2024, Number 26
<< Back Next >>
CuidArte 2024; 13 (26)
Implications of caring for grandchildren in vulnerable and critical contexts on the health of their grandmothers
Bastidas EAM
Language: Spanish
References: 24
Page:
PDF size: 322.71 Kb.
ABSTRACT
Introduction. The current socio-economic changes have resulted in an increase in the responsibility of
grandmothers for the care of their grandchildren, which may have a negative impact on their health.
Objective.
To describe the implications of caring for grandchildren in vulnerable critical contexts on the health of
grandmothers in Cali, Colombia (communes 13 and 14).
Methodology. A focused ethnographic methodology
was employed, whereby 11 grandmothers caring for grandchildren aged 0 to 6 years participated for a period of
9 months. In addition to the collection of data through participant observation and semi-structured interviews,
a field diary was maintained.
Results. The findings reveal four cultural themes that exert a significant influence
on the daily lives of these grandmothers. These are the grandmother’s personal history, the role of unpaid
domestic work, the nature of the family context and the impact of responsibilities on the grandmother’s health.
Conclusion. The care of grandchildren in critical or vulnerable environments has been identified as a significant
social determinant of the health of the grandmothers in question. Poverty, insecurity and violence have
permeated beyond the boundaries of the household, resulting in grandmothers being subjected to heightened
levels of stress. The loss of their right to participate in household decision-making can result in a sense of
marginalization. It is imperative that nursing addresses this issue by formulating targeted improvement
plans, such as parenting education programs. Consequently, efficacious strategies can be implemented
to promote the health and well-being of grandmother caregivers in these challenging environments.
REFERENCES
Dare J, Wilkinson C, Karthigesu SP, Coall DA, Marquis R. Keeping the family: A socio-ecological perspective on the challenges ofchild removal and reunification for mothers who have experienced substance-related harms. Child Youth Serv Rev [Internet]. 2023;145(November 2022). Available from: https://doi.org/10.1016/j.childyouth.2022.106772
Murray C, Bain L, Drake P, Avery D. Stepping Up and Stepping In: Exploring the Role of Nurses in Supporting GrandparentsRaising Grandchildren. J Fam Nurs. 2022 [ citado 2023 Nov 12];28(4):341–52. http://dx.doi.org/10.1177/10748407221124854
Chambers SA, Dobbie F, Radley A, Rowa-Dewar N. Grandmothers’ care practices in areas of high deprivation of Scotland: thepotential for health promotion. Health Promot Int. 2022 [cited 2023 Nov 10];37(2). http://dx.doi.org/ 10.1093/heapro/daab104
Dolbin-MacNab ML, Yancura LA. International Perspectives on Grandparents Raising Grandchildren: Contextual Considerationsfor Advancing Global Discourse. Int J Aging Hum Dev. 2018[cited 2019 Jun 24];86(1):3–33. https://bit.ly/3B931pp
CEPAL. Desarrollo Social Inclusivo. Cepal [Internet]. 2015;304. Available from: https://bit.ly/3DikOgE
Departamento Administrativo de Planeación Municipal. Alcaldía de Santiago de Cali. Cali en cifras 2018 - 2019. 2019[citado2020 May 5]. Departamento Administrativo de Planeación Municipal 2019
Ezquerra S. De la Economía Feminista a la democratización de los cuidados. Viento sur. 2018 [citado 2023 Nov 12];39–47.Available from: https://bitly.ws/358N7
Profamily, National Ministry of Health and Social Protection (Colombia). Colombia Demographic and Health Survey 2015 -Final Report, part I. 2015[cited 2019 Jun 20];1–430. Available from: https://bit.ly/3B60g8m
ONU- Comité para la Eliminación de la Discriminación Contra la Mujer (CEDAW). (2019). Colombia: Observaciones finalessobre el noveno informe periódico de Colombia, 14 marzo 2019, disponible en: https://bit.ly/3BycyYC
Congreso de la República de Colombia. Ley de la infancia y la adolescencia.pdf. 2006[ citado 2020 May 2]. Disponible en:https://bit.ly/3eIsYoh
Spradley, J. Participant observation. Illinois, USA: Waveland Press; 1980.
Streubert, HJ. Qualitative Research in Nursing: Advancing the Humanistic Imperative. 5 ed. Philadelphia, USA: Wolters KluwerLippicott Williams & Wilkins; 2011. p. 167-194
Creswell, J. Qualitative ijquiry & Research Design. Choosing Among Five Approaches. Third ed. Los Angeles, United states:SAGE; 2013. p. 232-234
Lincoln YS y Guba EC. Ethnography and Particiant Observation: Paul Atkinson y Martyn Hammersley. In: SAGE, editor.Naturalistic inquiry. Beverly Hills; 1985. p. 250–61.
Castillo, E., & Vásquez, M. l. El rigor en la Investigación Cualitativa. Colombia Médica. (1999); 24 (5), 164-167. Disponible en:https://bit.ly/3quUTKW
Posada Zapata IC, Mendoza Ríos A, Orozco Giraldo IC, Restrepo Correa C, Cano Bedoya SM. Roles de género y salud en mujeresdesplazadas por la violencia en Medellín, 2013-2014. Rev cienc salud [Internet]. 2017;15(2):189–201. Available from: https://revistas.urosario.edu.co/index.php/revsalud/article/view/5754/3796
Derlan CL, Umaña-Taylor AJ, Updegraff KA, Jahromi LB. Mother–Grandmother and Mother–Father Coparenting Across TimeAmong Mexican-Origin Adolescent Mothers and Their Families. J Marriage Fam. 2018[cited 2019 Apr 16];80(2):349–66. https://doi.org/10.1111/jomf.12462
Polvere L, Barnes C, Lee E. Housing needs of grandparent caregivers: grandparent, youth, and professional perspectives. JGerontol Soc Work [cited 2023 Nov 12]. 2018;61(5):549–66. Available from: https://doi.org/10.1080/01634372.2018.1454566
Wang X, Gao L, Guo C, Hu Y, Zhang X, Yao Z, et al. Childcare burden and psychological distress among elderly people involvedin grandparenting: A study on local and migrant grandparents in Hangzhou, China. Heal Soc Care Community. 2022;30(6):e4479–91.
Osorio-Pérez V, Jiménez-Torrado C. Historias tras las cortinas. El trabajo doméstico en Colombia: Entre transacciones,incertidumbres y resistencias [Internet]. 2019. 212 p. Available from: https://drive.google.com/file/d/1jGDqxHiVq26iMyX0uLCwzf4eGYqsIoAl/view%0Ahttps://www.ens.org.co/wp-content/uploads/2019/03/TRA_DOM_2019.pdf
Du Preez J, Richmond J, Marquis R. Issues affecting Australian grandparents who are primary caregivers of grandchildren: areview. J Fam Stud. 2017[cited 2020 Jul 16];23(1):142–59. http://dx.doi.org/ 10.1080/13229400.2015.1086406
Chung S, Park A. The longitudinal effects of grandchild care on depressive symptoms and physical health of grandmothers inSouth Korea: a latent growth approach. Aging Ment Heal [Internet]. 2017[cited 2018 Apr 11];7863:1–8. Available from: https://doi.org/10.1080/13607863.2017.1376312
Liu Y, Hughes MC, Roberto KA, Savla J. Physical and mental health of family caregivers of older parents and grandchildren inChina. Aging Heal Res. 2022;2(1). Available from: https://doi.org/100052. 10.1016/j.ahr.2021.100052
DANE. Encuesta Nacional del Uso del tiempo Libre. 2022;1–38. Available from: https://bitly.ws/358By