• Asian Journal for Public Opinion Research
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• v.5 no.3
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• pp.228-249
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• 2018

In 2015, the population of elderly people in Thailand was 16% of the total population and is predicted to be over 20% by 2021 and nearly 28% by 2031. The increase of the elderly population in Thailand has also increased the proportion of dependent elderly people, and caring for them poses many challenges for both families and the government. This descriptive method research aimed to survey the health status of dependent older people in the rural community of Lampang province in northern Thailand. The participants consisted of 62 older people and 62 primary family caregivers from Hong Ha Health Promoting Hospital, Lampang, Thailand (totaling 124 people). The researchers assessed the health status of older people and their activities of daily living (ADL). In addition, researchers assessed the health status and stress of caregivers. All the participants were interviewed about their experiences with caregiving. The results showed that most of the older respondents were female with an average age of 78.15 years. Based on the ADL assessment, 50 of the 62 older persons were homebound while the rest were bedridden. The majority of older people had chronic or long-term conditions that required hospitalization from time to time. Their frequent health problems included oral disorders such as tooth decay or caries/gum disease/no teeth, reduced sight, psychological disorders, knee pain and risk of falling, low BMI, risk of malnutrition, and urinary leakage and incontinence (58.06%, 66.13%, 62.90%, 70.97%, 38.71%, 66.13%, and 37.10%, respectively). Usual care provided by the family members included personal hygiene care, food preparation and feeding, medication management, housekeeping and organizing necessary equipment, supply of needed equipment, prevention of falls, helping with travel for medical checkups and treatment, and providing companionship. Families experienced shortages of medical supplies, daily use equipment, lack of employment, inadequate income, and difficulty accessing health care services due to lack of transportation. Some caregivers experienced caregiving stress related to a lack of social interactions as well as routine caregiving activities. Families need different types of support in order to promote the well-being of older people and caregivers. This highlights the need for a community participation model for the care of older people in order to reflect sustainable long-term outcomes.

• Journal of Families and Better Life
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• v.15 no.3
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• pp.83-94
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• 1997

This article aims to investigate the perceptions of mistreatment of elderly among the married men and women. The subjects of this study are 291 married men and women. The major finding is that the increased stress of caregiver may lead to elder abuse of neglect. According to the above finding, it may be appropriate to offer various assistance to the suspected abuser. That is, education, couseling and social support services may help alleviate the caregiving stress contributing to the mistreatment.

• The Korean Journal of Community Living Science
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• v.17 no.4
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• pp.97-112
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• 2006

For 387 married women in their 20s to 50s, we inquired about the differences in whether they intended on moving into a welfare facility, depending on their views on supporting the elderly and the burden of supporting elderly parents, and tried to find out factors that would affect their decision to move into a welfare facility. With those objectives in mind, we conducted a survey targeting married women in their 20s to 50s who live in Seoul, Daejun or a city or county in Choongnam-do, and carried out frequency analysis, intersection analysis, one-way ANOVA and judge analysis. Our findings from those analyses are summarized as follows. First, when considering married women's characteristics and examining their intention of moving into a welfare facility for the elderly, there was a meaningful difference in their intention depending on age, academic background, occupation, and area of residence. Second, our analysis of the differences in their intention of moving in, based on married women's view on supporting the elderly and the burden of supporting elderly parents, indicates that due to these responsibilities, the greatest number of married women expressed their intention of moving in if a convenient facility for the elderly and service were provided. However, the analysis for the intention of moving in depending on savings for old age, did not exhibit any meaningful difference. Third, from the examination of determining factors for married women's intention of moving into a welfare facility for the elderly, based on age, academic background, occupation, residential area, responsibility for supporting an elderly family member and savings for old age, it was found that the burden of support was the only meaningful effective factor.

• Journal of Families and Better Life
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• v.21 no.1
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• pp.25-36
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• 2003

This study was conducted to reconstitute a family life education program for caregivers and to analyze the system of implementation. Based largely on a pre-existing program for caregiving families, I developed a new educational program. Personal time management and personal needs management were added in the content of the program order to help enhance self-esteem and internal control. The reconstituted educational program, which consists of 6 sessions, was implemented on a small group of caregivers in Jeollabukdo Province who support their elderly parents. The effectiveness of the program was evaluated by a pre-test, a post-test, a follow-up test and open-questionnaire reports. The results from the post-test suggest that the program has been effective in improving the knowledge on aging process, internal control and self-esteem. But the follow-up test results show the program has been effective only in improving the knowledge on aging process. According to the open-questionnaire reports, the program seems to have been effective in improving interpersonal relationships and changing attitudes toward their elderly parents.

• Journal of the Korean Home Economics Association
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• v.48 no.4
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• pp.83-102
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• 2010

This paper investigates whether intra-household bargaining power affects couples' caregiving decisions during instances of competing parental demands for assistance. The primary focus is on examining how partners' bargaining power influences the relative allocation of time resources between parents and parents-in-law, assuming that children prefer to transfer caregiving resources toward their own parents over their parents-in-law. The findings in this study reject the bargaining theory that couple's parental care behavior results from a bargaining process between the husband and the wife. More specifically, the results did not clearly show that children prefer to transfer caregiving resources toward their own parents over their parents-in-law. Decision-making power, measured by final decision-making authority, also failed to affect the relative care transfers.

• Safety and Health at Work
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• v.6 no.2
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• pp.114-119
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• 2015

Background: There has been considerable interest in Japanese society in the problem of work-related stress leading to depressive symptoms, and an increasing number of primary houseworkers maintain paid employment. The purpose of this study was to examine the differential impact of multiple roles associated with psychological distress among Japanese workers. Methods: We studied 722 men and women aged 18-83 years in a cross-sectional study. The K10 questionnaire was used to examine psychological distress. Results: The proportion of participants with psychological distress was higher in women (17.8%) compared with men (11.5%). Having three roles significantly decreased the risk of psychological distress [women: odds ratio (OR), 0.37-fold; men: OR, 0.41] compared with only one role. In working married women, there was significantly less psychological distress (OR, 0.27), and those with childrearing or caregiving responsibilities for elderly parents had significantly less psychological distress (OR, 0.38) than those with only an employment role. Similarly, working married men who had childrearing or caregiving responsibilities for elderly parents had significantly less psychological distress (OR, 0.41) than those who had only an employment role. Conclusion: The present study demonstrated that participants who had only an employment role had an increased risk of psychological distress. The degree of psychological distress was not determined solely by the number of roles. It is important to have balance between work and family life to reduce role conflict and/or role submersion, which in turn may reduce the risk of psychological distress.

• Journal of Families and Better Life
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• v.32 no.5
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• pp.87-105
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• 2014

The purpose of this study was to investigate the factors associated with instrumental support (i.e., economic and practical support) from parents to their adult children. We examined both parents' attitudes toward instrumental support for adult children and parents' actual provision of instrumental support. From the data of the 2010 second National Survey of Korean Families, we selected 532 mothers and 524 fathers who were married and had at least one adult child aged over 25. Multiple regression analyses by the parents' gender showed that fathers were more likely to agree with instrumental support for adult children in general when they had unmarried children, had a lower household income level, had a lower evaluation of their socio-economic class, were satisfied with their own household economic situation, had positive attitudes toward caregiving for elderly parents, and were satisfied with their couple relationships. For mothers, they were more likely to agree with instrumental support for adult children in general when they had positive attitudes toward caregiving for elderly parents, were satisfied with their couple relationships, and perceived their child as someone to rely on in times of difficulties. Our analyses of the actual provision of support indicated that fathers tended to provide more support when they perceived that they were healthy, had unmarried children, were less satisfied with their household economic situation, had negative attitudes toward child-rearing, and reported a higher quality of parent-child relationship. For mothers, they were more likely to provide actual support when they were healthy, had unmarried children, had a higher level of household income, were financially preparing for later life, and less satisfied with their couple relationships. The findings of this study imply that it is imperative to distinguish the attitudes toward support from the actual provision of support and to also consider parents' gender in the literature on instrumental support for adult children.

• Korea journal of population studies
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• v.30 no.2
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• pp.23-44
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• 2007

The primary aim of this study is to examine difference in psychological well-being (PWB) and family support and explore its factors by the types of productive activity: paid labor, voluntary activity, or caregiving for their grandchildren. Three hundred females aged over 60 currently participating in productive activities were interviewed. The main results are as follow. First, PWB of volunteers is higher than any other group. Second, level of support provided by family members is highest for the group of grandchildren caregiving. Third, the variables affecting PWB for paid workers are educational level and material reward. As for the volunteers, PWB is explained by satisfaction with the given activity and instrumental support of their family members on it. PWB of grandchildren caregivers is explained by their marital status, income, material reward, emotional and instrumental support.

• 한국노년학
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• v.40 no.1
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• pp.111-130
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• 2020

This qualitative study aims to understand family members' caregiving experience for middle-aged and elderly breast cancer survivors at early stages. A total of four families of breast cancer survivors were given focus group interviews(FGI), and an additional family was interviewed individually. The thematic analyses of the FGI and individual in-depth interview discussions revealed the following four themes: first, day-to-day feelings like walking on thin ice (entangled emotions with each treatment stage, regret of watching a survivor's pain, fear of recurrence and death, concerns of changes in family relationships, and various feelings experienced as a daughter), second, caregiving has become a mainstay in my life (unfamiliar and unskilled care, losing my life), third, beginning to recover and different experiences between a survivor and a family caregiver (not understanding a survivor's pain from the abyss, forgetting that the survivor is still a cancer patient and that treating him or her casually), and fourth, moving forward (hope that things will be better, taking care of myself to prevent exhaustion). Based on the results of this study, we proposed social welfare services and policy measures to reflect the psychosocial needs of family caregivers of breast cancer survivors and support family caregivers during the care process.

• 한국노년학
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• v.25 no.2
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• pp.127-141
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• 2005

Prior studies about nursing home placement identified factors contributing to the risk of institutionalization by pooling adult child caregivers and spousal caregivers together, regardless of differential challenges for the two types of caregivers. In a sample of 456 caregivers followed for a 2 year period, an event history analysis showed that relationship made difference in time to placement and that differential factors led to institutionalization for spousal caregivers and daughter caregivers. Spousal caregivers are more likely to place dementia patients into nursing homes sooner than adult child caregivers. The age of care recipients and role captivity (refers to being unwilling, involuntary incumbent of a caregiver role) are predictors of placement for both groups of caregivers. Dementia patients who were older had a greater risk of institutionalization. Greater feelings of role captivity also shortened the time to placement. Income and education are significant predictors only for caregiving daughters. Daughters who had a high education level are more likely to delay nursing home placement whereas those who had a higher income are more likely to institutionalize their demented parents sooner. Use of day care and behavioral problems are significant predictors only for spousal caregivers. Specifically, use of day care and behavioral problems precipitates nursing home placement. The findings of this study suggest that interventions for helping family members to provide care to the demented elderly at home must consider different circumstances faced by caregiving spouses and caregiving daughters.