Mothers and Daughters-in-Law: A Prospective Study of Informal Care-Giving Arrangements and Survival in Japan

DSpace/Manakin Repository

Mothers and Daughters-in-Law: A Prospective Study of Informal Care-Giving Arrangements and Survival in Japan

Citable link to this page

 

 
Title: Mothers and Daughters-in-Law: A Prospective Study of Informal Care-Giving Arrangements and Survival in Japan
Author: Tamiya, Nanako; Kashiwagi, Masayo; Takahashi, Hideto; Sato, Mikiya; Nishi, Akihiro; Kawachi, Ichiro

Note: Order does not necessarily reflect citation order of authors.

Citation: Nishi, Akihiro, Nanako Tamiya, Masayo Kashiwagi, Hideto Takahashi, Mikiya Sato, and Ichiro Kawachi. 2010. Mothers and daughters-in-law: a prospective study of informal care-giving arrangements and survival in Japan. BMC Geriatrics 10:61.
Full Text & Related Files:
Abstract: 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.
Published Version: doi:10.1186/1471-2318-10-61
Other Sources: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2939544/pdf/
Terms of Use: This article is made available under the terms and conditions applicable to Other Posted Material, as set forth at http://nrs.harvard.edu/urn-3:HUL.InstRepos:dash.current.terms-of-use#LAA
Citable link to this page: http://nrs.harvard.edu/urn-3:HUL.InstRepos:5025359
Downloads of this work:

Show full Dublin Core record

This item appears in the following Collection(s)

 
 

Search DASH


Advanced Search
 
 

Submitters