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State care provision, societal opinion and children's care of older parents in 11 European countries

  • KLAUS HABERKERN (a1) and MARC SZYDLIK (a1)
Abstract

Dependent older people are predominantly cared for by family members, mostly partners and children, but not every parent in need is cared for by a child, and intergenerational care varies widely across Europe. Previous studies have used care regimes to explain these differences, but because of the lack of large comparative surveys, the prevalence of intergenerational care has rarely been related directly to the institutional and cultural context, including state care provision, legal obligations between family members, and societal opinion about the role of the state in elderly care. This paper reports an analysis of variations in intergenerational care among European countries and the reasons for these differences using data from the Survey of Health, Ageing and Retirement in Europe for Austria, Belgium, Denmark, France, Germany, Greece, Italy, The Netherlands, Spain, Sweden and Switzerland. Results from logistic multilevel models show that care by children is influenced by the individual characteristics of both parents and children, and by family structures, welfare-state institutions and cultural norms. Intergenerational care is more prevalent in southern and central European countries, where children are legally obligated to support parents in need, and care is perceived as a responsibility of the family, whereas in northern Europe, the wider availability of formal care services enable adult children, particularly daughters, have more choice about their activities and use of time.

Copyright
Corresponding author
Address for correspondence: Klaus Haberkern, Institute of Sociology, University of Zurich, Andreasst. 15, Zurich 8050, Switzerland. E-mail: haberkern@soziologie.uzh.ch
References
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Anderson, R. 2004. Working carers in the European Union. In Harper, S. (ed.), Families in Ageing Societies: A Multi-disciplinary Approach. Oxford University Press, Oxford, 95–113.
Anttonen, A. and Sipiliä, J. 1996. European social care services: is it possible to identify models? Journal of European Social Policy, 6, 2, 87–100.
Arber, S. and Ginn, J. 1995. Gender differences in the relationship between paid employment and informal care. Work, Employment and Society, 9, 3, 445–71.
Arts, W. and Gelissen, J. 2002. Three worlds of welfare capitalism or more? A state-of-the-art report. Journal of European Social Policy, 12, 2, 137–58.
Attias-Donfut, C., Ogg, J. and Wolff, F.-C. 2005. European patterns of intergenerational financial and time transfers. European Journal of Ageing, 2, 3, 161–73.
Attias-Donfut, C. and Wolff, F.-C. 2000. Complementarity between private and public transfers. In Arber, S. and Attias-Donfut, C. (eds), The Myth of Generational Conflict: The Family and State in Ageing Societies. Routledge, London, 4768.
Behning, U. 2005. Changing long-term care regimes: a six-country comparison of directions and effects. In Pfau-Effinger, B. and Geissler, B. (eds), Care and Social Integration in European Societies. Policy, Bristol, UK, 7391.
Bender, D. 1994. Betreuung von hilfs- oder pflegebedürftigen Angehörigen in Mehrgenerationenfamilien [Care of dependent relatives in multi-generational families]. In Bien, W. (ed.), Eigeninteresse oder Solidarität: Beziehungen in modernen Mehrgenerationenfamilien [Self-interest and Solidarity: Relationships in Modern Multigenerational Families]. Leske and Budrich, Opladen, Germany, 223–48.
Berger-Schmitt, R. 2003. Betreuung und Pflege alter Menschen in den Ländern der Europäischen Union – Perspektiven zur Rolle familialer Netzwerke [Elderly support and care in European Union countries: perspectives on the role of family networks]. In Allmendinger, J. (ed.), Entstaatlichung und Soziale Sicherheit [Denationalisation and Social Security]. Proceedings of the 31st Congress of the German Sociological Association, Leipzig 2002, Leske and Budrich, Opladen, Germany. [CD-ROM].
Bettio, F. and Plantenga, J. 2004. Comparing care regimes in Europe. Feminist Economics, 10, 1, 85–113.
Blinkert, B. and Klie, T. 2004. Gesellschaftlicher Wandel und demografische Veränderungen als Herausforderungen für die Sicherstellung der Versorgung pflegebedürftiger Menschen [Societal and demographic change as challenges for the provision of care services to people in need of care]. Sozialer Fortschritt, 53, 11/12, 319–25.
Börsch-Supan, A., Hank, K. and Jürges, H. 2005. A New Comprehensive and International View on Ageing: The Survey of Health, Ageing and Retirement in Europe. Research Institute for the Economics of Ageing, Mannheim, Germany.
Börsch-Supan, A. and Jürges, H. (eds)2005. Health, Ageing and Retirement in Europe: Methodology. Research Institute for the Economics of Ageing, Mannheim, Germany.
Brandt, M., Haberkern, K. and Szydlik, M. 2009. Intergenerational help and care in Europe. European Sociological Review, doi:10.1093/esr/jcn076.
Brandt, M. and Szydlik, M. 2008. Soziale Dienste und Hilfe zwischen Generationen in Europa [Social services and help between generations]. Zeitschrift für Soziologie, 37, 4, 301–20.
Broese van Groenou, M., Glaser, K., Tomassini, C. and Jacobs, T. 2006. Socio-economic status differences in older people's use of informal and formal help: a comparison of four European countries. Ageing & Society, 26, 5, 745–66.
Bundesministerium für Familie, Senioren, Frauen und Jugend 2006. Siebter Familienbericht. Familie zwischen Flexibilität und Verlässlichkeit – Perspektiven für eine lebenslaufbezogene Familienpolitik [Seventh Family Report. Families Between Flexibility and Dependability: Perspectives for a Life Cycle-related Family Policy]. Bundesministerium für Familie, Senioren, Frauen und Jugend, Berlin.
Campbell, L. D. and Martin Matthews, A. 2003. The gendered nature of men's filial care. Journal of Gerontology: Social Sciences, 58B, 6, S350–8.
Connidis, I. A. 2001. Family Ties and Aging. Sage, Thousand Oaks, California.
Da Roit, B. 2007. Changing intergenerational solidarities within families in a Mediterranean welfare state: elderly care in Italy. Current Sociology, 55, 2, 251–69.
Daatland, S. O. 2001. Ageing, families and welfare systems: comparative perspectives. Zeitschrift für Gerontologie und Geriatrie, 34, 1, 1620.
Daatland, S. O. and Herlofson, K. 2003 a. Families and welfare states: substitution or complementarity. In Lowenstein, A. and Ogg, J. (eds), OASIS: Old Age and Autonomy: The Role of Service Systems and Intergenerational Family Solidarity. Final Report, University of Haifa, Haifa, Israel, 281305.
Daatland, S. O. and Herlofson, K. 2003 b. Norms and ideals about elder care in a European comparative perspective. In Lowenstein, A. and Ogg, J. (eds), OASIS: Old Age and Autonomy: The Role of Service Systems and Intergenerational Family Solidarity. Final Report, University of Haifa, Haifa, Israel, 125–63.
Esping-Andersen, G. 1990. The Three Worlds of Welfare Capitalism. Polity, Cambridge.
European Commission 2007. Health and Long-term Care in the European Union. Special Eurobarometer Report 283, European Commission, Brussels. Available online at http://ec.europa.eu/public_opinion/archives/ebs/ebs_283_en.pdf [Accessed 4 June 2009].
Ferrara, M. 1998. The four ‘Social Europes’: between universalism and selectivism. In Rhodes, M. and Mény, Y. (eds), Future of European Welfare: A New Social Contract? Macmillan, London, 7996.
Finch, J. and Mason, J. 1990. Filial obligations and kin support for elderly people. Ageing & Society, 10, 2, 151–75.
Fine, M. and Glendinning, C. 2005. Dependence, independence or inter-dependence? Revisiting the concepts of ‘care’ and ‘dependency’. Ageing & Society, 25, 4, 601–21.
Gallagher, S. K. 1994. Doing their share: comparing patterns of help given by older and younger adults. Journal of Marriage and the Family, 56, 3, 567–78.
Gerstel, N. and Gallagher, S. K. 2001. Men's caregiving: gender and the contingent character of care. Gender and Society, 15, 2, 197217.
Gori, C. 2000. Solidarity in Italy's policies towards the frail elderly: a value at stake. International Journal of Social Welfare, 9, 4, 261–9.
Guo, G. and Zhao, H. 2000. Multilevel modeling for binary data. Annual Review of Sociology, 26, 441–62.
Haberkern, K. 2009. Pflege in Europa – Familie und Wohlfahrtsstaat [Elderly Care in Europe: Family and Welfare State]. VS Verlag für Sozialwissenschaften, Wiesbaden, Germany.
Haberkern, K. and Szydlik, M. 2008. Pflege der Eltern – Ein europäischer Vergleich [Care of parents: a European comparison]. Kölner Zeitschrift für Soziologie und Sozialpsychologie, 60, 1, 78–101.
Höpflinger, F. 2005. Pflege und das Generationenproblem. Pflegesituationen und intergenerationelle Zusammenhänge [Care and the generation problem. Care arrangements and intergenerational connections]. In Schroeter, K. R. and Rosenthal, T. (eds), Soziologie der Pflege – Grundlagen, Wissensbestände und Perspektiven [Sociology of Care: Basics, Knowledge and Perspectives]. Juventa, Weinheim, Munich, Germany.
Hox, J. 1995. Applied Multilevel Analysis. TT-Publikaties, Amsterdam.
Hugentobler, V. 2003. Intergenerationale Familienbeziehungen und Pflegebedürftigkeit im Alter [Intergenerational family relations and dependency on long-term care in old age]. In Schweiz, C. (ed.), Gesundheit – Eine soziale Frage [Intergenerational Family Ties and Dependency on Long-term Care in Later Life: A Social Issue]. Caritas, Lucerne, Switzerland, 151–65.
Igel, C., Brandt, M., Haberkern, K. and Szydlik, M. 2009. Specialisation between family and state: intergenerational time transfers in Western Europe. Journal of Comparative Family Studies, 40, 2, 203–26.
Künemund, H. and Hollstein, B. 2005. Soziale Beziehungen und Unterstützungsnetzwerke [Social relations and support networks]. In Kohli, M. and Künemund, H. (eds), Die zweite Lebenshälfte – Gesellschaftliche Lage und Partizipation im Spiegel des Alters-Survey [The Second Half of Life: Societal Position and Participation in the German Ageing Survey]. VS Verlag für Sozialwissenschaften, Wiesbaden, Germany, 212–76.
Leitner, S. 2003. Varieties of familism: the caring function of the family in comparative perspective. European Societies, 5, 4, 353–75.
Lewis, R. A. 1990. The adult child and older parents. In Brubaker, T. H. (ed.), Family Relationships in Later Life. Sage, Newbury Park, California, 6885.
Lingsom, S. 1997. The Substitution Issue: Care Policies and their Consequences for Family Care. Report 6/1997, Norwegian Social Research (NOVA), Oslo.
Litwak, E., Silverstein, M., Bengtson, V. L. and Wilson Hirst, Y. 2003. Theories about families, organizations and social supports. In Bengtson, V. L. and Lowenstein, A. (eds), Global Aging and Challenges to Families. Aldine de Gruyter, New York, 2753.
Lowenstein, A. and Daatland, S. O. 2006. Filial norms and family support in a comparative cross-national context: evidence from the OASIS study. Ageing & Society, 26, 2, 203–23.
Lundsgaard, J. 2006. Choice and long-term care in OECD countries: care outcomes, employment and fiscal sustainability. European Societies, 8, 3, 361–83.
Martin-Matthews, A. and Campbell, L. D. 1995. Gender roles, employment and informal care. In Arber, S. and Ginn, J. (eds), Connecting Gender and Ageing: A Sociological Approach. Open University Press, Buckingham, UK, 129–43.
Mestheneos, E. and Triantafillou, J. 2006. Supporting Family Carers of Older People in Europe – The Pan-European Background Report. LIT Verlag, Münster, Germany.
Millar, J. and Warman, A. 1996. Family Obligations in Europe. Family Policy Studies Centre, London.
Motel-Klingebiel, A., Tesch-Römer, C. and Kondratowitz, H.-J. v. 2005. Welfare states do not crowd out the family: evidence for mixed responsibility from comparative analyses. Ageing & Society, 25, 6, 863–82.
Murphy, M., Martikainen, P. and Pennec, S. 2006. Demographic change and the supply of potential family supporters in Britain, Finland and France in the period 1911–2050. European Journal of Population, 22, 3, 219–40.
Naldini, M. 2000. The Family in the Mediterranean Welfare State. Cass, London.
Organisation for Economic Cooperation and Development (OECD) 1999. Classifying Educational Programmes: Manual for ISCED-97 Implementation in OECD Countries. OECD, Paris.
Pfau-Effinger, B. 2005. Culture and welfare state policies: reflections on a complex interrelation. Journal of Social Policy, 34, 1, 3–20.
Pinnelli, A. 2001. Determinants of fertility in Europe: new family forms, context and individual characteristics. In Pinnelli, A., Hoffmann-Nowotny, H.-J. and Fux, B. (eds), Fertility and New Types of Households and Family Formation in Europe. Population Study 35, Council of Europe, Strasbourg, 47–101.
Qureshi, H. and Walker, A. 1989. The Caring Relationship: Elderly People and Their Families. Macmillan, Basingstoke, UK.
Rossi, A. and Rossi, P. 1990. Of Human Bonding: Parent–Child Relations Across the Life Course. De Gruyter, New York.
Rostgaard, T. and Fridberg, T. 1998. Caring for Children and Older People: A Comparison of European Policies and Practices. Report 6, Danish National Institute of Social Research, Copenhagen.
Schneider, N. F., Limmer, R. and Ruckdeschel, K. 2002. Mobil, flexibel, gebunden. Beruf und Familie in der mobilen Gesellschaft [Mobile, Flexible, Bound: Occupation and Family in the Mobile Society]. Campus, Frankfurt am Main, Germany.
Snijders, T. A. B. and Bosker, R. J. 2002. Multilevel Analysis: An Introduction to Basic and Advanced Multilevel Modeling. Sage, London.
Snijders, T. and Kenny, D. A. 1999. The social relations model for family data: a multilevel approach. Personal Relationships, 6, 4, 471–86.
Szydlik, M. 2000. Lebenslange Solidarität? Generationenbeziehungen zwischen erwachsenen Kindern und Eltern [Lifelong Solidarity? Intergenerational Relations of Adult Children and Parents]. Leske and Budrich, Opladen, Germany.
Szydlik, M. 2004. Inheritance and inequality: theoretical reasoning and empirical evidence. European Sociological Review, 20, 1, 3145.
Szydlik, M. 2008. Intergenerational solidarity and conflict. Journal of Comparative Family Studies, 39, 1, 97–114.
Theobald, H. 2005. Social Exclusion and Care for the Elderly: Theoretical Concepts and Changing Realities in European Welfare States. Discussion Paper SP I 2005-301, Wissenschaftszentrum Berlin für Sozialforschung [Social Science Research Centre Berlin], Berlin. Available online at http://www.wzb.eu/bal/ph/abstracts/2005/sp_i_2005-301.en.htm [Accessed 4 June 2009].
Twigg, J. and Grand, A. 1998. Contrasting legal conceptions of family obligations and financial reciprocity in the support of older people: France and England. Ageing & Society, 18, 2, 131–46.
Walker, A. J., Pratt, C. C. and Eddy, L. 1995. Informal caregiving to aging family members: a critical review. Family Relations, 44, 4, 402–11.
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