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Having an Adult Child in the United States, Physical Functioning, and Unmet Needs for Care Among Older Mexican Adults
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Having an Adult Child in the United States, Physical Functioning, and Unmet Needs for Care Among Older Mexican Adults
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Journal Article
Having an Adult Child in the United States, Physical Functioning, and Unmet Needs for Care Among Older Mexican Adults
2019
Overview
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.
Publisher
Lippincott Williams & Wilkins, a business of Wolters Kluwer Health,Copyright Wolters Kluwer Health, Inc. All rights reserved
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