TY - JOUR
T1 - “Day and night people run after money … where is the time to spend chit-chatting with parents?”
T2 - Challenges of, and coping strategies for, supporting older relatives in adults of varied socioeconomic backgrounds in Tamil Nadu, India
AU - Lieber, Judith
AU - Clarke, Lynda
AU - Kinra, Sanjay
AU - Papachristou Nadal, Iliatha
AU - Thampi, Binitha V.
N1 - Publisher Copyright:
© 2023 The Authors
PY - 2023/6
Y1 - 2023/6
N2 - Fertility has declined significantly across the socioeconomic spectrum in the south Indian state of Tamil Nadu, which has the potential to increase the strains of support provision for family members and to limit support for dependent older people. We used a qualitative approach to explore the challenges that adults (N = 113) from varying socioeconomic backgrounds (urban/rural and socioeconomic status) in Tamil Nadu experience when supporting their older relatives, and to understand how they cope with these challenges. While the broad challenges mirrored those seen elsewhere in India and globally (e.g., role conflict), some were particular to the context of contemporary Tamil Nadu (e.g., difficulties around supporting son/child-less or non-co-resident elders). The challenges experienced were qualitatively similar across socioeconomic groups but affluent families had more coping strategies available to limit the negative outcomes of support provision. We highlight the potential value of universal health coverage for promoting family-based support for older Indians, the urgent need for strategies to ease the challenges for lower socioeconomic status families, and the importance of wider socioeconomic policy to reduce the financial and time pressures that restrict the support that much of the population can provide each other.
AB - Fertility has declined significantly across the socioeconomic spectrum in the south Indian state of Tamil Nadu, which has the potential to increase the strains of support provision for family members and to limit support for dependent older people. We used a qualitative approach to explore the challenges that adults (N = 113) from varying socioeconomic backgrounds (urban/rural and socioeconomic status) in Tamil Nadu experience when supporting their older relatives, and to understand how they cope with these challenges. While the broad challenges mirrored those seen elsewhere in India and globally (e.g., role conflict), some were particular to the context of contemporary Tamil Nadu (e.g., difficulties around supporting son/child-less or non-co-resident elders). The challenges experienced were qualitatively similar across socioeconomic groups but affluent families had more coping strategies available to limit the negative outcomes of support provision. We highlight the potential value of universal health coverage for promoting family-based support for older Indians, the urgent need for strategies to ease the challenges for lower socioeconomic status families, and the importance of wider socioeconomic policy to reduce the financial and time pressures that restrict the support that much of the population can provide each other.
KW - Ageing
KW - Caregiver burden
KW - Fertility decline
KW - India
KW - Social support
UR - http://www.scopus.com/inward/record.url?scp=85151921604&partnerID=8YFLogxK
U2 - 10.1016/j.ssmqr.2023.100262
DO - 10.1016/j.ssmqr.2023.100262
M3 - Article
AN - SCOPUS:85151921604
SN - 2667-3215
VL - 3
JO - SSM - Qualitative Research in Health
JF - SSM - Qualitative Research in Health
M1 - 100262
ER -