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Drawing on data from 1950 to 1990, examines Dutch trends in the leaving home process. Discusses the relationship of material and nonmaterial resources in the family and outside the family with young adults' decision for leaving or staying home. Explores variables, such as parental money and parental services, in these decisions. (RJM)

BACKGROUND The consequences of declining parent-child ties after divorce have primarily been studied for children's well-being and not for parents' well-being. Some parents lose contact with their children after divorce, and one would expect that such a decline in contact hampers their emotional well-being, in particular when parents are older and children are adults. OBJECTIVE This study aims to describe the association between how much contact divorced fathers and mothers have with their children and parents' well-being in old age. METHOD This report uses a survey with a register-based oversample of divorced parents and children from the Netherlands in 2017 (N = 4,641). Parents (mean age 62) reported about life satisfaction, health, and loneliness and on contact with two adult children (mean age 34). RESULTS A sizeable minority of older divorced parents had little or no contact with their children, although this was more common among fathers than mothers. Parents who had little or no contact with their adult children had substantially lower levels of well-being than parents who had regular contact with their adult children. A negative association was present for mothers and fathers. Divorced parents with a (new) partner were less strongly affected by the lack of contact with children, pointing to the compensating role of partners. CONCLUSIONS Reduced contact with adult children after divorce is strongly associated with parents' well-being. In a more general sense, the findings point to a vulnerable segment of the divorced population that is currently aging. CONTRIBUTION The study presents systematic quantitative evidence on an often assumed but rarely tested association. [ABSTRACT FROM AUTHOR]

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Objectives The concept of guilt is often mentioned in studies on intergenerational ambivalence but its theoretical status in that literature is not clear and the concept is rarely measured. The current study examines how feelings of guilt that adult children have toward their aging mothers are related to intergenerational ambivalence and support. Method Using representative survey data from the Netherlands (N = 2,450), adult children (average age 43) were asked to evaluate the relationship with their mother (average age 71). Principal component analysis was used to examine which underlying dimensions exist and regression models were estimated to examine the effects of ambivalence and support exchange on guilt. Results About one-fifth of adult children report feelings of guilt. Guilt constitutes a unique concept in the 2-dimensional structure of children's emotions about the mother–child relationship. There is a significant effect of the co-occurrence of positive and negative emotions on guilt, confirming the hypothesis that ambivalence leads to guilt in intergenerational relationships. Received support, infrequent contact, and filial obligations are also associated with feelings of guilt. Discussion Intergenerational ambivalence can be problematic for children because it may increase feelings of guilt. Feelings of guilt are also determined by a lack of reciprocity and by norms about intergenerational support. [ABSTRACT FROM AUTHOR]

Abstract Adult children of benefit recipients are more likely to also receive benefits themselves. This may be a spurious effect, resulting from similarities between parents and children, but it is also possible that parental benefit receipt generates more benefit recipiency among their offspring. Such a non-spurious effect may be due to children's educational attainment, information, beliefs, and norms about welfare or work. We analyse longitudinal administrative data on benefit receipt among parents and children in the Netherlands. We approach causality through the timing of parental benefit receipt, and find indications for a non-spurious effect on adult children's benefit receipt. Parental benefit receipt lowers the child's educational attainment, and this subsequently results in more benefit receipt. The remaining effect is more likely related to beliefs and norms than to information provision. [ABSTRACT FROM AUTHOR]

This study focused on parent-initiated supported living schemes in the South of the Netherlands and the ability of these living schemes to enhance participation, choice, autonomy and self-advocacy for people with intellectual or developmental disabilities through personalized planning, support and care. Based on in-depth interviews with tenants, parents and caregivers, findings included that parent-initiated supported housing schemes made steps towards stimulating self-advocacy and autonomy for tenants. However, overprotective and paternalistic attitudes expressed by a significant number of parents, as well as structural constraints affecting the living schemes, created obstacles to tenants' personal development. The study calls for consideration of interdependence as a model for the relationship of parents and adult offspring with disabilities. The benefits and tensions inherent within this relationship must be taken into consideration during inclusive community building. [ABSTRACT FROM AUTHOR]

We investigated the extent to which the geographic proximity of adult children affected the relocations of older people in the Netherlands in 2008. A major contribution of this study is the examination of the differentiation between relocation to care institutions and elsewhere. Data from the Dutch population register linked to complementary datasets were analysed for nearly one million inhabitants aged 75 and above, using multinomial logistic regression models to estimate the effects of intergenerational proximity and of other factors on the propensity to relocate to an institution and elsewhere. An interaction of proximity with partnership status as an indicator of the presence of an important care provider was considered. We found that older people were less likely to move elsewhere when their children were living very close by, and were more likely to do so when their children were living farther away. Having children living close was negatively associated with the likelihood of moving to a care institution. Very close proximity had an additional negative effect on the propensity of older people with a partner to relocate elsewhere whereas the negative effect was less for older people without a partner on moving elsewhere. Our findings did, however, show that (recently) widowed people were more likely to move elsewhere when their children were living more than 40 kilometres away. [ABSTRACT FROM PUBLISHER]

This article aims to contribute to the discussion of how adult children affect the well-being of their older parents by investigating the importance of living in close geographic proximity. We investigate whether having children at all, and/or having them geographically proximate, contributes differently to the well-being of older persons living with and without a partner. We enriched survey data for the Netherlands (N = 8,379) with municipal register data and regressed life satisfaction of persons aged 65+ on having children and three different measures of geographic proximity. Having children contributes to the well-being of older men with a partner. There is evidence for a positive association between proximity of children and parental well-being, in particular for widowed and separated mothers and for separated fathers. Our findings suggest that close proximity may be a condition under which adult children can significantly add to the well-being of widowed and separated mothers and separated fathers. [ABSTRACT FROM PUBLISHER]

This study considers changes in child care by grandparents between 1992 and 2006 in relation to changes in mothers' need for and grandparents' opportunity to provide child care. Data from the Longitudinal Aging Study Amsterdam are used to compare two cohorts of Dutch grandparents aged 58–68 (N1992=181; N2006=350). Multi-level regression analysis shows that the probability that grandparents care for their adult daughters' children (N1992=261; N2006=484) increased from 0.23 to 0.41. The increase can be ascribed to higher maternal employment rates, growth in single motherhood, reduced travel time and a decline in the number of adult children. The increase would have been higher if the employment rate of grandparents had not risen. [ABSTRACT FROM PUBLISHER]

This study investigates how (a) the reliance on public care and (b) the type of public care received by older people in the Netherlands depends on the availability of partners and adult children. Older people aged 65 years and older were surveyed in the Netherlands Kinship Panel Study at two time-points. Survey results were linked to registry data on public care receipt at the two time-points. Multilevel models revealed that receiving frequent help in the household from children was not associated with public care receipt. Only men having a partner were less likely to receive public care. Further analyses comparing the receipt of skilled and unskilled forms of public care revealed that female partners are especially important in rendering unskilled care unnecessary compared to skilled care. Two arguments may explain our findings. One is that a gender-bias exists in processing public care requests – men are perceived as less able to provide care to their female partners. Another is that men lack the skills, or perceive themselves as lacking the care skills that female partners have. Caution is advised against introducing policy measures that increase pressure on female partners. [ABSTRACT FROM PUBLISHER]

Objectives. Using a within-family perspective, we examine how mothers allocate support among their adult children, and we test alternative theories about support exchange. Method. We use a large-scale multiactor survey from the Netherlands in which mothers and children were interviewed independently. We analyze sibling pairs (aged 36 on average) who were connected to 604 mothers (aged 63 on average). Fixed effects regression models and instrumental variable models are used to examine effects of child characteristics on received support. Results. Mothers give more support to the child who lives without a partner, has children, has health problems, and is lower educated than to the child who does not have these characteristics. Children who more strongly support filial norms also receive more support. Support given to one child has a small positive effect on the support that the mother gives to the other child. Discussion. The analyses provide new and supportive evidence for the notion that parents are altruistically motivated. At the same time, older parents are motivated by exchange because they invest more in children who are more likely to reciprocate. Some evidence exists for the norm of equality. [ABSTRACT FROM PUBLISHER]

Aims and objectives. To provide insight into family caregiver perspectives on social relations within the 'caregiving triangle' between family caregiver, professional caregiver and elderly resident with dementia. Results were compared between traditional versus small-scale long-term care settings in the Netherlands and Belgium. Background. Residential dementia care is shifting towards a more holistic and person-centred approach. Until now, little is known about family caregiver perspectives. Design. A quasi-experimental longitudinal design. Methods. This study was part of a larger research project focusing on the quality of life of residents with dementia in traditional and small-scale settings ( n = 179). This study focused on family caregivers related to these residents ( n = 64). They filled in a questionnaire containing 25 items (baseline and after 12 months) related to their perspectives on the interaction within the 'caregiving triangle'. Analyses were performed using mixed models and logistic regression. Results. Compared to traditional settings, family caregivers of relatives with dementia living in small-scale settings had more contact with the professional caregivers, were more satisfied with this contact and felt that staff paid more attention to their feelings as family members. They also reported that staff showed better listening skills towards the residents. Furthermore, compared to those in Belgium, family caregivers in the Netherlands perceived staff to be less hurried and more accepting of help from family and felt that staff more often takes the resident seriously. Conclusion. In the move towards more person-centred care for residents with dementia, this study finds preliminary evidence for the importance of integrating the family perspective. Relevance to clinical practice. Gaining more insight into the perspectives of family caregivers on the social relations within the 'caregiving triangle' may provide knowledge about the importance of the social system surrounding elderly residents with dementia and can provide pointers for future research. [ABSTRACT FROM AUTHOR]

Aims and objectives To gain insight into the factors that influence communication between health professionals and Turkish and Moroccan immigrants in the palliative phase of cancer. Background In palliative care, communication is crucial. The question, however, is whether Dutch healthcare providers, on the one hand, and Turkish and Moroccan patients and their family members, on the other, agree on what is constituted by good communication. Design A descriptive qualitative method is used. Methods Data of semi-structured interviews with 83 persons (six patients, 30 relatives and 47 professional care providers) were analysed to determine perceptual communication differences about care and treatment during the palliative phase of 33 cases. Results As many patients with a Turkish or Moroccan background speak little Dutch, conversations often take place in triads, which makes it difficult for the actors to understand and resolve communication problems arising from diverging perceptions of 'good communication'. Conclusion Miscommunication around palliative care cannot solely be explained by the different cultural backgrounds of patients and their care providers. The multilingual communication triangle of patient - family - care provider often also complicates the bridging of differences in care perceptions. Relevance to clinical practice Professional care providers should develop adequate strategies to handle triads, explore their own conventions and those of patients and relatives. [ABSTRACT FROM AUTHOR]

Objectives. Research on family relations has extensively used the intergenerational solidarity model proposed by Bengtson and colleagues. Recently, the relevance of this model for explaining changes in family relations has been questioned, and the concept of intergenerational ambivalence has been proposed as a relevant addition to the model, supposedly acting as a catalyst, and thus serving as an explanation for changes in family relations. This study tests both the viability of the intergenerational solidarity model and the hypothesized effect of ambivalence employing longitudinal data. Method. We use data from 2 waves of the Netherlands’ Kinship Panel Study on parent–adult child relationships to estimate latent variable structural equation models. Results. Affection, association, and support between family members are core, mutually reinforcing dimensions of solidarity. The hypothesis that ambivalence is a catalyst for change in family relations was not confirmed. Adding conflict separately revealed that it only affects the core solidarity dimensions but is itself, like normative and structural solidarity, not influenced by them. Discussion. The relevance of the concept of intergenerational ambivalence for studying changes in family relations can be questioned. The viability of the intergenerational solidarity model is, however, confirmed. The concept of intergenerational ambivalence might be further explored in qualitative studies on family change. [ABSTRACT FROM PUBLISHER]

Abstract: Demographic and cultural changes have given rise to the question of whether adult children will continue to provide support to their elderly parents. In a qualitative study among selected respondents from a large representative sample, we investigated the motivations of adult children to provide support to their elderly parents. Five major themes emerged: individual choice, obligation, reciprocity, quality of the relationship and genetic relatedness. Respondents rejected general norms of filial obligations, were reluctant to impose behavioral rules on others, but nevertheless expressed strong personal obligations to care. Individualization is often equated with withdrawing from providing care. Our findings suggest otherwise. Filial obligations tend to be strong, but personalized. Social prescriptions have given way to personal motives to provide care. [ABSTRACT FROM AUTHOR]

This study examines the degree to which siblings’ behaviors and characteristics influence a child’s caregiving. A sample of 186 older parents in need of care with at least two adult children reported on characteristics and caregiving of all their children (N = 703). Multilevel regression models show that there is evidence of children’s joint caregiving efforts: The more care siblings give, the more care the child gives. Results demonstrate that the more sisters a child has, the less care that child gives. Children also substitute and support each other: The greater the number of siblings with partners and the lower the frequency of sibling emotional support exchanges with a parent, the more care the child gives. The study reflects the various outcomes of sibling solidarity when older parents become dependent. [ABSTRACT FROM PUBLISHER]

Purpose: Providing support to an aging parent may pose challenges to adult children but also provide an opportunity to "give back" to loved ones. The current study investigated changes in emotional and instrumental support and quality across a period of 4 years. Additionally, associations between intergenerational support and well-being in adult children over time were investigated. Design and Methods: Data from the first and second waves of the Netherlands Kinship Panel Study (N = 6,062) were analyzed to investigate the relative importance of relationship quality and support exchange and to test the potential buffering role of relationship quality for effects of the changing balance of support on well-being. Results: It was found that provision of instrumental and emotional support to parents increased during a period of 4 years. At the same time, instrumental support children received from parents decreased, whereas emotional support from parents increased. Intergenerational support exchange between children and parents was not associated with well-being in children, whereas the quality of the intergenerational relationship strongly predicted their well-being. Implications: Decreasing relationship quality seems a greater threat to the well-being of caregiving children than increased support and care tasks. Family counseling and public awareness to address this decline in intergenerational relationship quality may be important for well-being of families. [ABSTRACT FROM AUTHOR]

This study examines the characteristics of parent-child relationships after childhood from a theoretical attachment perspective. It describes how relationships between adult children and their parents vary by age group of the child on three dimensions that were derived from attachment theory: direction, penetration and quality. Data from 4,589 respondents to the Netherlands Kinship Panel Study were analysed to describe relationships between adult-children and their parents. Analyses of covariance were used to specify differences by age group. The results showed that age had notable effects on relationships between adult children and parents, especially their direction and penetration or centrality. The direction was reversed for parents of children in the two oldest age groups. The level of penetration was lower for the older age groups, and quality was higher in the younger age groups, but the effect size was small. The age effects on the dimensions were qualified by the personal circumstances of the adult children. Having one's own children was associated with different patterns of attachment at different ages. Adult children may be an important source of support for their elderly parents and may even become 'attachment figures'. Given the current increases in longevity, there could be increasing pressure on adult children to support their parents. Attachment theory is a useful framework for studying the characteristics of inter-generational relationships, also after childhood. [ABSTRACT FROM AUTHOR]

The article discusses a study on the relevance of the location of parents to the direction of moves of adult children. Administrative data for the Netherlands was used in order to determine the extent to which the need for support or contact between parents and adult children influence direction of moves. It was found that adult children take into consideration the residence of their parents when their need for contact or support increases, such as in the case of divorces. However, the parents' need for support were seen to have a smaller influence on adult children's geographical mobility.

There is considerable debate about the effects of today's family structures on support arrangements for older people. Using representative data from The Netherlands, the study reported in this paper investigates which sociodemographic characteristics of adult children and their elderly parents, and which motivations of the adult children, correlate with children giving practical and social support to their parents. The findings indicate that the strongest sociodemographic correlates of a higher likelihood of giving support were: having few siblings, having a widowed parent without a new partner and, for practical support, a short geographical distance between the parent's and child's homes. Single mothers were more likely to receive support than mothers with partners, irrespective of whether their situation followed divorce or widowhood. Widowed fathers also received more support, but only with housework. A good parent-child relationship was the most important motivator for giving support, whereas subscribing to filial obligation norms was a much weaker motivator, especially for social support. Insofar as demographic and cultural changes in family structures predict a lower likelihood of support from children to elderly parents, this applies to practical support, and derives mainly from increased geographical separation distances and from the growing trend for parents to take new partners. Social support is unlikely to be affected by these changes if parents and children maintain good relationships. [ABSTRACT FROM AUTHOR]

In modern society, education has become a major element of stratification and differentiation. This paper examines how educational differences across and within family relationships affect the content of the relationship, thereby focusing on proximity and contact between parents and adult children and between siblings. Hypotheses are developed about why education should matter, using theoretical arguments about preferences and constraints. The hypotheses are tested using a large new survey on family relationships in the Netherlands, the Netherlands Kinship Panel Study. Family relationships are pooled into one dataset which is analyzed using multilevel regression. The results show sharp but nonlinear educational effects on proximity and distance, although most of the educational effect on contact is indirect, via distance. Educational differences within family relationships lead to greater distances and less contact, confirming the classic mobility thesis, but the effects are generally weak and the effects on contact are indirect. Implications of the findings for the different theoretical perspectives on family relationships are discussed. [ABSTRACT FROM AUTHOR]

Background: In the past years an increasing amount of research has been done on the experiences of adult children of a parent with early-onset dementia. However, little is still known about how the socio-cultural context influences the narratives of these children., Aim: This study aimed to provide insights into the far-reaching consequences of parental early-onset dementia for adult children in the Netherlands. It illustrates how the experiences of these adult children are shaped by the context they live in., Method: 16 in-depth interviews were conducted with adult children of a parent with early-onset dementia in the Netherlands. The interviews offered the children space to reflect on the impact the illness of their parent had on them and their lives. The data were analysed using thematic analysis., Findings: This article illustrates that the comparative processes of relating to others' experiences help the children to reflect on the impact that their parent's illness has on their own lives, which in turn aids them in contextualising and making meaning out of their changing lives and relationships. This contextualization and recovery of meaning is shaped by three processes. The first concerns the ways these adult children draw comparisons between their own lives and experiences and those of their peers of the same age group. The second process entails comparative understandings of having a parent with early-onset dementia versus having a parent with late-onset dementia. The third process explores how having a parent with early-onset dementia compares to having a parent with other diseases. The processes of contextualisation which the adult children engage in are shaped by what the children perceive to be normal and thus also by their socio-cultural contexts., Conclusions: This article reveals how meaning is created in a constant interplay between the primary experiences of having an ill parent and the socio-cultural context in which the experiences take place. It illustrates how this context provides for particular narratives, which in turn shape how the children are able to give meaning to their experiences.

We study a population-based influenza vaccination program in the Netherlands, and the spillovers it has within families. Individuals aged 65 years and over qualify for the program and receive a personal invitation for a free flu shot, while ineligible individuals have to pay out-of-pocket and face additional barriers to getting vaccinated. The quasi-random variation at age 65 is exploited to analyse program impact on vaccination behavior of cohabiting partners and adult children. We find that the program induced a 10 percentage points increase in vaccination coverage among individuals at age 65. The program further led to a similar effect on vaccination take-up by cohabiting younger partners, but spillovers on children were negative. These asymmetric patterns of vaccination uptake are consistent with partners and children learning about influenza mortality risk, target group membership, and cost and benefits of vaccination, as well as salience. We conclude that public health campaigns should pay attention to the effects on voluntary preventive care participation as within-family spillovers impact the program's overall public health impact. [ABSTRACT FROM AUTHOR]

States that the Dutch parliament approved legislation to maintain the anonymity of men donating sperm for artificial insemination (AI) for another two years as of spring 2000. Acknowledgement that the legislation will decrease sperm donation; Concern that abolition of anonymity will affect AI in the Netherlands.

Context: Associations between small size at birth and abnormal cardiovascular parameters in later life have been reported. It is, however, unknown whether the effect of a small size at birth on cardiovascular risk factors in later life is due to a small size for gestational age or due to prematurity. Due to advances in neonatal care, survival of preterm infants has significantly improved, and nowadays an increasing number of these children reach adulthood. It is, therefore, of increasing importance to assess the long-term effect of prematurity on determinants for cardiovascular disease., Objective: The aim of the study was to assess the long-term effects of gestational age and particularly preterm birth on lipid levels and fat mass in early adulthood., Design and Patients: A cross-sectional study was conducted with 455 healthy subjects, aged 18 to 24 yr; 167 preterm subjects were compared with 288 full-term subjects., Outcome Measure: Total fat mass, trunk fat mass, and limb fat mass were determined by dual-energy x-ray absorptiometry. Furthermore, fasting lipid levels (total cholesterol, low-density lipoprotein, triglyceride, apolipoprotein B, lipoprotein a, high-density lipoprotein, and apolipoprotein A-I) were measured., Results: Preterm subjects had a significantly higher percentage of total fat mass, trunk fat mass, and limb fat mass than subjects born term. Furthermore, preterm subjects had significantly lower serum lipoprotein a levels and higher apolipoprotein A-I levels than term subjects. Multiple linear regression analyses to assess the association between gestational age and fat mass and lipid levels showed similar results., Conclusion: In our cohort of 455 young adults, preterm birth was associated with more total fat mass, trunk fat, and limb fat mass but a relatively favorable lipid profile.

Families predisposed to longevity show enhanced glucose tolerance and skeletal muscle insulin sensitivity compared with controls, independent of body composition and physical activity. Intramyocellular lipid (IMCL) accumulation in skeletal muscle has been associated with insulin resistance. Here, we assessed whether subjects enriched for familial longevity have lower IMCL levels. We determined IMCL levels in 48 subjects from the Leiden Longevity Study, comprising 24 offspring of nonagenarian siblings and 24 partners thereof as control subjects. IMCL levels were assessed noninvasively using short echo time proton magnetic resonance spectroscopy ((1)H-MRS) of the tibialis anterior muscle with a 7 Tesla human MR scanner. IMCL levels were calculated relative to the total creatine (tCr) CH3 signal. Physical activity was assessed using the International Physical Activity Questionnaire (IPAQ). After correction for age, sex, BMI, and physical activity, offspring of long-lived nonagenarian siblings tended to show lower IMCL levels compared with controls (IMCL/tCr: 3.1 ± 0.5 vs. 4.5 ± 0.5, respectively, P = 0.051). In a pairwise comparison, this difference reached statistical significance (P = 0.038). We conclude that offspring of nonagenarian siblings predisposed to longevity show lower IMCL levels compared with environmentally matched control subjects. Future research should focus on assessing what mechanisms may explain the lower IMCL levels in familial longevity.

Insulin resistance is a risk factor for various age-related diseases. In the Leiden Longevity study, we recruited long-lived siblings and their offspring. Previously, we showed that, compared to controls, the offspring of long-lived siblings had a better glucose tolerance. Here, we compared groups of offspring from long-lived siblings and controls for the relation between insulin and glucose in nonfasted serum (n = 1848 subjects) and for quantitation of insulin action using a two-step hyperinsulinemic-euglycemic clamp (n = 24 subjects). Groups of offspring and controls were similar with regard to sex distribution, age, and body mass index. We observed a positive bi-phasic linear relationship between ln (insulin) levels and nonfasted glucose with a steeper slope from 10.7mU L(-1) insulin onwards in controls compared to offspring (P = 0.02). During the clamp study, higher glucose infusion rate was required to maintain euglycemia during high-dose insulin infusion (P = 0.036) in offspring, reflecting higher whole-body insulin sensitivity. After adjustment for sex, age, and fat mass, the insulin-mediated glucose disposal rate (GDR) was higher in offspring than controls (42.5 ± 2.7 vs. 33.2 ± 2.7 micromol kg(-1) min(-1) , mean ± SE, P = 0.025). The insulin-mediated suppression of endogenous glucose production and lipolysis did not differ between groups (all P > 0.05). Furthermore, GDR was significantly correlated with the mean age of death of the parents. In conclusion, offspring from long-lived siblings are marked by enhanced peripheral glucose disposal. Future research will focus on identifying the underlying biomolecular mechanisms, with the aim to promote health in old age.

This paper asks whether adult children have a duty of justice to act as caregivers for their frail, elderly parents. I begin (Sections I. and II.) by locating the historical reasons why relationships within families were not thought to raise issues of justice. I argue that these reasons are misguided. The paper next presents specific examples showing the relevance of justice to family relationships. I point out that in the United States today, the burden of caregiving for dependent parents falls disproportionately on women (Sections III. and IV.). The paper goes on to use Rawls' theoretical tool of the veil of ignorance to argue that caring for parents should not be linked to a person's sex and more generally, that there is no duty of justice to assume the role of caregiver for dependent parents (Sections V.). Although justice does not provide the moral foundations for parent care, I show that it nonetheless places important limits on the instinct to care. I conclude that the voice of justice should be audible, and is intrinsically present, within families.