results. Four grandparenting groups and the family structure are added to Model 1 as influencing factors on subjective well-being using the indicators of happiness and depression for the grandparents. Household type and marital status are added to Model 2, and finally, the remaining variables are incorporated into Model 3 to reveal the significant influential factors: the number of social activities, personal income, care duration, frequency of contact, the number of grandchildren and the age of the grandparent. This should provide a more comprehensive overview of the general situation of factors, although some of these factors are not significant in the testing.

Results

Table 1 shows the descriptive statistics of the sample. The PGMs have the highest ratio of grandchild care responsibility, especially in families located in rural areas with only one grandchild; meanwhile, the MGFs have the lowest rate of participation in grandchild care. However, the caring time of the PGFs is the longest. Also, most of the grandparents selected in the sample have spouses. Furthermore, the overall education level of these grandparents is below secondary, with a very low proportion having a tertiary level of education. The working status is obviously gender oriented as the working rate of grandmothers is lower than that of the grandfathers. As for the health status, the PGMs report better levels despite the overall level of happiness of grandmothers being lower than that of the grandfathers and the grandmothers experiencing a higher level of depression than the grandfathers.