The ageing of parent carers: classed and gendered care-giving patterns at higher ages

Increasing longevity has led to a rising number of adult children who are at higher ages when they provide care for their parents. Drawing on the lifecourse approach and exchange theory, the paper addresses similarities and differences in parent care between late middle-aged and older adult children. The study uses the UK Household Longitudinal Study, restricting the analysis sample to individuals aged 50 and older with a living parent or parent-in-law. It presents multivariate models to examine differences between late middle-aged (aged 50–64) and older (aged 65+) children in being a parent carer, providing intensive care, the duration of parent care and providing selected types of help to parents. The involvement in parent care increases among women up to the end of their seventh decade of life and for men up to their eighth decade of life. At higher ages, the proportion of parent carers decreases more strongly for women than men. Older carers have shorter care-giving episodes than younger carers, but there is no significant difference in the type of care provided. Even past retirement age, parent care remains classed and gendered, with women from lower social classes having the highest likelihood of providing intensive parent care in old age. Having dependent children or living in a non-marital union depress the likelihood of caring for a parent even past retirement age.

Division of Parent Care Among Adult Children

Objectives Many older adults rely on their children’s support to sustain community residence. Although filial norms encourage adult children to help their parents, not every child provides parent care in times of need. The majority of prior studies have adopted an individualistic perspective to examine factors associated with individual children’s caregiving behavior. This study complements previous work by using the family systems perspective to understand how caregiving responsibilities are allocated among children in the family and how the pattern of care division evolves over time. Method Data came from seven rounds of the National Health and Aging Trends Study (2011–2017), in which community-dwelling respondents were asked about all of their children and which children provided them with care. Multilevel models were estimated to examine how caregiving responsibilities were distributed among children and how the children’s caregiving efforts responded to changes in their parents’ frailty. Results About three quarters of older adults reported receiving help from only one child, and the average of monthly care hours was about 50 at baseline. As parents’ frailty increased, the proportion of children providing parents rose and the allocation of parent-care hours became more equal. Discussion This study underscores the importance of using the family systems perspective to better understand adult children’s caregiving behavior. Although just one adult child providing care is the most common caregiving arrangement initially, adult children tend to work with their siblings to support parents’ aging in place as parents’ need for care increases.

Legislation In Search of “Good-Enough” Care Arrangements for the Child

Attachment is the inborn bias of human children to seek the availability of familiar caregivers in times of stress. It has been observed from ancient times and in many cultures, and scaffolds further physical, cognitive, and socioemotional development. The security of these relationships is shaped by the continuity and quality of the child-rearing environment, and is independent of biological ties to the caregiver. In this chapter, the child’s right to a “good-enough”—that is, at least minimally adequate but not necessarily ‘best’--family life and the importance of a stable network of attachment relationships is highlighted. Legal issues raised by multi-parent care, including questions around the use of attachment-based assessments for custody decisions, are addressed. Attachment theory is well equipped to inform what caregiving arrangements children need, and legislators, judges, and lawyers may consult it as a source of insight into “good-enough” care arrangements in the interest of the child.