The Joint Effect of Poor Physical Function and Childcare on Psychological Distress Among Elderly Latinos

This study is based on the double jeopardy hypothesis that elderly people who have poor physical function and who provide childcare for their families are more likely to experience a greater sense of psychological distress than those with poor physical function who have no childcare responsibilities. We used a sample of 2160 elderly (age 65 or over) Latinos (including Puerto Ricans and those of Mexican, Cuban, or other Latin American origin or descent) from the National Survey of Hispanic Elderly People to test this hypothesis. Regression analysis was used, and the findings confirm that after controlling for age, gender, marital status, and education, the joint effect of physical function and childcare on psychological distress remains statistically significant. We further performed a sub-group analysis, also using regression analysis, to clarify the effect of poor physical function on psychological distress in the sample of those who did provide and those who did not provide childcare. The findings clearly indicate that poor physical functioning has a greater effect on psychological distress in the group who provided childcare than in the group that did not. Implications for intergenerational practice and further research are discussed. (C) 2007 by The Haworth Press, Inc. All rights reserved.