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Sandwich Generation

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Sandwich Generation
The Sandwich Generation: A Review of the Literature
LeaAnne DeRigne, MSW, PhD, Stephen Ferrante, MSW
ABSTRACT Many Americans balance dual caregiving responsibilities for both children and aging family, dubbed the “sandwich generation.” Between 1 out of 8 and 1 out of 11 households with an adult aged 30 or older is comprised of dual-earner, sandwiched generation couples. There are psychological, physical, employment, and financial outcomes of balancing multiple caregiving duties. The literature shows positive benefits for caregivers too. A review of literature in the past 30 years, citing only U.S.based studies is summarized in this paper. Policy, clinical, and research implications are included. It is possible that multigenerational caregiving responsibilities will continue to rise for the children of baby boomers as life expectancies continue to go up, people continue to have children later in life, and continue to support those children to older ages. Policy and clinical supports must be put into place to facilitate the highly necessary and valuable caregiving responsibilities of this population.

Florida Public Health Review, 2012; 9, 95-104.

Background Many Americans are balancing dual caregiving responsibilities for both children and aging family members. Researchers have named this population the “sandwich generation” because they have both child rearing and aging family member caregiving responsibilities (Miller, 1981). The baby boom generation, between the ages of 45-55 years old, is often the focus of research on this population but it can impact any person of any generation as they balance multiple caregiving roles across generations. Sometimes the caregivers are referred to as the squeezed generation or stretched generation. The real sandwich occurs when people manage the demands of many different responsibilities and roles in their lives including those of parent, caregiver to an elder, and an employee (Keene & Prokos, 2007). Several demographic



References: AARP, (2001). In the middle: A report on multicultural boomers coping with family and aging issues.: Washington, D.C.: Beldon, Russonello & Stewart. Retrieved February 13, 2012 from http://assets.aarp.org/rgcenter/il/in_the_middle.pd f Arno, P. (2006). Economic value of family caregiving 2004. Presented at the Care Coordination and the Caregiver Forum, Department of Veterans Affairs, NIH, Bethesda, MD. Jan 25-27, 2006. Buffardi, L.C., Smith, J. L., O’Brien, A. S. & Erdwins, C. J. (1999). The impact of dependent care responsibility and gender on work attitudes. Journal of Occupational Health Psychology, 4, 356-367. Chapman, N., Ingersoll-Dayton, B. & Neal, M. (1994). Balancing the multiple roles of work and caregiving for children, adults, and elders. In: Keita, G. & Hurrell, J. (Eds.) Job stress in a changing workforce: Investigating gender, diversity and family issues. Washington, D.C.: American Psychological Association, pp. 283-300. Central Intelligence Agency. (2011). The World Fact book: Life Expectancy at Birth. Retrieved September 14, 2011 from https://www.cia.gov/library/publications/theworld-factbook/rankorder/2102rank.html Chassin, L., Macy, J., Seo, D., Presson, C., & Sherman, S. (2010). The association between membership in the sandwich generation and health behaviors: a longitudinal study. Journal of Applied Developmental Psychology, 31, 38-46. Florida Public Health Review, 2012; 9, 95-104. http://health.usf.edu/publichealth/fphr/index.htm Chisolm, J. (1999). The sandwich generation. Journal of Social Distress and the Homeless, 8(3), 177191. Couch, K., Daly, M. & Wolf, D. (1999). Time? Money? Both? Allocation of resources to older parents. Demography, 36(2), 219-232. Cravey, T., & Mitra, A. (2011). Demographics of the sandwich generation by race and ethnicity in the United States. The Journal of Social-Economics, 40, 306-311. Dye, J. (2010). Fertility of American Women: 2008. US Census Bureau: Current Population Reports. Retrieved September 14, 2011 from http://www.census.gov/prod/2010pubs/p20563.pdf England, M., & Tripp-Reimer, T. (2003). Imminent concerns of filial caregivers reporting recent experiences of crisis. International Journal of Aging and Human Development, 56(1), 67-88. Fredickson-Goldsen, K.I., & Farwell, N. (2004). Dual responsibilities among Black, Hispanic, Asian, and White employed caregivers. Journal of Gerontological Social Work, 43, 25-44. Gibson, M., & Houser, A. (2007). Valuing the invaluable: A new look at the economic value of family caregiving. Washington, D.C.: AARP Public Policy Institute. Grundy, E., & Henretta, J. (2006). Between elderly parents and adult children: a new look at the intergenerational care provided by the "sandwich generation.” Ageing & Society, 26, 707-722. Hammer, L., & Neal, M. (2008). Working sandwich-generation caregivers: prevalence, characteristics, and outcomes. The Psychologist-Manager Journal, 11, 93-112. Ingersoll-Dayton, B., Neal, M., & Hammer, L. (2001). Aging parents helping adult children: The experience of the sandwiched generation. Family Relations, 50, 262-271. Keene, J., & Prokos, A. (2007). The sandwiched generation: multiple caregiving responsibilities and the mismatch between actual and preferred work hours. Sociological Spectrum, 27, 365-387. Kent, M. (2011). U.S. Fertility in decline. Population Reference Bureau. Retrieved September 14, 2011 from http://www.prb.org/Articles/2011/usfertility-decline.aspx Loomis, L., & Booth, A. (1995). Multigenerational caregiving and well-being. Journal of Family Issues, 16(2), 131-148. Miller, D. (1981). The ‘sandwich’ generation: adult children of the aging. Social Work, 26(5), 419423. National Family Caregivers Association & Family Caregiver Alliance, (2006) Prevalence, hours and economic value of family caregiving, updated state- 103 by-state analysis of 2004 national estimates. Kensington, MD: Author. National Family Caregivers Association. (2006). The stress of family caregiving: Your health may be at risk. Take Care, Winter, 2003. Retrieved February 13, 2012 from http://www.thefamilycaregiver.org/pdfs/Caregiver Stress.pdf. National Family Caregivers Association. (1998). Caregiving across the life cycle. Retrieved February 13, 2012 from http://www.thefamilycaregiver.org/who_are_famil y_caregivers/caregiving_survey.cfm. Nichols, L., & Junk, V. (1997). The sandwich generation: dependency, proximity, and task assistance needs of parents. Journal of Family & Economic Issues, 18(3), 299-326. Pierret, C. (2006). The ‘sandwich generation’: Women caring for parents and children. Monthly Labor Review, Sept, 3-9. Retrieved February 13, 2012 from http://www.bls.gov/opub/mlr/2006/09/art1full.pd f. Pyke, K., & Bengtson, V. (1996). Caring more or less: Individualistic and collectivist systems of family eldercare. Journal of Marriage and the Family, 58, 379-392. Rogerson, P., & Kim, D. (2005). Population distribution and redistribution of the baby-boom cohort in the United States: Recent trends and implications. Proceedings of the National Academy of Sciences of the United States. Retrieved February 13, 2012 from www.pnas.org/cgi/doi/10.1073/pnas.0507318102. Seaward, M. (1998). The sandwich generation copes with elder care. Benefits Quarterly, 15(2), 41-48. Spillman, B.C., & Pezzin, L.E. (2000). Potential and active family caregivers: changing networks and the ‘sandwich generation.’ The Milbank Quarterly, 78(3), 347-374. Starrels, M., Ingersoll-Dayton, B., Dowler, D., & Neal, M. (1997). The stress of caring for a parent: effects of the elders ' impairment on an employed, adult child. Journal of Marriage and the Family, 59, 860-872. Stephens, M., Franks, M., & Townsend, A. (1994). Stress and rewards in women’s multiple roles: the case of women in the middle. Psychology & Aging, 9(1), 45-52. U.S. Department of Labor, (2010). Women in the labor force: a databook. Retrieved September 14, 2011 from http://www.bls.gov/cps/wlf-databook2010.pdf Voydanoff, P., & Donnelly, B. (1999). Multiple roles and psychological distress: the intersection of the paid worker, spouse, and parent roles with the role of the adult child. Journal of Marriage and Family, 61(3), 725-738. Walter, K. (1996). Elder care obligations: challenge the next generation. HRMagazine, July. Retrieved February 13, 2012 from http://findarticles.com/p/articles/mi_m3495/is_n7 _v41/ai_18581222/ Ward, R., & Spitze, G. (1998). Sandwiched marriages: the implications of child and parent relations for marital quality in midlife. Social Forces, 77(2), 647-666. LeAnne DeRigne (lderigne@fau.edu) is Assistant Professor and Stephen Ferrante (ferrante@fau.edu) is Coordinator of the Aging Academy, School of Social Work, Florida Atlantic University, Boca Raton, FL. This paper was submitted to the FPHR on February 13, 2012, and accepted for publication on April 7, 2012. Copyright 2012 by the Florida Public Health Review. Florida Public Health Review, 2012; 9, 95-104. http://health.usf.edu/publichealth/fphr/index.htm 104

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