Geographic Relocation in Response to Parents' Health Shocks: Who Moves and How Close?
Geographic Relocation in Response to Parents' Health Shocks: Who Moves and How Close?
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因父母的健康冲击而进行的地理位置搬迁：谁搬家以及搬迁距离有多近？
DOI：
10.1111/jomf.12939
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发表时间：
2024
期刊：
影响因子：
--
通讯作者：
Shang,Yongxin
中科院分区：
文献类型：
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作者：
Reyes,AdrianaM;Shang,Yongxin
目的：本文探讨在美国父母健康冲击发生前后，亲子地理接近度的变化。研究人员还调查了不同社会群体之间拉近距离可能性的差异。成年子女经常照顾有健康问题的年迈父母，但这需要相对近距离的照顾。随着家庭规模越来越小，许多成年子女与父母分居，目前尚不清楚家庭将如何应对老年人的健康问题。方法基于健康与退休研究（Health and Retirement study, 2004-2018）的数据，我们估计了一系列固定效应和事件研究模型，以评估父母首次出现认知障碍和功能限制后亲子接近度的变化。结果我们发现有力的证据表明，当父母的健康状况下降时，父母和孩子倾向于保持亲密或更亲密。在卫生冲击发生后立即和随后一波又一波地发生迁移。亲子距离的减少在母女二人组、没有配偶或多子女的二人组和非西班牙裔白人家庭中持续更大。结论成年子女提供护理的地理可得性符合家长的需求。在出现严重健康状况后，大多数老年人都有配偶或子女住在离他们足够近的地方，可以提供照顾。父母和孩子的生活是动态联系在一起的，其中一方或双方都可能搬迁以促进照顾。
ObjectiveThis article examines how parent–child geographic proximity changes around the onset of parental health shocks in the United States. Differences in the likelihood of moving closer across social groups are also investigated.BackgroundAdult children often care for older parents with health problems, but this requires relatively close proximity. As families are becoming smaller and many adult children live away from their parents, it is unclear how responsive families will be to older adults' health problems.MethodWe estimate a series of fixed effects and event study models on data from the Health and Retirement Study (2004–2018) to assess changes in parent–child proximity after parents' first onset of cognitive impairment and functional limitations.ResultsWe find robust evidence that parents and children tend to stay close or move closer to each other in response to parent's health declines. Moves occur immediately and in subsequent waves after the onset of health shocks. Reductions in parent–child distance are consistently larger among mother‐daughter dyads, dyads without spouses or multiple children, and non‐Hispanic white families.ConclusionThe geographic availability of adult children to provide care is responsive to parents' needs. After the onset of a serious health condition, most older adults have a spouse or child living close enough to provide care. Parents' and children's lives are dynamically linked, and either or both may relocate to facilitate care.