The quantitative study of relationships between grandparenting and health outcome and implications for public policy

SONG Liangjun1 YANG Ling2 PENG Xizhe1

(1.Center for Population and Development Policy Studies, Fudan University, Shanghai, China 200433)
(2.School of Social Development and Public Policy, Fudan University, Shanghai, China 200433)

【Abstract】Grandparenting is an important topic in the intergeneration studies in the Chinese context, and becomes the influential factor for the elderly and family social welfare policy at the state level. The study between the grandparenting and health outcome has got increasing attention among the Chinese scholars. The quantitative studies, however, are relatively new. The existing quantitative studies are inconsistent, which results to the limited public policy implication as well. This study, therefore, is trying to fill this gap. The research findings include but are not limited to the following content. The health outcomes of grandparenting are influenced by the intensity of this activity, the character of children (the middle generation), the living arrangement and the prevalence chronic disease, and are different depending on the conditions. The interaction effects among education attainment, gender of caregivers and the number of the alive children have the mediation effect on the health outcome. The application of the instrumental variable (whether having the social welfare specialized for elderly population) has overcome the endogenous problem. Based on the above findings, this paper promotes the policy implications from the following perspectives: generational relationship, social gender, and the social function of marriage of the elderly caregivers.

【Keywords】 grandparenting; physical and mental health; intergenerational support; public policy;


【Funds】 Youth Project of Shanghai Philosophy and Social Science Planning in 2019 (2019ESH005)

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(Translated by ZHAN Yang)


    [1] Peng, X., Song, L. & Huang, J. Population Research (人口研究), (4): 46–59 (2017).

    [2] Yu, X. & Sun, Y. Population Journal (人口学刊), (1): 58–66 (2017).

    [3] Xu, Q. Population Research (人口研究), (5): 23–31 (1996).

    [4] Xiong, Y. Sociological Studies (社会学研究), (5): 74–85 (1998).

    [5] Xiong, Y. Chinese Journal of Population Science (中国人口科学), (6): 16–22 (1998).

    [6] Gao, J. & Li, S. Population Journal (人口学刊), (1): 32–43 (2012).

    [7] Wang, Y. Open times (开放时代), (2): 102–121 (2012).

    [8] Chen, J. Social Sciences in China (中国社会科学), (6): 131–149 (1998).

    [9] Mu, G. Journal of Renmin University of China (中国人民大学学报), (2): 80–87 (2002).

    [10] Song, L., Zhou, X., Huang, J. et al. Chinese Journal of Health Policy (中国卫生政策研究), (1): 21–27 (2018).

    [11] Tao, T. & Li, L. Population Journal (人口学刊), (3): 58–66 (2016).

    [12] Wu, P. China Rural Survey (中国农村观察), (4): 117–131 (2018).

    [13] Musil C M, Ahmad M. Health of Grandmothers: A Comparison by Caregiver Status. Journal of Aging & Health, 2002, 14(1): 96–121.

    [14] Fuller-Thomson E, Minkler M. African American Grandparents Raising Grandchildren: A National Profile of Demographic and Health Characteristics. Health & Social Work, 2000, 25(2): 109–118.

    [15] Minkler M, Fuller-Thomson E. African American Grandparents Raising Grandchildren: A National Study Using the Census 2000 American Community Survey. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 2005, 60(2): S82–S92.

    [16] Blustein J, Chan S, Guanais F C. Elevated Depressive Symptoms among Caregiving Grandparents. Health Services Research, 2004, 39(6): 1671–1690.

    [17] Joslin D, Harrison R. Self-reported Physical Health among Older Surrogate Parents to Children Orphaned and Affected by HIV Disease. AIDS Care, 2002, 14(5): 619–624.

    [18] Strawbridge W J, Wallhagen M I, Shema S J, et al. New Burdens or More of the Same? Comparing Grandparent, Spouse, and Adult-Child Caregivers. The Gerontologist, 1997, 37(4): 505–510.

    [19] Minkler M, Fuller-Thomson D E. Physical and Mental Health Status of American Grandparents Providing Extensive Child Care to Their Grandchildren. Journal of the American Medical Women Association, 2001, 56(4): 199–205.

    [20] Lee S. Caregiving to Children and Grandchildren and Risk of Coronary Heart Disease in Women. American Journal of Public Health, 2003, 93(11): 1939–1944.

    [21] Burnette D. Physical and Emotional Well-being of Custodial Grandparents in Latino Families. American Journal of Orthopsychiatry, 2010, 69(3): 305–318.

    [22] Winefield H, Air T. Grandparenting: Diversity in Grandparent Experiences and Needs for Healthcare and Support. International Journal of Evidence-Based Healthcare, 2010, 8(4): 277–283.

    [23] Baker L A, Silverstein M. Depressive Symptoms among Grandparents Raising Grandchildren: The Impact of Participation in Multiple Roles. Journal of Intergenerational Relationships, 2008, (6): 285–304.

    [24] Hughes M E, Waite L J, Lapierre T A, et al. All in the Family: The Impact of Caring for Grandchildren on Grandparents’ Health. Journals of Gerontology, 2007, 62(2): 108–119.

    [25] Gattai F B, Musatti T. Grandmothers’ Involvement in Grandchildren’s Care: Attitudes, Feelings, and Emotions. Family Relations, 1999, 48(1): 35–42.

    [26] Hayslip B, Shore R J, Henderson C E, et al. Custodial Grandparenting and the Impact of Grandchildren with Problems on Role Satisfaction and Role Meaning. Journals of Gerontology, 1998, 53(3): S164–73.

    [27] Balukonis J, Melkus G D, Chyun D. Grandparenthood Status and Health Outcomes in Midlife African American Women with Type 2 Diabetes. Ethnicity & Disease, 2008, 18(2): 141.

    [28] Lo M, Liu Y H. Quality of Life among Older Grandparent Caregivers: A Pilot Study. Journal of Advanced Nursing, 2009, 65(7): 1475–1484.

    [29] Ku L J E, Stearns S C, Van Houtven C H, et al. Impact of Caring for Grandchildren on the Health of Grandparents in Taiwan. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 2013, 68(6): 1009–1021.

    [30] Luo Y, Lapierre T A, Hughes M E, et al. Grandparents Providing Care to Grandchildren: A Population: Based Study of Continuity and Change. Journal of Family Issues, 2012, 33(9): 1143–1167.

    [31] Zhou, J., Han, Y., Mao, W. et al. Chinese Rural Economy (中国农村经济), (7): 81–96 (2016).

    [32] Sun, J. & Ji, Y. Population Research (人口研究), (6): 98–109 (2017).

    [33] Song, L., Li, L, & Li, S. Sociological Studies (社会学研究), (6): 215–237, 246 (2013).

    [34] Xiao, Y. Social Security Studies (社会保障研究), (1): 33–39 (2017).

    [35] Lawton M P, Brody E M. Assessment of Older People: Self-Maintaining and Instrumental Activities of Daily Living. The Gerontologist, 1969, 9(3): 179–186.

    [36] Wang, F. Sociological Studies (社会学研究), (6): 117–140 (2017).

This Article


CN: 22-1017/C

Vol 42, No. 01, Pages 55-69

January 2020


Article Outline


  • 1 Introduction
  • 2 Research status at home and abroad
  • 3 Research design and model results
  • 4 Basic conclusions
  • 5 Policy implication
  • References