The aging population and, along with it, increasing long-term care needs create pressure globally on the social and health care spending of governments under the constraint of shrinking tax bases. The common tendency of governments is to minimize the cost by transferring the elderly care burden to families. However, care provision comes with penalties for caretakers in the form of potential income losses and a rising, unpaid workload that requires a gender-based assessment. These impacts intensify with additional demographic trends that impose new challenges. Increasing longevity accompanied by decreasing fertility and delays in having children in Turkey have contributed to the growth of the “sandwiched generation” which encounters the care needs of their elderly as they care for their children. This study investigates whether and how caring responsibilities can be associated with the caregivers’ economic participation in Turkey, where the retreat from institutional provisioning of elderly care services is concealed with a neoconservative family-oriented rhetoric. Using the 2014–2015 Time Use Statistics compiled by TurkStat, we analyze the relationship between informal elderly care provision and employment hours, taking into account the potential impact of providing elderly care on labor force participation, focusing on sandwiched- generation women.

With increasing life expectancy, changes in family structure and, most recently, the relaxation of the hitherto strict family planning policies, understanding how mid-life individuals support multiple generations, particularly their older parents and younger grandchildren, is of increasing research and policy significance in China. This paper analyses data from the 2011 China Health and Retirement Longitudinal Study (CHARLS) to examine the characteristics of Chinese mid-life individuals aged 45–64 who are potentially being ‘sandwiched’ between providing care to older parents/parents-in-law and/or younger grandchildren (under age 16). Binary logistic and multinomial regression models shed light on the factors associated with providing support to one generation or multiple generations. The results highlight that amongst the Chinese mid-life sandwich generation, 58 per cent only provide care to their young grandchildren, 23 per cent only provide care to their parents/parents-in-law, whilst 15 per cent are simultaneously supporting both generations. Rather than acting as competing demands upon the mid-lifers’ time, the multivariate analysis provides evidence that the provision of intergenerational care is complementary, with caring for grandchildren increasing the probability of also supporting one's parents/parents-in-law, and vice versa. However, an increase in the number of younger grandchildren has a negative impact on the care provided to older parents/parents-in-law, indicating that at higher care intensities there may be competing demands across the generations.

With a large baby-boomer generation entering mid-later life in the United Kingdom, and families spanning across multiple generations, understanding how individuals support multiple generations is of increasing research and policy significance. Data from the British 1958 National Child Development Study, collected when respondents were aged 55, are used to examine how mid-life women and men allocate their time to support elderly parents/parents-in-law and their own adult children in terms of providing grandchild care, and whether there is a trade-off in caring for different generations. Binary logistic and multinomial regression models distinguish between individuals supporting multiple generations, only one generation or none. One-third of mid-life individuals are ‘sandwiched’ between multiple generations, by having at least one parent/parent-in-law and one grandchild alive. Among them, half are simultaneously supporting both generations. Caring for grandchildren increases the probability of also supporting one's parents/parents-in-law, and vice versa. More intense support for one generation is associated with a higher likelihood of supporting the other generation. Good health is associated with caring for multiple generations for men and women, while working part-time or not at all is associated with such care provision for women only. Facilitating mid-life men and women in responding to family support demands whilst maintaining paid employment will be critical in fostering future intergenerational support.

Intergenerational help and care among members of the family belong to the most important dimensions of contemporary welfare regimes. Recent research has indicated that a major part of caring responsibilities is placed on the middle-aged generation. The ‘pivot generation’ is expected to provide help to their adult children and grandchildren as well as to their ageing parents. It has been hypothesised that people helping their parents are discouraged from looking after their grandchildren because they experience lack of energy and time. Using data from the four waves of the Survey of Health, Ageing and Retirement in Europe (SHARE), this paper analyses the effect of providing help to ageing parents on the likelihood and intensity of looking after grandchildren. It takes a four-generation perspective: grandchildren, children, parents and grandparents. The results show that the support of parents is not associated with less-frequent and less-intense care of grandchildren. On the contrary, a positive association between caring responsibilities has been observed. The highest tendency to care for grandchildren has been found for people regularly helping their parents. This effect holds after controlling for grandparents’ characteristics and country effects. It is suggested that caring responsibilities tend to accumulate rather than compete with one another and therefore could represent a potential risk of overburden for those who have a general tendency to care.