Care Needs and Arrangements of Aging Immigrants in the United States

J Aging Health. 2023 Mar;35(3-4):191-208. doi: 10.1177/08982643221120701. Epub 2022 Aug 16.

Abstract

Objectives: To examine the need for and arrangements pertaining to personal care assistance among individuals 65 and older, and how life stage at migration impacts nativity differences in aging-related care.

Methods: Using data from the Survey of Income and Program Participation (2001, 2004, and 2008), I examine the odds of needing care assistance, who provides care assistance, and the duration of time care assistance is needed, comparing U.S.-born individuals to migrants who arrived before age 50 ("earlier-life migrants") and those who arrived after age 50 ("later-life migrants").

Results: While earlier-life migrants showed similar patterns to U.S.-born, later-life migrants showed higher care needs, were more likely to receive care from an adult child, and were particularly likely to need care for longer durations compared to U.S.-born.

Discussion: Aging later-life migrants have strikingly distinct care needs and arrangements, with implications for individual and family well-being, especially considering their barriers to public support.

Keywords: aging; caregiving; families; lifecourse; migration; socioeconomic status.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Aging
  • Caregivers
  • Emigrants and Immigrants*
  • Humans
  • Surveys and Questionnaires
  • Transients and Migrants*
  • United States