ArticleAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine2025
Childcare engagement among older adults in Australia and subsequent physical, psychosocial, and behavioral health outcomes.
Article in Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundWhile intergenerational caregiving is increasingly prevalent among older individuals, longitudinal evidence on its associations with multidimensional health outcomes remains limited. PURPOSE: This study examined the associations between childcare engagement in older adults and various health and behavioral outcomes at follow-up.
methodsWe analyzed data from a cohort of >12 000 (range: 12 124-12 896) community-dwelling adults aged 70+ years, categorizing childcare engagement as never, <weekly, and ≥weekly. Using an outcome-wide approach, we assessed 42 outcomes across physical, cognitive/major health events, psychological, social, and behavioral domains. Follow-up assessments occurred at ∼2 years for most outcomes, with extended follow-up (median 6-9 years) for time-to-event outcomes. We performed gender-disaggregated regressions, adjusting for multiple covariates.
resultsParticipants were aged 70-95 years (mean: 75.2 ± 4.3) at baseline, and 54.5% were women. Childcare engagement was more common among women (46% vs. 40%). Key findings included: (1) social domain: both genders showed increased social contacts and community participation, with women additionally demonstrating reduced social isolation; (2) mortality: lower mortality was observed in men with a dose-response pattern, while only <weekly childminding was associated with lower mortality in women; (3) physical domain: men showed increased moderate-to-vigorous physical activity while women had higher pain reports and slower gait speed; and (4) null associations: most psychological outcomes, as well as certain physical and health events, showed no significant relationships.
conclusionChildcare engagement during older adulthood was linked to not only selected health outcomes, including notable social benefits and lower mortality, but also some physical trade-offs in women. These findings support considering intergenerational engagement in healthy ageing initiatives.
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