Evolution in intergenerational exchanges between elderly people and their grandchildren in Taiwan; data from a multiple round cross-sectional study from 1993 to 2007.docVIP

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Evolution in intergenerational exchanges between elderly people and their grandchildren in Taiwan; data from a multiple round cross-sectional study from 1993 to 2007.doc

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Evolution in intergenerational exchanges between elderly people and their grandchildren in Taiwan; data from a multiple round cross-sectional study from 1993 to 2007

Tsaietal.BMCPublicHealth2011,11:639 /1471-2458/11/639 RESEARCH ARTICLE OpenAccess Evolutioninintergenerationalexchanges betweenelderlypeopleandtheirgrandchildren inTaiwan;datafromamultipleroundcross- sectionalstudyfrom1993to2007 Feng-jenTsai1,2*,SandrineMotamed1,NadiaElia1andAndréCRougemont1 Abstract Background:ThisstudyaimedtoevaluatesocialevolutioninTaiwaninrecentdecadesusingthechanging patternofcareprovidedbygrandparentsfortheirgrandchildrenasanindicator. Methods:Datafromthesecond,fourthandsixthwavesurveysoftheStudyofHealthandLivingStatusofthe Middle-AgedandElderlyinTaiwanwereusedfortheanalysis.Thissurveycollectedindividualcharacteristics, includingage,gender,education,ethnicity,dwellingplace,livingwithpartners,co-residentwithchildren, employmentstatus,self-reportedhealthstatusandtheirprovisionofcarefortheirgrandchildren.Information abouttheattitudestowardNationalHealthInsurance(NHI)wasfurthercollectedinaquestionnaireof1999 followingtheimplementationofNHIin1995.Byelders,wemeanpersons60ormoreyearsold.Bygrandchildren, wemeanpersonsunder16yearsofage.First,changesinindividualcharacteristicswerecomparedduringthese studyperiods(chi-squaretest).Thenthelogisticregressionwasperformedtodeterminehowsignificantlyelders’ grandchild-carebehaviorwasassociatedwiththeirindividualcharacteristics. Results:Thepercentageofeldersprovidinggrandchildcareincreasedfrom7.7%in1993to13.6%in1999,and thento19.4%in2007.Byanalysis,significantassociationwasfoundbetweenbehaviorintakingcareof grandchildrenandindividualsoflowerage,grandmothers,thoselivingwithpartnersorco-residingwithchildren, thoseunemployedandthosewithbetterself-reportedhealthstatus.Andtheeffectofyearwasconfirmedinthe multivariableanalysis. Conclusions:Thisstudypointedoutthechangingpatternofelders’behaviorintakingcareoftheirgrandchildren asthemainindicatorandtheirrelatedindividualcharacteristics.Wearguetheneedforimprovingsocialsecurity policiesinanageingsociety.Wesuggestthattheinteractionbetweenpopulationpoliciesandthoseofsocial