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Mothers and daughters-in-law: a prospective study of informal care-giving arrangements and survival in Japan

BACKGROUND: Daughters-in-law have played an important role in informal care-giving arrangements within East Asian traditional norms. The aim of this study was to measure the impact of daughter-in-law care-giving on the survival of care recipients. We prospectively examined the associations between d...

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Autores principales: Nishi, Akihiro, Tamiya, Nanako, Kashiwagi, Masayo, Takahashi, Hideto, Sato, Mikiya, Kawachi, Ichiro
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2939544/
https://www.ncbi.nlm.nih.gov/pubmed/20799990
http://dx.doi.org/10.1186/1471-2318-10-61
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author Nishi, Akihiro
Tamiya, Nanako
Kashiwagi, Masayo
Takahashi, Hideto
Sato, Mikiya
Kawachi, Ichiro
author_facet Nishi, Akihiro
Tamiya, Nanako
Kashiwagi, Masayo
Takahashi, Hideto
Sato, Mikiya
Kawachi, Ichiro
author_sort Nishi, Akihiro
collection PubMed
description BACKGROUND: Daughters-in-law have played an important role in informal care-giving arrangements within East Asian traditional norms. The aim of this study was to measure the impact of daughter-in-law care-giving on the survival of care recipients. We prospectively examined the associations between different types of kinship relationship between the main family caregiver and the care recipient in relation to survival among care recipients. METHODS: A questionnaire was administered to Japanese community-dwelling seniors who were eligible to receive national long-term care insurance (LTCI) community-based services. Among 191 individuals whose informal care-giving arrangement was definitively determined, we observed 58 care recipients receiving care from spouses, 58 from daughters-in-law, 27 from biological daughters, 25 from other relatives, and 23 care recipients living alone. RESULTS: During 51 months of follow-up from December 2001, 68 care recipients died, 117 survived, and 6 moved. Hazard ratios of each care-giving arrangement were estimated by Cox proportional hazard models adjusted for care recipients' demographic factors, their care needs level based on their physical and cognitive functioning and their service use, caregivers' demographic factors, and household size. The highest risk of mortality was found for female elders receiving care from daughters-in-law (HR 4.15, 95% CI 1.02-16.90) followed by those receiving care from biological daughters (HR 1.64, 95% CI 0.37-7.21), compared to women receiving spousal care. By contrast, male elders receiving care from daughters-in-law tended to live longer than those receiving care from their spouses. CONCLUSIONS: Our finding suggests that there may be a survival "penalty" for older Japanese women who are cared for by their daughters-in-law.
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spelling pubmed-29395442010-09-16 Mothers and daughters-in-law: a prospective study of informal care-giving arrangements and survival in Japan Nishi, Akihiro Tamiya, Nanako Kashiwagi, Masayo Takahashi, Hideto Sato, Mikiya Kawachi, Ichiro BMC Geriatr Research Article BACKGROUND: Daughters-in-law have played an important role in informal care-giving arrangements within East Asian traditional norms. The aim of this study was to measure the impact of daughter-in-law care-giving on the survival of care recipients. We prospectively examined the associations between different types of kinship relationship between the main family caregiver and the care recipient in relation to survival among care recipients. METHODS: A questionnaire was administered to Japanese community-dwelling seniors who were eligible to receive national long-term care insurance (LTCI) community-based services. Among 191 individuals whose informal care-giving arrangement was definitively determined, we observed 58 care recipients receiving care from spouses, 58 from daughters-in-law, 27 from biological daughters, 25 from other relatives, and 23 care recipients living alone. RESULTS: During 51 months of follow-up from December 2001, 68 care recipients died, 117 survived, and 6 moved. Hazard ratios of each care-giving arrangement were estimated by Cox proportional hazard models adjusted for care recipients' demographic factors, their care needs level based on their physical and cognitive functioning and their service use, caregivers' demographic factors, and household size. The highest risk of mortality was found for female elders receiving care from daughters-in-law (HR 4.15, 95% CI 1.02-16.90) followed by those receiving care from biological daughters (HR 1.64, 95% CI 0.37-7.21), compared to women receiving spousal care. By contrast, male elders receiving care from daughters-in-law tended to live longer than those receiving care from their spouses. CONCLUSIONS: Our finding suggests that there may be a survival "penalty" for older Japanese women who are cared for by their daughters-in-law. BioMed Central 2010-08-29 /pmc/articles/PMC2939544/ /pubmed/20799990 http://dx.doi.org/10.1186/1471-2318-10-61 Text en Copyright ©2010 Nishi et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Nishi, Akihiro
Tamiya, Nanako
Kashiwagi, Masayo
Takahashi, Hideto
Sato, Mikiya
Kawachi, Ichiro
Mothers and daughters-in-law: a prospective study of informal care-giving arrangements and survival in Japan
title Mothers and daughters-in-law: a prospective study of informal care-giving arrangements and survival in Japan
title_full Mothers and daughters-in-law: a prospective study of informal care-giving arrangements and survival in Japan
title_fullStr Mothers and daughters-in-law: a prospective study of informal care-giving arrangements and survival in Japan
title_full_unstemmed Mothers and daughters-in-law: a prospective study of informal care-giving arrangements and survival in Japan
title_short Mothers and daughters-in-law: a prospective study of informal care-giving arrangements and survival in Japan
title_sort mothers and daughters-in-law: a prospective study of informal care-giving arrangements and survival in japan
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2939544/
https://www.ncbi.nlm.nih.gov/pubmed/20799990
http://dx.doi.org/10.1186/1471-2318-10-61
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