Evidence map›Paper›PMID 40971679›Full record

ArticleThe journals of gerontology. Series B, Psychological sciences and social sciences2025

Kin to strain: longitudinal impacts of family size on mental health among aging South Africans.

Lawrence Ejike Ugwu, Erhabor Sunday Idemudia

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Article in The journals of gerontology. Series B, Psychological sciences and social sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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3 · Its place in the literature

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1 citing paper in PubMed.

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5 · Who and what money

Authors and funding

2 authors.

Lawrence Ejike UgwuFaculty of Human Sciences, North-West University, Mafikeng, South Africa.ORCID 0000-0001-5335-2905
Erhabor Sunday IdemudiaFaculty of Humanities, North-West University, Mafikeng, South Africa.ORCID 0000-0002-5522-7435

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study examines the longitudinal relationship between the number of children and psychological well-being, specifically depressive symptoms and subjective well-being (SWB), among older adults in rural South Africa. Grounded in life course theory and the family stress model, it explores whether larger family sizes offer protection or constitute psychological stressors in later life, with attention to gender differences.

methodsData were drawn from 3 waves (2014-2015, 2018-2019, and 2021-2022) of the Health and Aging in Africa: A Longitudinal Study of an INDEPTH Community in South Africa, including 2,775 adults aged 60+. Depressive symptoms were assessed with the 8-item for the Center for Epidemiologic Studies-Depression scale; SWB was measured using a single-item life satisfaction scale. Cross-lagged panel structural equation modeling with multigroup analysis by gender-tested reciprocal pathways, adjusting for key sociodemographic covariates.

resultsA higher number of children was significantly associated with increased depressive symptoms (β = 0.14, p = .004) and reduced SWB (β = -0.12, p = .008) over time. Gender-stratified models showed stronger effects among women. Depressive symptoms and SWB exhibited strong temporal stability and reciprocal influence across waves. The model-explained variance was modest (R2 range = 0.002-0.024), suggesting additional, unmeasured factors. DISCUSSION: Contrary to cultural expectations, large families may increase psychological vulnerability in old age, especially for women. We introduce the Intergenerational Support Dissonance framework to explain how unmet expectations of filial support can erode well-being. Findings highlight the need for gender-sensitive aging policies and alternative support systems in sub-Saharan Africa.

Indexed as

AgingDepressionFamily CharacteristicsMental HealthStress, PsychologicalAfrican PeopleAgedAged, 80 and overFemaleHumansLongitudinal StudiesMaleMiddle AgedPersonal SatisfactionRural PopulationSex FactorsCross-lagged SEMFamily stress modelGenderIntergenerational supportLife course theory

Identifiers

PMID40971679
PMCPMC12613251

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LicenceCC BY-NC-ND
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