"Women in the Middle" and Family Help to Older People

Brody, Elaine M.

doi:10.1093/geront/21.5.471

Cited by 593 publications

(280 citation statements)

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“…There were generational differences, however. The middle generation women were less likely than grandmothers or granddaughters to prefer adult children as providers of housework, personal care, and financial support (Brody, 1981). The oldest generation was most receptive to formal services for the elderly .…”

Section: Theoretical Backgroundmentioning

confidence: 95%

“…Among a sample of Caucasian students and their parents, Wake and Sporakowski (1972) found minimal and nonsignificant differences in filial attitudes between urban and rural residents" Although there were no significant differences in average ages of participants preferring family sources and nonfamily sources, there was a greater preference for family care among whites than blacks. Brody (1981) and her colleagues (Brody, Johnsen, & Fulcomer, 1984; are responsible for one of the sparse number of studies that analyzed the attitudes and beliefs of more than one generation simultaneously. Using a sample of 433 women from three generations (225 of whom belonged to 75 family triads), they investigated opinions about appropriate filial responsibility behaviors, and personal preferences among types of providers of different types of services.…”

Section: Theoretical Backgroundmentioning

confidence: 99%

“…Using a sample of 433 women from three generations (225 of whom belonged to 75 family triads), they investigated opinions about appropriate filial responsibility behaviors, and personal preferences among types of providers of different types of services. Overall, the sense of filial responsibility was strong among the three generations of women; most felt that the old should be able to depend on adult children for help (Brody, 1981;. The majority of these women believed that adult children should adjust their family schedules and help meet expenses of professional health care for the impaired elderly mother when needed.…”

Section: Theoretical Backgroundmentioning

confidence: 99%

“…The middle generation of women was less likely than granddaughters or grandmothers to prefer an adult child as a provider of housework and personal services (Brody, 1981). Using the 80 three-generat1on triads (N=240) subsample of these urban women in her analysis, Davis (1981) discovered that all three cohorts of women preferred adult children for provision of supportive services.…”

Section: Intergenerational Studiesmentioning

confidence: 99%

“…In many cases, care of aging parents is thwarted because of a number of other obligations and constraints on the adult child (Brody, 1981;Miller, 1981;Treas, 1977). For example, one researcher (Cicirelli, 1983a(Cicirelli, , 1983b(Cicirelli, , 1987 examined the effects of marital disruption on filial role enactment.…”

Section: Contingent Circumstances and Role Enactmentmentioning

confidence: 99%

See 4 more Smart Citations

Filial Responsibility Expectations Among Adult Child-Older Parent Pairs

Hamon

Blieszner

1990

Journal of Gerontology

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Section: Theoretical Backgroundmentioning

confidence: 95%

Section: Theoretical Backgroundmentioning

confidence: 99%

Section: Theoretical Backgroundmentioning

confidence: 99%

Section: Intergenerational Studiesmentioning

confidence: 99%

Section: Contingent Circumstances and Role Enactmentmentioning

confidence: 99%

See 3 more Smart Citations

Filial Responsibility Expectations Among Adult Child-Older Parent Pairs

Hamon

Blieszner

1990

Journal of Gerontology

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Obituary Listing

1998

JAMA

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Association of Primary Care Visit Length With Potentially Inappropriate Prescribing

et al. 2023

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ImportanceTime is a valuable resource in primary care, and physicians and patients consistently raise concerns about inadequate time during visits. However, there is little evidence on whether shorter visits translate into lower-quality care.ObjectiveTo investigate variations in primary care visit length and quantify the association between visit length and potentially inappropriate prescribing decisions by primary care physicians.Design, Setting, and ParticipantsThis cross-sectional study used data from electronic health record systems in primary care offices across the US to analyze adult primary care visits occurring in calendar year 2017. Analysis was conducted from March 2022 through January 2023.Main Outcomes and MeasuresRegression analyses quantified the association between patient visit characteristics and visit length (measured using time stamp data) and the association between visit length and potentially inappropriate prescribing decisions, including inappropriate antibiotic prescriptions for upper respiratory tract infections, coprescribing of opioids and benzodiazepines for painful conditions, and prescriptions that were potentially inappropriate for older adults (based on the Beers criteria). All rates were estimated using physician fixed effects and were adjusted for patient and visit characteristics.ResultsThis study included 8 119 161 primary care visits by 4 360 445 patients (56.6% women) with 8091 primary care physicians; 7.7% of patients were Hispanic, 10.4% were non-Hispanic Black, 68.2% were non-Hispanic White, 5.5% were other race and ethnicity, and 8.3% had missing race and ethnicity. Longer visits were more complex (ie, more diagnoses recorded and/or more chronic conditions coded). After controlling for scheduled visit duration and measures of visit complexity, younger, publicly insured, Hispanic, and non-Hispanic Black patients had shorter visits. For each additional minute of visit length, the likelihood that a visit resulted in an inappropriate antibiotic prescription changed by −0.11 percentage points (95% CI, −0.14 to −0.09 percentage points) and the likelihood of opioid and benzodiazepine coprescribing changed by −0.01 percentage points (95% CI, −0.01 to −0.009 percentage points). Visit length had a positive association with potentially inappropriate prescribing among older adults (0.004 percentage points; 95% CI, 0.003-0.006 percentage points).Conclusions and RelevanceIn this cross-sectional study, shorter visit length was associated with a higher likelihood of inappropriate antibiotic prescribing for patients with upper respiratory tract infections and coprescribing of opioids and benzodiazepines for patients with painful conditions. These findings suggest opportunities for additional research and operational improvements to visit scheduling and quality of prescribing decisions in primary care.

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"Women in the Middle" and Family Help to Older People

Cited by 593 publications

References 0 publications

Filial Responsibility Expectations Among Adult Child-Older Parent Pairs

Filial Responsibility Expectations Among Adult Child-Older Parent Pairs

Obituary Listing

Association of Primary Care Visit Length With Potentially Inappropriate Prescribing

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