The physical and emotional health of grandmothers raising grandchildren in the crack cocaine epidemic.
ABSTRACT This article explores the physical and emotional health status of 71 African-American grandmothers raising their grandchildren as a result of the crack cocaine involvement of the children's parents. A comparison of self-assessed health ratings with qualitative responses revealed a tendency for respondents to downplay their own health problems and symptoms.
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ABSTRACT: Caring for grandchildren is a common and normative experience for many Chinese grandparents. This study investigates the influence of child care provision on older adults' health trajectories in China. Using data from the China Health and Nutrition Survey (1991, 1993, 1997, 2000, 2004, and 2006), we apply growth curve models to examine the effect of living arrangements and intensity of caregiving for grandchildren on older adults' health trajectories. We use propensity score weighting to take into account potential selection bias. Grandparents living in skipped-generation households do not suffer from a deficit in self-reported health, particularly when they have higher family income. Those living in three-generation households experience a slightly more rapid health decline than older adults who live independently, although the paternal grandparents in this type of household have a significant health advantage over the maternal grandparents. Among the coresiding grandparents, high intensity care for younger grandchildren accelerates health declines, whereas a lighter level of care has a protective effect. In addition, rural grandparents and grandfathers engaging in high intensity care have worse self-reported health on average. Our findings suggest that grandchild care does not have a universally beneficial or detrimental effect on health, but rather its effect depends on the form and level of caregiving and is further shaped by individual characteristics, as well as normative and structural contexts.The Journals of Gerontology Series B Psychological Sciences and Social Sciences 12/2011; 67(1):99-112. · 3.01 Impact Factor
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ABSTRACT: Purpose. Based on a review of the literature, this paper presents a unique and innovative model that offers an empowerment framework, which may be used to develop advocacy in African American (AA) grandmother caregivers. This proposed framework centers on education as a catalyst to the empowerment process in these grandmothers. Application of this model has potential to guide the practice of healthcare providers as they assist these caregivers in managing their own lives. Methodology. Various empowerment definitions and research were used to develop this empowerment framework. Discussion. This framework offers an empowerment education program for AA grandmothers providing care for their grandchildren on topics that they feel are necessary to appropriately care for themselves and their grandchildren. Outcomes of this empowerment education are to develop skills within these grandmothers so that they will be able to advocate for themselves, their grandchildren, and others within their communities. This education will ultimately produce skillful AA grandmothers who will develop abilities to empower themselves and other AA grandmothers who are in similar circumstances.ISRN nursing. 01/2011; 2011:531717.
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ABSTRACT: The number of incarcerated mothers has risen steadily in the past 20 years, with a majority of the mothers' children being cared for by relatives, usually the maternal grandmother (Smith, Krisman, Strozier, & Marley, 2004). This article examines the unique coparenting relationship of grandmothers and mothers through qualitative individual interviews with a sample of 24 incarcerated mothers with children between the ages of 2 and 6, and 24 grandmothers raising their children. The study revealed many different variants of healthy coparenting alliances, achieved against often huge odds. Much variation was also discovered in dyads where coparenting alliances were not as successful. Implications for practice include performing structural family assessments, enhancing jail education programs, and offering extended coparenting treatment after discharge.Families in society: the journal of contemporary human services 01/2011; 92(1):55-61. · 0.29 Impact Factor