Hostname: page-component-78c5997874-t5tsf Total loading time: 0 Render date: 2024-11-10T11:28:13.520Z Has data issue: false hasContentIssue false

The Support Source Mix: A Comparison of Elderly Men and Women from Two Decades

Published online by Cambridge University Press:  29 November 2010

Judith G. Chipperfield
Affiliation:
University of Manitoba*

Abstract

Attempts to explore the mix between the provision of support by informal and formal sources typically involve evaluations of a single sample of seniors. This study examined the sources of support (i.e. informal, formal, mixed) for instrumental activities of daily living (IADL) received by seniors at two points in time, approximately 12 years apart. Sources of support were compared to consider whether those used by men and women in 1983 (n = 1479), were similar to those used by their counterparts more than a decade earlier (n = 2512). For women, the proportions receiving assistance from various sources were identical in 1983 and 1971. For men, they were not. Among seniors receiving some IADL assistance, the probability of receiving it from primarily informal sources in 1983, relative to 1971 was significantly lower for men than for women. Moreover, the probability of receiving support from primarily formal sources in 1983, relative to 1971 was significantly higher for men. These findings might imply that, for men, but not for women, the receipt of support has moved toward primarily formal sources and away from primarily informal sources. Several potential explanations for these findings are explored.

Résumé

Des essais pour examiner le mélange de provision d'aide entre des sources non-formelles et des sources formelles comporte typiquement des évaluations d'un simple échantillon des aînés. Cette étude-ci a examiné les sources d'aide (i.e. non-formelles, formelles, mixtes) envers les activités instrumentales de la vie quotidienne (IADL) reçues par les aînés en deux périodes de temps, espacées de 12 ans approximativement. Les différentes sources d'aide ont été compareés afin de voir si celles employées par les hommes et les femmes en 1983 (n = 1479) étaient semblables à celles employées pars leurs homologues plus d'une décennie plus tôt (n = 2512). Pour les femmes, les pourcentages recevant une assistance de sources diverses étaient identiques en 1983 et en 1971. Ils ne l'étaient pas pour les hommes. Parmis les aînés recevant une assistance IADL, la probabilité de la recevoir principalement de sources non-formelles en 1983, était relative à 1971 significativement plus basse pour les hommes que pour les femmes. De plus, la probabilité de recevoir une aide de sources principalement formelles en 1983, était relative à 1971 significativement plus haute pour les hommes. Ces résultats peuvent suggérer que, pour les hommes, mais non pour les femmes, la réception d'aide s'est deplacée vers des sources principalement formelles et s'éloigne de sources principalement non-formelles. Plusieurs explications possibles de ces résultats sont à l'étude.

Type
Articles
Copyright
Copyright © Canadian Association on Gerontology 1994

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Brody, E.M. (1981). “Women in the middle” and family help to older people. The Gerontologist, 21(5), 471480.CrossRefGoogle ScholarPubMed
Chappell, N.L. (1987). The interface among three systems of care: Self, informal, and formal. In Ward, R. & Tobin, S. (Eds.), Health in aging: Sociological issues and policy directions (pp. 159–79). New York: Springer.Google Scholar
Chappell, N.L. (1989). Health and helping among the elderly. Journal of Aging and Health, 1, 102120.CrossRefGoogle Scholar
Chappell, N.L. (1992). Social support and aging. Toronto: Butterworths Canada Ltd.Google Scholar
Chappell, N.L., & Havens, B. (1985). Who helps the elderly person: A discussion of informal and formal care. In Peterson, W.A. & Quadagno, J. (Eds.), Social bonds in later life: Aging and interdependence (pp. 211222). Beverly Hills: Sage.Google Scholar
Chappell, N.L., Segali, A., & Lewis, D.G. (1990). Gender and helping networks among day hospital and senior centre participants. Canadian Journal on Aging, 9(3), 220233.Google Scholar
Chipperfield, J.G., & Havens, B. (1991). The transition from informal to formal sources of support with tasks of daily living. Canadian Journal of Community Mental Health, 10(2), 133149.Google Scholar
Chipperfield, J.G., & Havens, B. (1992). A longitudinal analysis of perceived respect among elders: Changing perceptions for some ethnic groups. Canadian Journal on Aging, 12(1), 1530.Google Scholar
Daatland, S.O. (1990). What are families for? On family solidarity and preferences for help. Ageing and Society, 10, 115.Google Scholar
Doty, P. (1986). Family care of the elderly: The role of public policy. The Milbank Quarterly, 64(1), 3475.CrossRefGoogle ScholarPubMed
Edelman, P., & Hughes, S. (1990). The impact of community care on provision of informal care to homebound elderly persons. Journal of Gerontology: Social Sciences, 45(2), S7484.CrossRefGoogle ScholarPubMed
Gibbs, J.M. (1978). Role changes associated with widowhood among middle and upper class women. Mid-American Review of Sociology, 3, 1733.Google Scholar
Greene, V.L. (1983). Substitution between formally and informally provided care for the impaired elderly in the community. Medical Care, 21, 609619.Google Scholar
Harrell, F.E., & Lee, K.L. (1985). The practical value of logistic regression. Proceedings of the 10th Annual SAS Users Group International Conference. Cary, NC: SAS Institute Inc., 10311036.Google Scholar
Heinemann, G.D. (1985). Interdependence in informal support systems: The case of elderly urban widows. In Peterson, W. & Quadagno, J. (Eds.), Social bonds in late life (pp. 165186). Beverly Hills, CA: Sage.Google Scholar
Horowitz, A., Dono, J.E., & Brill, R. (November, 1983). Continuity or change in informal support? The impact of the expanded home care program. Paper presented at the annual meeting of the Gerontological Society of America, San Francisco, California.Google Scholar
Manitoba Department of Health and Social Development. (1973). Aging in Manitoba: Needs and Resources, 1971, Vol 1. Winnipeg: Department of Health & Social Development.Google Scholar
Marshall, V. (1987). The health of very old people as a concern of their children. In Marshall, V. (Ed.), Aging in Canada: Social perspectives (2nd ed.) (pp. 473485). Markham, ON: Fitzhenry and Whiteside.Google Scholar
Moore, G. (1990). Structural determinants of men's and women's personal networks. American Sociological Review, 55, 726735.Google Scholar
Neugarten, B.L., Havighurst, R.J., & Tobin, S. (1961). The measurement of life satisfaction. Journal of Gerontology, 16, 134143.CrossRefGoogle ScholarPubMed
Newcomb, M.D. (1990). Social support by many other names: Towards a unified conceptualization. Journal of Social and Personality Relationships, 7, 479494.CrossRefGoogle Scholar
Noelker, L.S., & Bass, D.M. (1989). Home care for elderly persons: Linkages between formal and informal caregivers. Journal of Gerontology: Social Sciences, 44, S6370.Google Scholar
Penning, M.J., & Chappell, N.L. (1990). Self-care in relation to informal and formal care. Ageing and Society, 10, 4159.Google Scholar
Penning, M.J., & Strain, L.A. (1994). Gender differences in disability, assistance and subjective well-being in later life. Journals of Gerontology: Social Sciences, 49 (4), S202208.CrossRefGoogle ScholarPubMed
Province of Manitoba, Department of Health. (1990). Aging in Manitoba: 1983. Winnipeg: Province of Manitoba.Google Scholar
Rogers, R.G., Rogers, A., & Belanger, A. (1992). Disability-free life among the elderly in the United States. Journal of Aging and Health, 4, 1942.Google Scholar
Sarason, B.R., Sarason, I.G., & Pierce, G.R. (1990). Traditional views of social support and their impact on assessment. In Sarason, B.R., Sarason, I.G. & Pierce, G.R. (eds.), Social support: An interactional view (pp. 925). New York: John Wiley & Sons.Google Scholar
SAS Institute Inc. (1989). The Logistic Procedure. SAS/STAT User's Guide, Version 6, Fourth Edition, Volume 2. Cary, NC: SAS Institute Inc., 10711136.Google Scholar
Shapiro, E. (1986). Patterns and predictors of nursing home use by the elderly when need is the sole basis for admission. Home Health Care Services Quarterly, 7, 2944.Google Scholar
Statistics Canada. (1993). Historical Statistical Supplement, 1992/1993. Canadian Economic Observer, Catalogue 11210, Vol. 7 ISSN 0838–0236. Ottawa: Minister of Supply and Services Canada.Google Scholar
Strain, L.A., & Chappell, N.L. (1982). Confidants: Do they make a difference in quality of life? Research on Aging, 4, 479502.CrossRefGoogle Scholar
Tennstedt, S.L., Sullivan, L.M., McKinlay, J.B., & D'agostino, R.B. (1990). How important is functional status as a predictor of service use by older people? Journal of Aging and Health, 2, 439461.CrossRefGoogle ScholarPubMed
Vaux, A. (1990). An ecological approach to understanding and facilitating social support. Journal of Social and Personal Relationships, 7, 507518.Google Scholar
Verbrugge, L.M. (1989). Gender, aging and health. In Markides, K.S. (Ed.), Aging and health: Perspectives on gender, race, ethnicity, and class (pp. 2378). Newbury, CA: Sage.Google Scholar
Walker, A. (1991). The relationship between the family and the state in the care of older people. Canadian Journal on Aging, 10(2), 94112.Google Scholar