The Influence of Culture on the Experiences of Korean, Korean American, and Caucasian-American Family Caregivers of Frail Older Adults: A Literature Review

  • Kong, Eun-Hi (College of Nursing, Seoul National University)
  • Published : 2007.03.31

Abstract

Purpose. The purpose of this review is to explore cultural influences on the experiences of Korean, Korean American, and Caucasian American family caregivers caring for frail older adults in terms of the selection of a primary caregiver, caregiving motivation, support/help-seeking, and negative emotional responses (depression and burden). Methods. Seven electronic databases were searched to retrieve studies from 1966 to 2005. Thirty-two studies were identified. Results. This review supported cultural influences on the selection of primary caregiver, caregiving motivation, and support/help-seeking among the three caregiver groups. In Korean caregivers, the major primary caregivers were daughters-in-law while among Korean American and Caucasian American caregivers, the major primary caregivers were daughters or spouses. As a major caregiving motivation, Caucasian American care¬givers reported filial affection while Korean caregivers and Korean American caregivers reported filial obligation. Korean caregivers reported higher extended family support, while Caucasian American caregivers reported higher utilization of formal support. Korean caregivers showed the highest levels of depression followed by Korean American caregivers and Caucasian American caregivers. Conclusion. In order to develop culturally appropriate interventions and policies, more research is needed to further explain these differences among the three groups, especially regarding support/help-seeking and negative emotional responses.

Keywords

References

  1. Aranda, M. P., & Knight, B. G. (1997). The influence of ethnicity and culture on the caregiver stress and coping process: A sociocultural review and analysis. The Gerontologist, 37(3),342354
  2. Chee, Y. K., & Levkoff, S. E. (2001). Culture and dementia: Accounts by family caregivers and health professionals for dementia- affected elders in South Korea. Journal of Cross Cultural Gerontology, 16(2),111-125 https://doi.org/10.1023/A:1010640527713
  3. Cho, M. (2000). A study on the burden of family caregivers with demented elderly and its suggestions from the perspective of the well-being of family caregivers. Journal of Welfare for the Aged, Fall, 33-65
  4. Choi, H. (1993). Cultural and noncultural factors as determinants of caregiver burden for the impaired elderly in South Korea. The Gerontologist, 33(1), 8-15 https://doi.org/10.1093/geront/33.1.8
  5. Cicirelli, V. G. (1993). Attachment and obligation as daughters' motives for caregiving behavior and subsequent effect on subjective burden. Psychology and Aging,8(2), 144-155 https://doi.org/10.1037/0882-7974.8.2.144
  6. Connell, C. M., & Gibson, G. D. (1997). Racial, ethnic, and cultural differences in dementia caregiving: Review and analysis. The Gerontologist, 37(3), 355-364 https://doi.org/10.1093/geront/37.3.355
  7. Cox, C. (1995). Comparing the experiences of black and white caregivers of dementia patients. Social Work, 40(3),343-349
  8. D' Andrade, R. G. (1992). Schemas and motivation. In R. G. D'Andrade & C. Strauss (Eds.), Human motives and cultural models (pp. 23-44). Cambridge: Cambridge University press
  9. De Munck, V. (2000). Culture, self, and meaning. Illinois:Waveland press
  10. Dilworth-Anderson, P., Williams, I. C., & Gibson, B. E. (2002). Issues of race, ethnicity, and culture in caregiving research: A 20-year review (1980-2000). The Gerontologist, 42(2), 237272
  11. Fredman, L., Daly, M. P., & Lazur, A. M. (1995). Burden among White and Black caregivers to elderly adults. Journal of Gerontology: SOCIAL SCIENCES, 50B(2), S110-S118 https://doi.org/10.1093/geronb/50B.2.S110
  12. Janevic, M. R.,& Connell, C. M. (2001). Racial, ethnic, and cultural differences in the dementia caregiving experience: Recent findings. The Gerontologist, 41(3),334-347 https://doi.org/10.1093/geront/41.3.334
  13. Jung, E. J. (2002). A study about the influence of the social supports on caregiver's burden for the senile dementia patients. Unpublished master's thesis, Sungkyunkwan University
  14. Kim, J. (1992). Korean-American families' care behavior for their frail parents. Unpublished doctoral dissertation, University of Tennessee
  15. Kim, J., & Lee, E. (2003). Cultural and noncultural predictors of health outcomes in Korean daughter and daughter-in-law caregivers. Public Health Nursing, 20(2), 111-119 https://doi.org/10.1046/j.1525-1446.2003.20205.x
  16. Kim, J. H. (1996). Caregiving in the Korean-American family. Unpublished doctoral dissertation, University of Illinois at Chicago
  17. Kim, K. C., Kim, S., & Hurh, W. M. (1991). Filial piety and intergenerational relationship in Korean immigrant families. International Journal of Aging and Human development, 33(3), 233-245 https://doi.org/10.2190/Y91P-UNGR-X5E1-175K
  18. Kim, S. (2003). A qualitative study for primary caregiver's burden of the Korean-American frail elderly. The Gerontologist, 43(Special issues 1), 45 https://doi.org/10.1093/geront/43.1.45
  19. Knight, B. G., Robinson, G. S., Longmire, C. V. F., Chun, M., Nakao, K., & Kim, J. H. (2002). Cross cultural issues in caregiving for persons with dementia: Do familism values reduce burden and distress? Ageing International, 27(3), 70-94 https://doi.org/10.1007/s12126-003-1003-y
  20. Lawton, M. P., Rajagopal, D., Brody, E., Kleban, M. H. (1992). The dynamics of caregiving for a demented elder among Black and White families. Journal of Gerontology: Social Sciences, 47(4), S156-S164 https://doi.org/10.1093/geronj/47.4.S156
  21. Lee, A. (2003). Caregivers' cognition and attitude about the burden of the caring for senile dementia patients. Unpublished master's thesis, Yeungnam University
  22. Lee, H. (2002). Experience of caregiving daughters-in-law in South Korea. Unpublished doctoral dissertation, University of Georgia
  23. Lee, J. (1999). A study on the main supporter's burden of keeping up an old dependent with dementia at home. Unpublished master's thesis, Taegu University
  24. Lee, K. K. (1998). Confucian tradition in the contemporary Korean family. In W. H. Slote & G. A. De Vos (Eds.), Confucianism and the family (pp. 249-266). Albany, N. Y: State University of New York
  25. Lee, S. K. (2003). A study on the relationship between problematic behavior and responsibility as perceivedby the senile dementia's family. Unpublished master's thesis, Chosun University
  26. Lee, E. E., & Farran, C. J. (2004). Depression among Korean, Korean American, and Caucasian American family caregivers. Journal of Transcultural Nursing, 15(1), 18-25 https://doi.org/10.1177/1043659603260010
  27. Lee, H., Kim, S., & You, K. (1997). Learning from other lands: Caring for elderly demented Koreans. Journal of Gerontological Nursing, 23(9), 21-31
  28. Lee, Y., & Sung, K. (1997). Cultural differences in caregiving motivations for demented parents: Korean caregivers versus American caregivers. International Journal of Aging& Human Development, 44(2), 115-127 https://doi.org/10.2190/BLY5-07M1-6VVY-XJMX
  29. Lee, Y., & Sung, K. (1998). Cultural influences on caregiving burden: Cases of Koreans and Americans. International Journal of Aging& Human Development, 46(2), 125-141 https://doi.org/10.2190/PM2C-V93R-NE8H-JWGV
  30. Lewis, M. B., Curtis, M. P., & Lundy, K. S. (1995). 'He calls me his angel of mercy': The experience of caring for elderly parents in the home. Holistic Nursing Practice, 9(4),54-65 https://doi.org/10.1097/00004650-199507000-00008
  31. Lim, S. (2000). The social-welfare desire of demented elderly caregiving family and the social supporting correspondence. Unpublished master's thesis, University of Dong-guk
  32. Shin, S. Y. (1995). Burdenand depression in caregivers of senile dementia patients in Korea. Unpublished doctoral dissertation, Columbia University
  33. Strauss, C., & Quinn, N. (1997). Two properties of culture. In A cognitive theory of cultural meaning (pp. 89-134). Cambridge, UK: Cambridge University Press
  34. Sung, I. S. (1995). A study on the family burdens of the elderly with dementia. Unpublished master's thesis, Sookmyung women's University
  35. Sung, K. (1992). Motivations for parent care: The case of filial children in Korea. International Journal of Aging & Human Development, 34(2), 109-124 https://doi.org/10.2190/R5YX-XMV5-6FKX-14NV
  36. Sung, K. (2001). Family support for the elderly in Korea: Continuity, change, future directions, and cross-cultural concerns. Journal of Aging & Social Policy, 12(4), 65-79
  37. Valle, R., Yamada, A. M., & Barrio, C. (2004). Ethnic differences in social network help-seeking strategies among Latino and EuroAmerican dementia caregivers. Aging & Mental Health, 8(6), 535-543 https://doi.org/10.1080/13607860410001725045
  38. Walker, A. J., Pratt, C. C., Shin, H., & Jones, L. L. (1990). Motives for parental caregiving and relationship quality. Family Relations: Interdisciplinary Journal of Applied Family Studies, 39(1),51-56 https://doi.org/10.2307/584948
  39. Watari, K. F., & Gatz, M. (2004). Pathways to care for Alzheimer's disease among Korean Americans. Cultural Diversity & Ethnic Minority Psychology, 10(1),23-38 https://doi.org/10.1037/1099-9809.10.1.23
  40. Wykle, M., & Segal, M. (1991). A comparison of Black and White family caregivers experience with dementia. Journal of National Black Nurses' Association, 5(1), 29-41
  41. Yong, F., & McCallion, P. (2003). Hwabyung as caregiving stress among Korean-American caregivers of a relative with dementia. Journal of Gerontological Social Work, 42(2),3-19 https://doi.org/10.1300/J083v42n02_02
  42. Youn, G., Knight, B. G., Jeong, H., & Benton, D. (1999). Differences in familism values and caregiving outcomes among Korean, Korean American, and White American dementia caregivers. Psychology & Aging,14(3),355-364 https://doi.org/10.1037/0882-7974.14.3.355
  43. Yu, B. J. (2002). The caregiving practices of Korean-American families: A descriptive study using an ethnographic approach. Unpublished doctoral dissertation, Columbia University