Objectives: This study examined the associations between parent–child relationships and sleep difficulty among older parents in the context of Chinese multiple-children and one-child families. Methods: Using the 2014 China Longitudinal Aging Social Survey, this study analyzed older parents’ (N = 8,450) reports of sleep quality and relationships with each of children. Results: Results from multivariate logistic regression models showed that living alone, greater variations in children’s financial transfers and emotional closeness, and more instrumental support from children were associated with higher risks of sleep difficulty for Chinese older parents with multiple children. The maximum levels of financial transfers and emotional closeness from all children were related to lower risks of sleep difficulty for parents from multiple-children families, while greater instrumental support from children was associated with higher risks of sleep difficulty for parents from one-child families. Discussion: Findings have implications for support programs for Chinese aging population with sleep problems.
AilshireJ. A.BurgardS. A. (2012). Family relationships and troubled sleep among US adults: Examining the influences of contact frequency and relationship quality. Journal of Health and Social Behavior, 53(2), 248-262. doi:10.1177/0022146512446642
2.
ArberS.BoteM.MeadowsR. (2009). Gender and socio-economic patterning of self-reported sleep problems in Britain. Social Science and Medicine, 68(2), 281-289. doi:10.1016/j.socscimed.2008.10.016
3.
BengtsonV. L.SchraderS. S. (1982). Parent–child relations. In MangenD. A.PetersonW. A. (Eds.), Research instruments in social gerontology (Vol. 2, pp. 115-186). University of Minnesota Press.
4.
CaiH.ShuX.-O.XiangY.-B.YangG.LiH.JiB.-T.GaoJ.GaoY.-T.ZhengW. (2015). Sleep duration and mortality: A prospective study of 113,138 middle-aged and elderly Chinese men and women. Sleep, 38(4), 529-536. doi:10.5665/sleep.4564
5.
CappuccioF. P.D’EliaL.StrazzulloP.MillerM. A. (2010). Quantity and quality of sleep and incidence of type 2 diabetes. Diabetes Care, 33(2), 414-420. doi:10.2337/dc09-1124
6.
CassidyJ. (2000). The complexity of the caregiving system: A perspective from attachment theory. Psychological Inquiry, 11(2), 86-91.
7.
ChaoS. F. (2011). Assessing social support and depressive symptoms in older Chinese adults: A longitudinal perspective. Aging and Mental Health, 15(6), 765-774. doi:10.1080/13607863.2011.562182
8.
ChenJ.JordanL. P. (2018a). Intergenerational support and life satisfaction of young-, old-and oldest-old adults in China. Aging and Mental Health, 22(3), 412-420. doi:10.1080/13607863.2016.1261798
9.
ChenJ.JordanL. P. (2018b). Intergenerational support in one-and multi-child families in China: Does child gender still matter?Research on Aging, 40(2), 180-204. doi:10.1177/0164027517690883
10.
ChenJ.-H.WaiteL. J.LauderdaleD. S. (2015). Marriage, relationship quality, and sleep among US older adults. Journal of Health and Social Behavior, 56(3), 356-377. doi:10.1177/0022146515594631
11.
ChenF.ShortS. E. (2008). Household context and subjective well-being among the oldest old in China. Journal of Family Issues, 29(10), 1379-1403. doi:10.1177/0192513X07313602
12.
ChenX.SilversteinM. (2000). Intergenerational social support and the psychological well-being of older parents in China. Research on Aging, 22(1), 43-65. doi:10.1177/0164027500221003
13.
ChengS.-T.ChanA. C. M. (2006). Filial piety and psychological well-being in well older Chinese. The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 61(5), P262-P269. doi:10.1093/geronb/61.5.P262
14.
ChiI.ChouK.-L. (2001). Social support and depression among elderly Chinese people in Hong Kong. The International Journal of Aging and Human Development, 52(3), 231-252. doi:10.2190/V5K8-CNMG-G2UP-37QV
15.
ChongA. M. L.LiuS. (2016). Receive or give? Contemporary views among middle-aged and older Chinese adults on filial piety and well-being in Hong Kong. Asia Pacific Journal of Social Work and Development, 26(1), 2-14. doi:10.1080/02185385.2015.1131619
16.
ChungJ. (2017). Social support, social strain, sleep quality, and actigraphic sleep characteristics: Evidence from a national survey of US adults. Sleep Health, 3(1), 22-27. doi:10.1016/j.sleh.2016.10.003
17.
CongZ.SilversteinM. (2008). Intergenerational time-for-money exchanges in rural China: Does reciprocity reduce depressive symptoms of older grandparents?Research in Human Development, 5(1), 6-25. doi:10.1080/15427600701853749
18.
CongZ.SilversteinM. (2012). A vignette study on gendered filial expectations of elders in rural China. Journal of Marriage and Family, 74(3), 510-525. doi:10.1111/j.1741-3737.2012.00970.x
19.
DeutschF. M. (2006). Filial piety, patrilineality, and China’s one-child policy. Journal of Family Issues, 27(3), 366-389. doi:10.1177/0192513X05283097
20.
DowdJ. B.GoldmanN.WeinsteinM. (2011). Sleep duration, sleep quality, and biomarkers of inflammation in a Taiwanese population. Annals of Epidemiology, 21(11), 799-806. doi:10.1016/j.annepidem.2011.07.004
21.
DuP. (2013). Intergenerational solidarity and old-age support for the social inclusion of elders in Mainland China: The changing roles of family and government. Ageing and Society, 33(1), 44-63. doi:10.1017/S0144686X12000773
22.
FaubelR.López-garcíaE.Guallar-castillónP.GracianiA.BanegasJ. R.Rodríguez-artalejoF. (2009). Usual sleep duration and cognitive function in older adults in Spain. Journal of Sleep Research, 18(4), 427-435. doi:10.1111/j.1365-2869.2009.00759.x
23.
FengW.CaiY.GuB. (2013). Population, policy, and politics: How will history judge China’s one‐child policy?Population and Development Review, 38(s1), 115-129. doi:10.1111/j.1728-4457.2013.00555.x
24.
FengZ.ZhanH. J.FengX.LiuC.SunM.MorV. (2011). An industry in the making: The emergence of institutional elder care in urban China. Journal of the American Geriatrics Society, 59(4), 738-744. doi:10.1111/j.1532-5415.2011.03330.x
25.
FingermanK. L.PitzerL.LefkowitzE. S.BirdittK. S.MroczekD. (2008). Ambivalent relationship qualities between adults and their parents: Implications for the well-being of both parties. The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 63(6), P362-P371. doi:10.1093/geronb/63.6.P362
26.
GuD.FengQ.YeungW.-J. J. (2019). Reciprocal dynamics of solo-living and health among older adults in contemporary China. The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 74(8), 1441-1452. doi:10.1093/geronb/gby140
27.
GuD.SautterJ.PipkinR.ZengY. (2010). Sociodemographic and health correlates of sleep quality and duration among very old Chinese. Sleep, 33(5), 601-610. doi:10.1093/sleep/33.5.601
28.
GuoM. (2014). Parental status and late-life well-being in rural China: The benefits of having multiple children. Aging and Mental Health, 18(1), 19-29. doi:10.1080/13607863.2013.799117
29.
GuoM.ChiI.SilversteinM. (2016). Trajectories and determinants of elder care in rural China during an 8-year period: Why having sons makes a difference. Research on Aging, 38(5), 531-553. doi:10.1177/0164027515593346
30.
GuoM.LiuJ.XuL.MaoW.ChiI. (2018). Intergenerational relationships and psychological well-being of Chinese older adults with migrant children: Does internal or international migration make a difference?Journal of Family Issues, 39(3), 622-643. doi:10.1177/0192513X16676855
31.
HallM. H.SmagulaS. F.BoudreauR. M.AyonayonH. N.GoldmanS. E.HarrisT. B.NaydeckB. L.RubinS. M.SamuelssonL.SatterfieldS.StoneK. L.VisserM.NewmanA. B. (2015). Association between sleep duration and mortality is mediated by markers of inflammation and health in older adults: The health, aging and body composition study. Sleep, 38(2), 189-195. doi:10.5665/sleep.4394
32.
Haseli-MashhadiN.DaddT.PanA.YuZ.LinX.FrancoO. H. (2009). Sleep quality in middle-aged and elderly Chinese: Distribution, associated factors and associations with cardio-metabolic risk factors. BMC Public Health, 9, 130. doi:10.1186/1471-2458-9-130
33.
HuZ.PengX. (2015). Household changes in contemporary China: An analysis based on the four recent censuses. The Journal of Chinese Sociology, 2, 9. doi:10.1186/s40711-015-0011-0
34.
KentR. G.UchinoB. N.CribbetM. R.BowenK.SmithT. W. (2015). Social relationships and sleep quality. Annals of Behavioral Medicine, 49(6), 912-917. doi:10.1007/s12160-015-9711-6
35.
KimK.BirdittK. S.ZaritS. H.FingermanK. L. (2020). Typology of parent–child ties within families: Associations with psychological well-being. Journal of Family Psychology, 34(4), 448-458. doi: 10.1037/fam0000595
36.
KnutsonK. L. (2013). Sociodemographic and cultural determinants of sleep deficiency: Implications for cardiometabolic disease risk. Social Science and Medicine, 79, 7-15. doi:10.1016/j.socscimed.2012.05.002
37.
LeeY.-H.ChangY.-C.ChiangT.LiuC.-T.ShelleyM. (2020). Living arrangements and sleep-related outcomes among older adults in China: A panel analytic approach. The International Journal of Aging and Human Development, 91(2), 111-126. doi:10.1177/0091415019852777
38.
LiJ.YaoY.-S.DongQ.DongY.-H.LiuJ.-J.YangL.-S.HuangF. (2013). Characterization and factors associated with sleep quality among rural elderly in China. Archives of Gerontology and Geriatrics, 56(1), 237-243. doi:10.1016/j.archger.2012.08.002
39.
LuoJ.ZhuG.ZhaoQ.GuoQ.MengH.HongZ.DingD. (2013). Prevalence and risk factors of poor sleep quality among Chinese elderly in an urban community: Results from the Shanghai aging study. PLoS One, 8(11), e81261. doi:10.1371/journal.pone.0081261
40.
McHughJ. E.CaseyA.-M.LawlorB. A. (2011). Psychosocial correlates of aspects of sleep quality in community-dwelling Irish older adults. Aging and Mental Health, 15(6), 749-755. doi:10.1080/13607863.2011.562180
41.
MikulincerM.ShaverP. R. (2005). Attachment theory and emotions in close relationships: Exploring the attachment‐related dynamics of emotional reactions to relational events. Personal Relationships, 12(2), 149-168. doi:10.1111/j.1350-4126.2005.00108.x
42.
NiuJ.HanH.WangY.WangL.GaoX.LiaoS. (2016). Sleep quality and cognitive decline in a community of older adults in Daqing City, China. Sleep Medicine, 17, 69-74. doi:10.1016/j.sleep.2015.07.033
43.
PhelanC. H.LoveG. D.RyffC. D.BrownR. L.HeidrichS. M. (2010). Psychosocial predictors of changing sleep patterns in aging women: A multiple pathway approach. Psychology and Aging, 25(4), 858-866. doi:10.1037/a0019622
44.
SchaferJ. L (1997). Analysis of incomplete multivariate data. Chapman & Hall.
45.
SilversteinM.BengtsonV. L. (1997). Intergenerational solidarity and the structure of adult child–parent relationships in American families. American Journal of Sociology, 103(2), 429-460. doi:10.1086/231213
46.
SilversteinM.CongZ.LiS. (2006). Intergenerational transfers and living arrangements of older people in rural China: Consequences for psychological well-being. The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 61(5), S256-S266. doi:10.1093/geronb/61.5.S256
47.
SunW.HuangY.WangZ.YuY.LauA.AliG.HuangP.GengY.XuT.ShanG. (2015). Sleep duration associated with body mass index among Chinese adults. Sleep Medicine, 16(5), 612-616. doi:10.1016/j.sleep.2014.12.011
48.
ThoitsP. A. (2011). Mechanisms linking social ties and support to physical and mental health. Journal of Health and Social Behavior, 52(2), 145-161. doi:10.1177/0022146510395592
49.
ThomasP. A. (2010). Is it better to give or to receive? Social support and the well-being of older adults. The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 65(3), 351-357. doi:10.1093/geronb/gbp113
50.
TroxelW. M.BuysseD. J.MonkT. H.BegleyA.HallM. (2010). Does social support differentially affect sleep in older adults with versus without insomnia?Journal of Psychosomatic Research, 69(5), 459-466. doi:10.1016/j.jpsychores.2010.04.003
51.
WardR. A. (2008). Multiple parent-adult child relations and well-being in middle and later life. The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 63(4), S239-S247. doi:10.1093/geronb/63.4.S239
52.
XuL.JiangC. Q.LamT. H.LiuB.JinY. L.ZhuT.ZhangW. S.ChengK. K.ThomasG. N. (2011). Short or long sleep duration is associated with memory impairment in older Chinese: The Guangzhou biobank cohort study. Sleep, 34(5), 575-580. doi:10.1093/sleep/34.5.575
53.
XuP.BurrJ. A.KimK.CongZ. (2019). Intergenerational financial exchange and cognitive impairment among older adults in China. Aging and Mental Health, 23(9), 1209-1217. doi:10.1080/13607863.2018.1481930
54.
ZhangH.-S.LiY.MoH.-Y.QiuD.-X.ZhaoJ.LuoJ.-L.LinW.-Q.WangJ.-J.WangP.-X. (2017). A community-based cross-sectional study of sleep quality in middle-aged and older adults. Quality of Life Research, 26, 923-933. doi:10.1007/s11136-016-1408-1
55.
ZimmerZ.KwongJ. (2003). Family size and support of older adults in urban and rural China: Current effects and future implications. Demography, 40, 23-44. doi:10.1353/dem.2003.0010
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