Impact of caring for grandchildren on the health of grandparents in Taiwan

Li Jung E. Ku, Sally C. Stearns, Courtney H. Van Houtven, Shoou Yih D. Lee, Peggye Dilworth-Anderson, Thomas R. Konrad

Research output: Contribution to journalArticlepeer-review

84 Citations (Scopus)


Objectives. To understand how caring for grandchildren affects the physical and mental health of grandparents in Taiwan. Method. Grandparents aged 50 and older from 4 waves of the Taiwan Longitudinal Study on Aging (1993-2003, n = 3,711) were divided into 7 categories based on living arrangement and caregiving history. Generalized estimation equations controlling for sociodemographic characteristics and disease status were used to estimate the relationship between caregiving and 4 outcomes: self-rated physical health, mobility limitation, life satisfaction, and depressive symptoms. Results. Compared with noncaregivers, long-term multigenerational caregivers were more likely to report better selfrated health, higher life satisfaction, and fewer depressive symptoms. We found some evidence of reduced mobility limitations for both skipped-generation and nonresidential caregivers relative to noncaregivers. The associations in selfrated health and depressive symptoms were more pronounced in long-term caregivers than among those who recently started caregiving. Discussion. Improvements in self-rated health and mobility associated with caregiving support our hypothesis that caring for grandchildren can be beneficial for grandparents in Taiwan, especially for long-term multigenerational caregivers. Comparing Taiwanese grandparents across different types of caregiving shows that the associations of grandparent caregiving with health vary by living arrangement and duration. However, these findings may not be causal because caregiving and health outcomes were observed simultaneously in our data.

Original languageEnglish
Pages (from-to)1009-1021
Number of pages13
JournalJournals of Gerontology - Series B Psychological Sciences and Social Sciences
Issue number6
Publication statusPublished - 2013 Nov

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Sociology and Political Science
  • Life-span and Life-course Studies


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