TY - JOUR
T1 - Having an Adult Child in the United States, Physical Functioning, and Unmet Needs for Care among Older Mexican Adults
AU - Torres, Jacqueline M.
AU - Rudolph, Kara E.
AU - Sofrygin, Oleg
AU - Wong, Rebeca
AU - Walter, Louise C.
AU - Glymour, M. Maria
N1 - Publisher Copyright:
© 2019 Lippincott Williams and Wilkins. All rights reserved.
PY - 2019/7/1
Y1 - 2019/7/1
N2 - Background: Migration of adult children may impact the health of aging parents who remain in low-and middle-income countries. Prior studies have uncovered mixed associations between adult child migration status and physical functioning of older parents; none to our knowledge has examined the impact on unmet caregiving needs. Methods: Data come from a population-based study of Mexican adults ≥50 years. We used longitudinal targeted maximum likelihood estimation to estimate associations between having an adult child US migrant and lower-body functional limitations, and both needs and unmet needs for assistance with basic or instrumental activities of daily living (ADLs/IADLs) for 11,806 respondents surveyed over an 11-year period. Results: For women, having an adult child US migrant at baseline and 2-year follow-up was associated with fewer lower-body functional limitations [marginal risk difference (RD) =-0.14, 95% confidence interval (CI) =-0.26,-0.01] and ADLs/IADLs (RD =-0.08, 95% CI =-0.16,-0.001) at 2-year follow-up. Having an adult child US migrant at all waves was associated with a higher prevalence of functional limitations at 11-year follow-up (RD = 0.04, 95% CI = 0.01, 0.06). Having an adult child US migrant was associated with a higher prevalence of unmet needs for assistance at 2 (RD = 0.13, 95% CI = 0.04, 0.21) and 11-year follow-up for women (RD = 0.07, 95% CI =-0.02, 0.15) and 11-year follow-up for men (RD = 0.08, 95% CI = 0.00, 0.16). Conclusion: Having an adult child US migrant had mixed associations with physical functioning, but substantial adverse associations with unmet caregiving needs for a cohort of older adults in Mexico.
AB - Background: Migration of adult children may impact the health of aging parents who remain in low-and middle-income countries. Prior studies have uncovered mixed associations between adult child migration status and physical functioning of older parents; none to our knowledge has examined the impact on unmet caregiving needs. Methods: Data come from a population-based study of Mexican adults ≥50 years. We used longitudinal targeted maximum likelihood estimation to estimate associations between having an adult child US migrant and lower-body functional limitations, and both needs and unmet needs for assistance with basic or instrumental activities of daily living (ADLs/IADLs) for 11,806 respondents surveyed over an 11-year period. Results: For women, having an adult child US migrant at baseline and 2-year follow-up was associated with fewer lower-body functional limitations [marginal risk difference (RD) =-0.14, 95% confidence interval (CI) =-0.26,-0.01] and ADLs/IADLs (RD =-0.08, 95% CI =-0.16,-0.001) at 2-year follow-up. Having an adult child US migrant at all waves was associated with a higher prevalence of functional limitations at 11-year follow-up (RD = 0.04, 95% CI = 0.01, 0.06). Having an adult child US migrant was associated with a higher prevalence of unmet needs for assistance at 2 (RD = 0.13, 95% CI = 0.04, 0.21) and 11-year follow-up for women (RD = 0.07, 95% CI =-0.02, 0.15) and 11-year follow-up for men (RD = 0.08, 95% CI = 0.00, 0.16). Conclusion: Having an adult child US migrant had mixed associations with physical functioning, but substantial adverse associations with unmet caregiving needs for a cohort of older adults in Mexico.
KW - Activities of daily living
KW - Aging
KW - Longitudinal Study
KW - Mexico
KW - Social epidemiology
KW - Targeted maximum likelihood estimation
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U2 - 10.1097/EDE.0000000000001016
DO - 10.1097/EDE.0000000000001016
M3 - Article
C2 - 30985533
AN - SCOPUS:85067219569
SN - 1044-3983
VL - 30
SP - 553
EP - 560
JO - Epidemiology
JF - Epidemiology
IS - 4
ER -