Abstract
In this study, we analyze factors that determine the likelihood of an individual undertaking caregiving responsibilities as well as the time spent providing assistance. We utilize a large sample of older adults (N = 2821) from a survey with rich information at the child and household member level (N = 16,014) in the State of Yucatan, Mexico. We define caregivers as those that provide assistance with activities of daily living (ADLs) to an older adult—both those living inside and outside the household—and non-caregivers as any person living in the household as well as children living outside that do not provide care. The Heckman two-step procedure is employed to account for sample selection bias in the analysis. We find that 77.7% of caregivers were women and 22.3% were men. In addition, daughters were most likely to take on the role as caregiver. A larger proportion of men in comparison to women worked while providing care, and women provided more hours of care work per month on average than men. We find that caregivers have lower educational attainment, a lower proportion worked, and a higher proportion lived with the older adult in comparison to non-caregivers. Also, non-caregivers provide a higher amount of monetary and in-kind transfers to older adults on average. The oldest adults—80 years and older—and those with the worst health status are more likely to receive care and received higher amounts of caregiving time. Moreover, older women are more likely to receive care than older men. Taking up caregiving activities reflects a two-way decision-making process consisting of older adult needs and caregiver characteristics influenced by societal and economic structures. Taking into account the increasing needs for older adult caregiving in Mexico due to changes in life expectancy and family composition, this model of informal caregiving is unsustainable and requires intervention.
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References
Aguila, E., Cervera, M. D., Martinez, H., & Weidmer, B. A. (2015a). Developing and testing informed-consent methods in a study of the elderly in Mexico.
Aguila, E., Diaz, C., Fu, M. M., Kapteyn, A., & Pierson, A. (2011). Living longer in Mexico.
Aguila, E., Kapteyn, A., Robles, R., Vargas, O., & Weidmer, B. A. (2014). A noncontributory pension program for older persons in Yucatan, Mexico: Implementing and designing the evaluation of the program in Valladolid. (Technical Reports). Santa Monica, CA: RAND Corporation.
Aguila, E., Kapteyn, A., & Smith, J. P. (2015b). Effects of income supplementation on health of the poor elderly: The case of Mexico. Proceedings of the National Academy of Sciences, 112(1), 70–75.
Aguila, E., López-Ortega, M., & Gutierrez-Robledo, L. M. (2018). Non-contributory pension programs and frailty of older adults: Evidence from Mexico. Mimeo: University of Southern California.
American Association for Public Opinion Research. (2011). Standard definitions 2011: Final dispositions of case codes and outcome rates for surveys (7th Ed.).
Angel, J. L., Vega, W., & López-Ortega, M. (2017). Aging in Mexico: Population trends and emerging issues. The Gerontologist, 57(2), 153–162.
Barraza-Llorens, M., Bertozzi, S., Gonzalez-Pier, E., & Gutierrez, J. P. (2002). Addressing inequity in health and health care in Mexico. Health Affairs, 21(3), 47–56.
Becker, G. S. (1965). A theory of the allocation of time. The Economic Journal, 75(299), 493.
Becker, G. S. (1981). Altruism in the family and selfishness in the market place. Economica, 48(189), 1.
Bengtson, V. L. (2001). Beyond the nuclear family: The increasing importance of multigenerational bonds. Journal of Marriage and Family, 63(1), 1–16.
Bergstrom, C. A., & Heymann, S. J. (2005). Impact of gender disparities in family carework on women’s life chances in Chiapas, Mexico (Vol. 36).
Bookman, A., & Kimbrel, D. (2011). Families and elder care in the twenty-first century. The Future of Children, 21(2), 117–140.
Briggs, D. C. (2004). Causal inference and the Heckman model. Journal of Educational and Behavioral Statistics, 29(4), 397–420.
Chari, A. V., Engberg, J., Ray, K. N., & Mehrotra, A. (2015). The opportunity costs of informal elder-care in the United States: New estimates from the American Time Use Survey. Health Services Research, 50(3), 871–882.
Clark, M., & Huttlinger, K. (1998). Elder care among Mexican American families. Clinical Nursing Research, 7(1), 64–81.
Colello, K. (2007). Family caregiving to the older population: Background, federal programs, and issues for Congress. Federal Publications.
Correll, S. J., Benard, S., & Paik, I. (2007). Getting a job: Is there a motherhood penalty? American Journal of Sociology, 112(5), 1297–1339.
Quilodrán de Aguirre, J. (1974). Evolución de la nupcialidad en México, 1900–1970. Demografía y Economía, 8(1), 34–49.
de Oliveira, O., & Ariza, M. (1999). Perspectivas de análisis sobre trabajo, familia y condición de la mujer. Papeles de Población, 5(20), 89–127.
Diario Oficial de la Federación (DOF). (2002). Ley de los Derechos de las Personas Adultas Mayores. DOF 25-06-2002. Cámara de Diputados del H. Congreso de la Unión.
Duan, N., Manning, W. G., Morris, C. N., & Newhouse, J. P. (1984). Choosing between the sample-selection model and the multi-part Model. Journal of Business & Economic Statistics, 2(3), 283.
Escandón, S. (2006). Mexican American intergenerational caregiving model. Western Journal of Nursing Research, 28(5), 564–585.
Escandón, S. (2011). Validating the Mexican American intergenerational caregiving model. The Qualitative Report, 16(2), 377.
Ettner, S. L. (1995). The impact of “parent care” on female labor supply decisions. Demography, 32(1), 63–80.
Ettner, S. L. (1996). The opportunity costs of elder care. The Journal of Human Resources, 31(1), 189.
Evans, B. C., Belyea, M. J., Coon, D. W., & Ume, E. (2012). Activities of daily living in Mexican American caregivers: The key to continuing informal care. Journal of Family Nursing, 18(4), 439–466.
Folbre, N. (Ed.). (2012). For love and money: Care provision in the United States. New York: Russell Sage Foundation.
Fried, L. P., Tangen, C. M., Walston, J., Newman, A. B., Hirsch, C., Gottdiener, J., et al. (2001). Frailty in older adults: Evidence for a phenotype. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 56(3), M146–M157
Friedemann, M.-L., & Buckwalter, K. C. (2014). Family caregiver role and burden related to gender and family relationships. Journal of Family Nursing, 20(3), 313–336.
Galindo, Vilchis L., García, Gutiérrez G., & Rivera, Hernández P. (2015). El trabajo de cuidados en los hogares: ¿Un trabajo sólo de mujeres?. México: INMUJERES.
García, B., & de Oliveira, O. (2001). Cambios socioeconómicos y división del trabajo en las familias mexicanas. Investigación Económica, 61(236), 137–162.
García, B., & de Oliveria, O. (2007). Trabajo extradoméstico y relaciones de género: Una nueva mirada. In María Alicia Gutiérrez (coord.) Género, familias y trabajo: Rupturas y continuidades. Desafíos para la Investigación Pública (pp. 49–87). Buenos Aires, Consejo Latinoamericano de Ciencias Sociales (CLACSO).
García Guzmán, B. (2007). Cambios en la división del trabajo familiar en México. Papeles de Población, 13(53), 23–45.
Grigoryeva, A. (2014). When gender trumps everything: The division of parent care among siblings. Princeton, NJ: Center for the Study of Social Organization.
Gutiérrez Robledo, L. M., López-Ortega, M., & Arango Lopera, V. E. (2012). The state of elder care in Mexico. Current Translational Geriatrics and Experimental Gerontology Reports, 1(4), 183–189.
Guzmán, V. (2003). Gobernabilidad democrática y género, una articulación posible (Vol. 48). United Nations Publications.
Heckman, J. (1976). The common structure of statistical models of truncation, sample selection and limited dependent variables and a simple estimator for such models (NBER Chapters) (pp. 475–492). National Bureau of Economic Research, Inc.
Heckman, J. J. (1977). Sample selection bias as a specification error (with an application to the estimation of labor supply functions) (Working Paper No. 172). National Bureau of Economic Research.
Heckman, J. J. (1979). Sample selection bias as a specification error. Econometrica, 47(1), 153.
Henz, U. (2010). Parent care as unpaid family labor: How do spouses share? Journal of Marriage and Family, 72(1), 148–164.
INEGI/ INMUJERES. (2014). Uso del tiempo, una perspectiva estadística de género, 2009. México: Instituto Nacional de Estadística y Geografía (INEGI), Instituto Nacional de las Mujeres, (INMUJERES).
INMUJERES. (2015). Situación de las personas mayores en México. México: Instituto Nacional de las Mujeres.
López-Ortega M., & Gutiérrez Robledo LM. (2015). Percepciones y valores en torno a los cuidados de las personas adultas mayores. In L. M. Gutiérrez Robledo, & L. Giraldo Rodríguez (coord.) Realidades y expectativas frente a la nueva vejez. Encuesta Nacional de Envejecimiento. México: Universidad Nacional Autónoma de México (UNAM).
López-Ortega, M., Matarazzo, C., & Nigenda, G. (2008). Household care for the elderly and the ill in Mexico: An analysis from a gender perspective. Exploring the gender dimensions of global health (pp. 59–90). Cambridge, MA: Global Equity Initiative, Harvard University.
López-Ortega, M., Nigenda, G., Matarazzo, C., & Juárez-Ramírez, C. (2007). La atención de los enfermos y discapacitados en el hogar: Retos para el sistema de salud mexicano. Salud Pública de México, 49(4), 286–294.
López-Ortega, M. (2014). The family household and informal old age care in Mexico: A research note. International Journal of Sociology of the Family, 40(2)
Mayston, R., Lloyd-Sherlock, P., Gallardo, S., Wang, H., Huang, Y., Montes de Oca, V., et al. (2017). A journey without maps—Understanding the costs of caring for dependent older people in Nigeria, China, Mexico and Peru. PloS one, 12(8), e0182360.
Mendez-Luck, C. A., Kennedy, D. P., & Wallace, S. P. (2008). Concepts of burden in giving care to older relatives: A study of female caregivers in a Mexico City neighborhood. Journal of Cross-Cultural Gerontology, 23(3), 265–282.
Mendez-Luck, C. A., Kennedy, D. P., & Wallace, S. P. (2009). Guardians of health: The dimensions of elder caregiving among women in a Mexico City neighborhood. Social Science and Medicine, 68(2), 228–234.
Mentzakis, E., McNamee, P., & Ryan, M. (2009). Who cares and how much: Exploring the determinants of co-residential informal care. Review of Economics of the Household, 7(3), 283–303.
Merino, A. (2010). La pobreza multidimensional y de tiempo en las mujeres mexicanas (p. 22). Cuadernos de Trabajo: INMUJERES/ONU Mujeres.
Montgomery, R. J. V., & Kosloski, K. D. (2013). Pathways to a caregiver identity and implications for support services. In R. C. Talley & R. J. V. Montgomery (Eds.), Caregiving across the lifespan: Research · practice · policy (pp. 131–156). New York, NY: Springer, New York.
Perry, B. L., Pescosolido, B. A., Martin, J. K., McLeod, J. D., & Jensen, P. S. (2007). Comparison of public attributions, attitudes, and stigma in regard to depression among children and adults. Psychiatric Services, 58(5), 632–635.
Pelcastre-Villafuerte, B. E., Treviño-Siller, S., González-Vázquez, T., & Márquez-Serrano, M. (2011). Apoyo social y condiciones de vida de adultos mayores que viven en la pobreza urbana en México. Cad. Saúde Pública, 27(3), 460–470.
Pinquart, M., & Sörensen, S. (2003). Differences between caregivers and noncaregivers in psychological health and physical health: A meta-analysis. Psychology and Aging, 18(2), 250–267.
Radina, M. E. (2007). Mexican American siblings caring for aging parents: Processes of caregiver selection/designation. Journal of Comparative Family Studies, 38(1), 143–168.
Rivero, E. (2011). Gender and intra-household organization for the care of people with disabilities in Mexico. International Journal of Sociology, 41(1), 48–66.
Robles, L., & Pérez, A. C. (2012). Expectativas sobre la obligación filial: Comparación de dos generaciones en México. Revista Latinoamericana de Ciencias Sociales, Niñez y Juventud, 10(1).
Robles Silva, L. (2001). El fenómeno de las cuidadoras: Un efecto invisible del envejecimiento. Estudios Demográficos y Urbanos, 16(3(48)), 561–584.
Robles Silva, L. (2005). La relación cuidado y envejecimiento: Entre la sobrevivencia y la devaluación social. Papeles de Población, 11(45), 49–69.
Sanchís, N., comp. (2011). Aportes al debate del desarrollo en América Latina : Una perspectiva feminista. Red De Género Y Comercio.
Santoyo, L., & Pacheco, E. (2014). El uso del tiempo de las personas en México según el tipo de hogar. Una expresión de las desigualdades de género. In B. García, & E. Pacheco (coords.), Uso del tiempo y trabajo no remunerado en México, México, El Colegio de México.
Shelton, B. A., & John, D. (1996). The division of household labor. Annual Review of Sociology, 22(1), 299–322.
Silverstein, M., & Giarrusso, R. (2006). Intergenerational support to aging parents: The role of norms and needs. Journal of Marriage and Family Issues, 72(5), 1068–1084.
Sosa Márquez, M. V. (2011). La nupcialidad en México vista a través de las estadísticas vitales de matrimonios y divorcios. In Valdés (coord.) Conmemoración del 150 aniversario del registro civil. Fundamentos y reflexiones. México: Instituto de Investigaciones Jurídicas, UNAM: 175–214.
Spitze, G., & Logan, J. (1990). Sons, daughters, and intergenerational social support. Journal of Marriage and the Family, 420–430.
Stone, R. I., & Short, P. F. (1990). The competing demands of employment and informal caregiving to disabled elders. Medical Care, 28(6), 513–526.
Varley, A., & Blasco, M. (2000). Intact or in tatters? Family care of older women and men in urban Mexico. Gender & Development, 8(2), 47–55.
White-Means, S. I., & Rubin, R. M. (2004). Trade-offs between formal home health care and informal family caregiving. Journal of Family and Economic Issues, 25(3), 335–358.
Wong, R., Michaels-Obregón, A., Palloni, A., Gutiérrez-Robledo, L. M., González-González, C., López-Ortega, M., et al. (2015). Progression of aging in Mexico: The Mexican Health and Aging Study (MHAS) 2012. Salud Pública de México, 57, s79–s89.
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Angst, S., Aguila, E., López-Ortega, M. (2019). Determinants of Informal Care Supply for Older Adults in Yucatan, Mexico. In: Vega, W., Angel, J., Gutiérrez Robledo, L., Markides, K. (eds) Contextualizing Health and Aging in the Americas. Springer, Cham. https://doi.org/10.1007/978-3-030-00584-9_16
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