Medical College of Wisconsin
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Long-Term Care of the Disabled Elderly: Do Children Increase Caregiving by Spouses? Rev Econ Househ 2009 Sep 01;7(3):323-339

Date

05/18/2010

Pubmed ID

20473357

Pubmed Central ID

PMC2869093

DOI

10.1007/s11150-009-9057-6

Scopus ID

2-s2.0-67849121331 (requires institutional sign-in at Scopus site)   29 Citations

Abstract

Do adult children affect the care elderly parents provide each other? We develop two models in which the anticipated behavior of adult children provides incentives for nondisabled elderly parents to increase care for their disabled spouses. The "demonstration effect" postulates that adult children learn from a parent's example that family caregiving is appropriate behavior. The "punishment effect" postulates that adult children may punish parents who fail to provide spousal care by not providing future care for the nondisabled spouse if and when necessary. Thus, joint children act as a commitment mechanism, increasing the probability that elderly parents will provide care for their disabled spouses. We argue that stepchildren provide weaker incentives for spousal care because the attachment of a stepchild to a stepparent is likely to be weaker than the attachment of children to parents in a traditional nuclear family. Using data from the HRS, we find evidence consistent with the hypothesis that joint children provide stronger incentives than stepchildren for nondisabled elderly parents to provide care for their disabled spouse.

Author List

Pezzin LE, Pollak RA, Schone BS

Author

Liliana Pezzin PhD, MS, JD Director, Professor in the Institute for Health and Humanity department at Medical College of Wisconsin