Native Hawaiian Grandparents: Exploring Benefits and Challenges in the Caregiving Experience
Abstract
Background: Increasingly, U.S. grandparents are raising their grandchildren. In Hawai‘i, 12% of Native Hawaiian grandparents live with grandchildren, compared to 7% of grandparents in all races combined in the state, and to 3.6% of grandparents in the total U.S. Although strong family-centric cultural values may provide Native Hawaiian grandparents with caregiving benefits, a generally poor health profile suggests they may also face challenges in this role. In this study, we talked to Native Hawaiian grandparents raising grandchildren (GRG) about the benefits and challenges of their caregiving experiences. Method: Three focus groups were conducted with Native Hawaiian grandparents (n=33) in Hawai‘i who were 55 years of age or older and caregivers to their grandchildren. Findings: The most prevalent themes voiced by grandparents spoke of the benefits of being a grandparent caregiver (the greatest being the experience of mutual, unconditional love) and the enjoyment of passing on “life lessons” to their grandchildren. Grandparents identified concrete examples of what they provided to grandchildren and also spoke of their role in transmission of Native Hawaiian cultural values, practices, and stories to their grandchildren. A number of challenges pertaining to grandparent caregiving were identified along with needed services—respite care, financial assistance, children’s programs, and information on grandparent legal rights. Despite these challenges, grandparents preferred to seek help from extended family rather than from formal supports. Our results support previous research on a number of universal GRG needs and services (i.e., legal rights of GRG) but also suggest potential directions to meeting the needs of Native Hawaiian GRG that are responsive to indigenous cultural values and preferences. Given the number of unmet needs expressed, further research is needed to design interventions for this population of grandparents raising grandchildren.
References
Administration on Aging (AOA). (2011). Honor your grandparents on September 12 - national grandparents day. Retrieved from http://www.aoa.gov/AoAroot/ Press_Room/Social_Media/Widget/Statistical_Profile/2010/8.aspx
Administration on Aging (AoA) (2014). Profile of older Americans. Washington, D.C.
American Association of Retired Persons (AARP). (2012). Retrieved from, http://www.aarp.org/relationships/friends-family/info-08-2011/grandfamilies- guide-getting-started.html
Baldock, E. (2007). Grandparents raising grandchildren because of alcohol and other drug issues. Family Matters, 76, 70-74.
Braun, K. L., Browne, C. V., Ka`opua, L. S., Kim, B. J., & Mokuau, N. (2013). Research on indigenous elders: From positivistic to decolonizing methodologies.
The Gerontologist. Advance online publication. doi:10.1093/geront/gnt067
Burnette, D. (1997). Grandparents raising grandchildren in the inner city. Families in Society, 78, 489-499.
Burnette, D. (1999). Social relationships of Latino grandparent caregivers: A role theory perspective. The Gerontologist, 39, 49-58.
Conner, S. (2006). Grandparents raising grandchildren: Formation, disruption and intergenerational transmission of attachment. Australian Social Work, 59(2),
-184.
Cox, C., Brooks, L. R., & Valcarcel, C. (2000). Culture and caregiving: A study of Latino grandparents. In C. Cox (Ed.), To grandmother’s house we go and stay: Perspectives on custodial grandparents. New York, NY: Springer.
Crabtree B. F., & Miller W. L. (1999). Doing qualitative research (2nd ed.). Thousand Oaks, CA: Sage.
Cross, S., Day, A., & Byers, L. (2010). American Indian grand families: A qualitative study conducted with grandmothers and grandfathers who provide sole care for their grandchildren. Journal of Cross-Cultural Gerontology, 25, 371-383.
Dilworth-Anderson, P., Brummett, B. H., Goodwin, P., Williams, S. W., Williams, R. B., & Siegler, I. C. (2005). Effect of race on cultural justifications for caregiving. Journals of Gerontology, Series B, 60, S257-S262.
Downie, J. M., Hay, D. A., Horner, B. J., Wichman, H., & Hislop, A. L. (2010). Children living with their grandparents: Resilience and wellbeing. International Journal of Social Welfare, 19(1), 8-22.
Dunne, E. G., & Kettler, L. J. (2008). Grandparents raising grandchildren in Australia: Exploring psychological health and grandparents’ experience of providing kinship care. International Journal of Social Welfare, 17(4), 333-345. Executive Office on Aging (EOA), State of Hawai‘i Department of Health. (2006). Profile of Hawai‘i’s older adults and their caregivers. Honolulu, HI.
Fuller-Thompson, E. (2009, March). The rich ethnic and racial diversity of grandparent caregivers: Portraits in resilience. 2nd Symposium on Grandparents raising grandchildren. National Center on Grandparents Raising Grandchildren, Atlanta, GA.
Fuller-Thompson, E., & Minkler, M. (2007a). Central American grandparents raising grandchildren. Hispanic Journal of Behavioral Science, 29(1), 5-18.
Fuller Thompson, E., & Minkler, M. (2007b). Mexican American grandparents raising grandchildren. Findings from the 2000 American Community Survey. Families in Society, 88(4), 567-574.
Generations United. (2006). Grandfamilies: Subsidized guardianship programs: Fact Sheet. Retrieved from http://www.gu.org/LinkClick.aspx?fileticket=0AR_ sGSq7uI%3D&tabid=157&mid=606
Gidden B, Ka‘opua LSI, & Tomaszewski EP (2015). HIV/AIDS case management. In K Corocoran & AR Roberts (Edi), Social Worker’s Desk Reference, Third Edition (pp. 859-65). New York: Oxford University Press.
Handy, E. S. C., & Puku‘i, M. K. (1998). The Polynesian family system in Ka‘u, Hawai‘i. Honolulu, HI: Mutual.
Harris, M. S., & Skyles, A. (2008). Kinship care for African American children: Disproportionate and disadvantaged. Journal of Family Issues, 29(8), 1013-1030.
Hayslip, B., & Kaminski, P. (2005). Grandparents raising their grandchildren. In R. K. Caputo (Ed.), Challenges of aging in U.S. families: Policy and practice implications. Binghamton, NY: Haworth Press.
Kaholokula, J. K., Iwane, M. K., & Nacapoy, A. H. (2010). Effects of perceived racism and acculturation on hypertension in Native Hawaiians. Hawaii Medical Journal, 69, 11-15. Retrieved from http://www.ncbi.nlm.nih.gov/ pubmed/20544603
Ka‘opua, L. S., Braun, K., Browne, C. V., Mokuau, N., & Park, C. B. (2011). Why are native Hawaiians underrepresented in Hawai‘i’s older adult population? Exploring social and behavioral factors of longevity. Journal of Aging Research. doi:10.4061/2011/701232.
Ka‘opua, L. S., Diaz, T., Park, S., Bowen, T., Patrick, K., Tamang, S., & Braun, K. (2014). Colorectal cancer screening at the nexus of HIV, minority statuses, and cultural safety. American Journal of Health Education, 45(1), 42–51. doi:10.1080 /19325037.2013.853002
Ka‘opua LS & Linsk NL (2007). Addressing challenges of adherence to HIV medications for social services. Journal of HIV/AIDS & Social Services, 6(1-2), p.1-8.
Kataoka-Yahiro, M., Ceria, C., & Caulfield, R. (2004). Grandparent caregiving role in ethnically diverse families. Journal of Pediatric Nursing, 19, 315-328.
Kelly, S. J., Whitley, D. M., & Campos, P. E. (2010). Grandmothers raising grandchildren: Results of an Intervention to Improve Health Outcomes.
Journal of Nursing Scholarship, 42(4), 379-386.
Kinship Care Navigators. Retrieved September 15, 2013 from: http://www.grandfamilies.org/KinshipNavigatorPrograms
Mau, M., Kaholokula, J. K., West, M. R., Leake, A., Efird, J. T., Rose, C. Gomes, H. (2010). Translating diabetes prevention into Native Hawaiian and Pacific Islander communities: The PILI ‘Ohana pilot project. Progress in Community Health Partnership, 4(1), 7-16.
McCubbin, L. D. (2006). The role of indigenous family ethnic schema on well- being among Native Hawaiian families. Contemporary Nurse: A Journal for the Australian Nursing Profession, 23(2), 170-180.
McGlone, K. L. (2009). Raised hanai: Recollections of Hawaiian adults. (Unpublished doctoral dissertation). University of Hawai‘i at Mānoa, Honolulu, HI.
McGregor, D. P. (2007). Nā Kua‘āina: Living Hawaiian culture. Honolulu, HI: University of Hawaii Press.Minkler, M., & Fuller-
Thompson, E. (2005). African American grandparents raising grandchildren: A national study using the Census 2000 American Community Survey. Journals of Gerontology, Series B, 60, S82-92.
Mokuau, N. (2011). Cultural solutions to preserve health of Native Hawaiians. Journal of Ethnic and Cultural Diversity in Social Work, 20(2), 98-113.
Mokuau, N., Braun, K., Daniggelis, E. (2012). Building capacity for Native Hawaiian women with breast cancer. Health and Social Work, 37(4), 216-224.
Mokuau, N., & Browne, C. (1994). Life themes of Native Hawaiian female elders: Resources for cultural preservation. Social Work, 39(1), 43-49.
Neely-Barnes, S. L., Graft, J. C., & Washington, G. (2010). The Health-related quality of life of custodial grandparents. Health and Social Work, 35(2), 87-97.
Pope, C., Ziebland, S., & Mays, N. (2000). Analyzing qualitative data. British Medical Journal, 320(7227), 114-116. PMCID: PMC1117368
Puku‘i, M. K., & Elbert, S. (1986). Hawaiian Dictionary: Hawaiian-English English-Hawaiian (Rev. ed). Honolulu, HI: University of Hawai`i Press.
Rezentes, W. C. (1996). Ka Lama Kukui: Hawaiian psychology. Honolulu, HI: ‘A‘ali‘i Books.
Simmons, T., & Dye, J. L. (2003). Grandparents living with grandchildren 2000. Washington, DC: U.S. Census Bureau.
Thomas, J. L., Sperry, L., & Yarbrough, M. S. (2000). Grandparents as parents: Research findings and policy recommendations. Child Psychiatry and Human Development, 31(1), 3-22.
US Census, Hawaii FactFinder (2011). https://www.census.gov/cic/data_links/ native_hawaiian_and_other_pacific_islander_data_links.html
Watkins, J. (2006). Grandparents raising grandchildren because of alcohol and other drug issues. The Journal of the Association for Library Service to Children, 4(1), 12-14.
Yancura, L. (2007). Needs assessment of grandparents raising grandchildren in Hawai‘i, final report. Honolulu, HI: State of Hawai‘i Department of Health Executive Office on Aging.
Yancura, L. (2009). A report on respite services for grandparents raising grandchildren in Hawai‘i. Honolulu, HI: State of Hawai‘i Department of Health Executive Office on Aging.
Yancura, L. (2012). Justifications for caregiving in White, Asian American, and Native Hawaiian grandparents raising grandchildren. The Journals of Gerontology, Series B, 68(1), 139-144. doi:10.1093/geronb.gbs098.
Young, B. (1980). The Hawaiians. In J. F. McDermott, W. Tseng, & T. W. Maretzki (Eds.), People and Cultures of Hawai‘i. Honolulu, HI: John A. Burns School of Medicine and the University Press of Hawai‘i.