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For some older Chinese-Americans, caring for grandkids can enhance well-being

American Geriatrics Society



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This research summary was developed as a public education tool by the Health in Aging Foundation. The Foundation is a national non-profit established in 1999... view more

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Up until now, little has been known about how helping care for grandchildren might affect the well-being of older adults who are Chinese-Americans. Researchers recently considered that question in a study published in the Journal of the American Geriatrics Society.

The researchers looked at information from the "Population Study of Chinese Elderly (PINE)," which examined more than 3,000 Chicago-area Chinese-Americans aged 60 and older between 2011 and 2013. The participants answered questions to screen for depression, anxiety, stress, loneliness, and other factors affecting their health and well-being.

In the study, 35 percent (818) of the participants said they were caregivers for children and spent an average of about 12 hours a week on childcare.

To measure the level of caregiving pressure they experienced, participants were asked "How often do you feel take care of [your grandchildren]?" The participants answered questions about caregiving burdens, and whether they felt their own health was at risk due to caregiving. Researchers also determined how much positive or negative social support the grandparents received from family and friends.

The researchers discovered that 80 percent of the participants believed that caring for grandchildren was not a burden. Most participants reported never feeling pressured by their adult children and didn't experience any negative effects from caregiving. These grandparents were generally happier, and felt much less depression, anxiety, stress, and loneliness compared to older adults who didn't care for grandchildren.

Specifically, people who didn't care for grandchildren compared to those who did were:

  • 40 percent more likely to have symptoms of depression
  • 20 percent more likely to feel anxious
  • 10 percent more likely to have stress
  • 60 percent more likely to feel lonely

However, grandparents who felt pressure from their adult children and who believed that they had no choice about providing care for grandchildren reported having higher levels of depression, anxiety, and stress than people who didn't feel pressured. The grandparents who had negative feelings about caregiving reported a 50 percent increased rate of depression symptoms, 30 percent higher stress rates, and a 70 percent increase in loneliness.

"Caring for grandchildren can be a burden, a blessing, or both. Enjoy the time with your family and grandchildren--just be in control of how much time you spend caregiving," said study co-author Fengyan Tang, PhD, Associate Professor, School of Social Work, University of Pittsburgh.

Caregivers' feelings partly depend on their perception of the experience, as well as on how they are treated by their family and by the community. Both formal and informal support systems and healthcare services are key to helping older grandparents maintain their psychological well-being, the researchers noted.


This summary is from "Psychological Well-being of Grandparents Caring for Grandchildren among Older Chinese Americans: Burden or Blessing?" It appears in the Journal of the American Geriatrics Society. The study authors are Fengyan Tang, PhD; Ling Xu, PhD; Iris Chi, DSW; and XinQi Dong, MD.

About the Health in Aging Foundation

This research summary was developed as a public education tool by the Health in Aging Foundation. The Foundation is a national non-profit established in 1999 by the American Geriatrics Society to bring the knowledge and expertise of geriatrics healthcare professionals to the public. We are committed to ensuring that people are empowered to advocate for high-quality care by providing them with trustworthy information and reliable resources. Last year, we reached nearly 1 million people with our resources through We also help nurture current and future geriatrics leaders by supporting opportunities to attend educational events and increase exposure to principles of excellence on caring for older adults. For more information or to support the Foundation's work, visit

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