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      Self-Directed Female Migration in Ghana: Health and Wellness of Elderly Family Caregivers Left Behind. An Ethnographic Study

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          Abstract

          Driven by the global economic crisis, families are developing strategies for survival, including self-directed female migration. Female migration has negative and positive impacts on families in rural areas. The purpose of the project was to explore the health and wellness experiences of elderly family caregivers who have female family members who have migrated to improve the status of their families. In this focused ethnographic study, we interviewed elderly family members who had a female family member who migrated outside their community for employment. Participants were enrolled from northern Ghanaian communities known to be economically disadvantaged in comparison to their southern counterparts. All interviews were audio-recorded, transcribed verbatim, and translated into English. Data were analyzed based on thematic content. Majors themes that emerged were reasons for children leaving their families; physical, emotional, and spiritual health; and social and economic struggles. Challenges of family care work undertaken by the elderly in families with emigrated female kin strongly also emerged as a theme. New contextual knowledge was developed about the impact of self-directed female migration on the health and wellness of elderly family caregivers. The information is valuable for the development of culturally appropriate social support and health practices for female migrants and their families.

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          Gender differences in caregiving among family - caregivers of people with mental illnesses.

          All over the world women are the predominant providers of informal care for family members with chronic medical conditions or disabilities, including the elderly and adults with mental illnesses. It has been suggested that there are several societal and cultural demands on women to adopt the role of a family-caregiver. Stress-coping theories propose that women are more likely to be exposed to caregiving stressors, and are likely to perceive, report and cope with these stressors differently from men. Many studies, which have examined gender differences among family-caregivers of people with mental illnesses, have concluded that women spend more time in providing care and carry out personal-care tasks more often than men. These studies have also found that women experience greater mental and physical strain, greater caregiver-burden, and higher levels of psychological distress while providing care. However, almost an equal number of studies have not found any differences between men and women on these aspects. This has led to the view that though there may be certain differences between male and female caregivers, most of these are small in magnitude and of doubtful clinical significance. Accordingly, caregiver-gender is thought to explain only a minor proportion of the variance in negative caregiving outcomes. A similar inconsistency characterizes the explanations provided for gender differences in caregiving such as role expectations, differences in stress, coping and social support, and response biases in reporting distress. Apart from the equivocal and inconsistent evidence, there are other problems in the literature on gender differences in caregiving. Most of the evidence has been derived from studies on caregivers of elderly people who either suffer from dementia or other physical conditions. Similar research on other mental illnesses such as schizophrenia or mood disorders is relatively scarce. With changing demographics and social norms men are increasingly assuming roles as caregivers. However, the experience of men while providing care has not been explored adequately. The impact of gender on caregiving outcomes may be mediated by several other variables including patient-related factors, socio-demographic variables, and effects of kinship status, culture and ethnicity, but these have seldom been considered in the research on gender differences. Finally, it is apparent that methodological variations in samples, designs and assessments between studies contribute a great deal to the observed gender differences. This review highlights all these issues and concludes that there is much need for further research in this area if the true nature of gender differences in family-caregiving of mental illnesses is to be discerned.
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            Talking and Listening from Women's Standpoint: Feminist Strategies for Interviewing and Analysis

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              The impact of out-migration on the inter-generational support and psychological wellbeing of older adults in rural China

              This paper examines the impact of the out-migration of adult children on older parents' inter-generational support and psychological wellbeing in rural China. The sample comprised 1,237 older Chinese people aged 60 or more years in the rural province of Anhui, China, who completed baseline and follow-up questionnaires in 2001 and 2003, respectively. The differences between older parents with and without migrant children in 2001 in their support and psychological wellbeing in 2003 were examined using independent t -tests, as were changes over the two years in support and wellbeing. Multiple regression models were used to examine the impact of baseline out-migration on the psychological wellbeing of older parents at follow-up. The results showed that, compared to parents without migrant children in 2001, the parents of migrants had significantly more monetary support, less instrumental support, and a lower level of depression in 2003. Such differences may be attributed to different support resources and health status, but the regressions revealed that when the positive effect of inter-generational support was taken into account, older parents with more migrant children tended to have significantly more depression and lower life satisfaction. The findings point to the importance of continued inter-generational support after out-migration in maintaining parental wellbeing.
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                Author and article information

                Journal
                Int J Environ Res Public Health
                Int J Environ Res Public Health
                ijerph
                International Journal of Environmental Research and Public Health
                MDPI
                1661-7827
                1660-4601
                03 November 2020
                November 2020
                : 17
                : 21
                : 8127
                Affiliations
                [1 ]Faculty of Nursing, University of Alberta, Edmonton, AB T6G 1C9, Canada
                [2 ]Faculty of Nursing, Memorial University of Newfoundland, St. John’s, NL A1C 5S7, Canada; h02kdj@ 123456mun.ca
                [3 ]School of Allied Health Sciences, University for Development Studies, Tamale 1350, Ghana; vidayakong@ 123456yahoo.ca
                [4 ]School of Nursing and Midwifery, University of Ghana, Accra LG 25, Ghana; patienceaniteye@ 123456yahoo.co.uk
                [5 ]Department of Anthropology, University of Alberta, Edmonton, AB T6G 1C9, Canada; helen.vallianatos@ 123456ualberta.ca
                Author notes
                [* ]Correspondence: solina.richter@ 123456ualberta.ca ; Tel.: +1-780-492-7953
                Author information
                https://orcid.org/0000-0002-4208-1035
                Article
                ijerph-17-08127
                10.3390/ijerph17218127
                7662301
                33153199
                5d13de7f-726b-497f-a868-e6b7be83ca1f
                © 2020 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 29 September 2020
                : 30 October 2020
                Categories
                Article

                Public health
                female,migrants,struggles,challenges,left behind,elderly family
                Public health
                female, migrants, struggles, challenges, left behind, elderly family

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