Abstract
Background: In the context of Chinese society, where skip-generation caregiving is a prevalent form of childcare, understanding its implications for the well-being of caregivers, especially concerning cognitive abilities, is imperative. This caregiving arrangement not only alleviates reproductive pressures on younger parents but also promotes societal integration and addresses the challenges posed by an aging population. Despite its benefits, the impact of this form of caregiving on the quality of life of elderly individuals particularly in terms of cognitive function, warrants thorough investigation
Objective: To investigate the impact of skip-generation caregiving on the cognitive abilities of the elderly, this study will focus on the quality-of-life impacts and the underlying mechanisms involved.
Methods: Utilizing data from the China Health and Retirement Longitudinal Study (CHARLS) for the years 2012, 2015, and 2018,this study constructs an econometric model to assess the relationship between skip-generation caregiving and the cognitive abilities of elderly individuals. Logistic regression models were employed to elucidate the mechanisms through which caregiving influences cognitive outcomes.
Results: Regressions reveal a positive correlation between skip-generation caregiving and improved cognitive abilities in caregivers. Furthermore, a moderate increase in caregiving intensity is associated with sustained cognitive levels. Economic prosperity amplifies the positive effects of caregiving on cognitive health, although the benefits diminish with the caregiver's advancing age. The study highlights three main pathways through which caregiving benefits cognitive function: a reduction in depressive symptoms, increased social interactions, and enhanced intergenerational economic support.
Conclusions: Skip-generation caregiving has been shown to be beneficial for the cognitive health of elderly individuals, with economic status and the economic status of the caregiver and the intensity of caregiving intensity playing significant roles in the extent of these benefits. Tailoring support to meet the specific needs of caregivers is crucial for maximizing the preventive effects against cognitive decline. This research offers valuable insights for policy-making process of developing countries.