Having an Adult Child in the United States, Physical Functioning, and Unmet Needs for Care Among Older Mexican Adults

Jacqueline M. Torres, Kara Rudolph, Oleg Sofrygin, Rebeca Wong, Louise C. Walter, M. Maria Glymour

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)553-560
Number of pages8
JournalEpidemiology (Cambridge, Mass.)
Volume30
Issue number4
DOIs
StatePublished - Jul 1 2019

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Adult Children
Confidence Intervals
Activities of Daily Living
Parents
Mexico
Health
Population

ASJC Scopus subject areas

  • Epidemiology

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Having an Adult Child in the United States, Physical Functioning, and Unmet Needs for Care Among Older Mexican Adults. / Torres, Jacqueline M.; Rudolph, Kara; Sofrygin, Oleg; Wong, Rebeca; Walter, Louise C.; Glymour, M. Maria.

In: Epidemiology (Cambridge, Mass.), Vol. 30, No. 4, 01.07.2019, p. 553-560.

Research output: Contribution to journalArticle

Torres, Jacqueline M. ; Rudolph, Kara ; Sofrygin, Oleg ; Wong, Rebeca ; Walter, Louise C. ; Glymour, M. Maria. / Having an Adult Child in the United States, Physical Functioning, and Unmet Needs for Care Among Older Mexican Adults. In: Epidemiology (Cambridge, Mass.). 2019 ; Vol. 30, No. 4. pp. 553-560.
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abstract = "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.",
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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

AU - Sofrygin, Oleg

AU - Wong, Rebeca

AU - Walter, Louise C.

AU - Glymour, M. Maria

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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.

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