A challenging responsibility - care for older parents in Turkish immigrant families
DOI:
https://doi.org/10.20377/jfr-858Keywords:
Eldercare, Family care, Migration, Intergenerational relations, gender, generationsAbstract
Objective: This article explores care for older immigrants from Turkey, particularly with regard to receiving support from their family in a welfare state such as Denmark.
Background: The first labour migrants to Europe are currently entering old age in growing numbers. While research on the intersection between immigration and aging is expanding, knowledge about how older immigrants receive care is still limited, making this a timely study.
Method: The article draws on interviews with 30 individuals – older parents, children and grandchildren – from 22 families both with and without pressing care needs. Two of the families utilized a Danish care policy where a family member is remunerated by the municipality for carrying out specified care tasks.
Results: The data show that, in many families, both older and younger family members consider providing family care very important. The needs for such provisions are deepened due to the older immigrants’ often limited command of the Danish language, which makes them unable to communicate with Danish care workers. In some families, older members refuse to receive public help, increasing the need for support from their next of kin.
Conclusion: While the existence of large family networks can facilitate provisions of family care through sharing, family responsibilities can also be stressful in a dual-earner society such as Denmark. Primary caretakers are often female, and such women’s engagement in providing family care may lead already vulnerable individuals to become further marginalized in society.
References
Adaman, F., Aslan, D., Erus, B. & Sayan, S. (2018). Long-term care for older people – Turkey. European Social Policy Nework (ESPN). European Commision.
Ahaddour, C., van Den Branden, S., & Broeckaert, B. (2018). “What Goes Around Comes Around”: Attitudes and Practices Regarding Ageing and Care for the Elderly Among Moroccan Muslim Women Living in Antwerp (Belgium). Journal of Religion and Health: 1–27. DOI: https://doi.org/10.1007/s10943-018-0562-x
Akkan, B. (2018). The Politics of Care in Turkey: Sacred Familialism in a Changing Political Context. Social Politics, 25(1): 72–91. DOI: https://doi.org/10.1093/sp/jxx011
Albertini, M., & Mantovani, D. (2021). Older parents and filial support obligations: A comparison of family solidarity norms between native and immigrant populations in Italy. Ageing and Society: 1–32. DOI: https://doi.org/10.1017/S0144686X21000106
Ar, Y., & Karanci, A. N. (2019). Turkish Adult Children as Caregivers of Parents with Alzheimer’s Disease: Perceptions and Caregiving Experiences. Dementia, 18(3): 882–902. DOI: https://doi.org/10.1177/1471301217693400
Aytaç, I. A. 1998. Intergenerational Living Arrangements in Turkey. Journal of Cross-Cultural Gerontology 13: 241-64.
Bauer, E. (2016). Practising kinship care: Children as language brokers in migrant families. Childhood, 23(1): 22–36. DOI: https://doi.org/10.1177/0907568215574917
Baykara-Krumme, H., & Fokkema, T. (2019). The impact of migration on intergenerational solidarity types. Journal of Ethnic and Migration Studies, 45(10): 1707–1727. DOI: https://doi.org/10.1080/1369183X.2018.1485203
Berdai Chaouni, S., & De Donder, L. (2019). Invisible realities: Caring for older Moroccan migrants with dementia in Belgium. Dementia, 18(7–8): 3113–3129. DOI: https://doi.org/10.1177/1471301218768923
Bjerke, K. M. (2020). Transnational Ageing in Place . The Case of Pakistani and Polish migrants in Norway Transnational Ageing in Place. PhD. thesis, University of Bergen.
Brandhorst, R., Baldassar, L., & Wilding, R. (2021). The need for a ‘migration turn’ in aged care policy: a comparative study of Australian and German migration policies and their impact on migrant aged care. Journal of Ethnic and Migration Studies, 47(1): 249–266. DOI: https://doi.org/10.1080/1369183X.2019.1629893
Celik, S. S., Celik, Y., Hikmet, N., & Khan, M. M. (2018). Factors Affecting Life Satisfaction of Older Adults in Turkey. International Journal of Aging and Human Development, 87(4): 392–414. DOI: https://doi.org/10.1177/0091415017740677
Cindoglu, D., Cemrek, M., Toktas, S., & Zencirci, G. (2011). The family in turkey: The battleground of the modern and the traditional. In C. B. Hennon & S. M. Wilson (Eds.), Families in a Global Context (pp. 235–263). Routledge.
Ciobanu, R. O., Fokkema, T., & Nedelcu, M. (2017). Ageing as a migrant: vulnerabilities, agency and policy implications. Journal of Ethnic and Migration Studies, 43(2): 164–181. DOI: https://doi.org/10.1080/1369183X.2016.1238903
Copenhagen Municipality (2015). Integrationspolitik 2015-18 – social mobilitet og sammenhængskraft. Copenhagen. Copenhagen Municipality.
De Tavernier, W., & Draulans, V. (2018). Negotiating informal elder care, migration and exclusion: The case of a Turkish immigrant community in Belgium. International Journal of Ageing and Later Life, 12(2): 89–117.4 DOI: https://doi.org/10.3384/ijal.1652-8670.18404
de Valk, H. A. G., & Schans, D. (2008). “They ought to do this for their parents”: Perceptions of filial obligations among immigrant and Dutch older people. Ageing and Society, 28(1): 49–66. DOI: https://doi.org/10.1017/S0144686X07006307
Denktas, S. (2011). Health and Health Care Use of Elderly Immigrants in the Netherlands – a comparative study. PhD thesis, University of Rotterdam.
DST (2020). “Efterkommere fra ikke-vestlige lande har en højere beskæftigelse end deres forældre”. Danmarks Statistik - Analyse, 27.04.2020.
DST (2021). Indvandrere i Danmark, 2021. Danmarks Statistik.
Eggers, T., Grages, C., Pfau-Effinger, B., & Och, R. (2020). Re-conceptualising the relationship between de-familialisation and familialisation and the implications for gender equality-the case of long-term care policies for older people. Ageing and Society, 40(4): 869–895. DOI: https://doi.org/10.1017/S0144686X18001435
Elder, G. H. (1994). Time , Human Agency , and Social Change: Perspectives on the Life Course. Social Psychology Quarterly, 57(1): 4–15. DOI: https://doi.org/10.2307/2786971
Fine, M. (2015). Cultures of Care, in J. Twigg and W. Martin (eds.): Routledge Handbook of Cultural Gerontology (pp. 269-276). Routledge.
Fokkema, T., & Naderi, R. (2013). Differences in late-life loneliness: A comparison between Turkish and native-born older adults in Germany. European Journal of Ageing, 10(4): 289–300. DOI: https://doi.org/10.1007/s10433-013-0267-7
Fredslund, E. K. (2021). Ældres brug af sundheds- og hjemmeplejeydelser - En registerundersøgelse med fokus på socioøkonomiske faktorer, komorbiditet og psykisk sygdom. VIVE - Det Nationale Forsknings- og Analysecenter for Velfærd.
Frericks, P., Jensen, P. H., & Pfau-Effinger, B. (2014). Social rights and employment rights related to family care: Family care regimes in Europe. Journal of Aging Studies, 29(1): 66–77. DOI: https://doi.org/10.1016/j.jaging.2013.12.002
Giuntoli, G., & Cattan, M. (2012). The experiences and expectations of care and support among older migrants in the UK. European Journal of Social Work, 15(1): 131–147. DOI: https://doi.org/10.1080/13691457.2011.562055
Greenwood, N., & Smith, R. (2019). Motivations for being informal carers of people living with dementia: A systematic review of qualitative literature. BMC Geriatrics, 19(1). DOI: https://doi.org/10.1186/s12877-019-1185-0
Greenwood, N., Habibi, R., Smith, R., & Manthorpe, J. (2015). Barriers to access and minority ethnic carers’ satisfaction with social care services in the community: A systematic review of qualitative and quantitative literature. Health and Social Care in the Community, 23(1): 64–78. DOI: https://doi.org/10.1111/hsc.12116
Gustafsson, B., Mac Innes, H., & Österberg, T. (2019). Older people in Sweden without means: On the importance of age at immigration for being “twice poor.” Ageing and Society, 39(6): 1172–1199. DOI: https://doi.org/10.1017/S0144686X17001398
Haberkern, K., Schmid, T., & Szydlik, M. (2015). Gender differences in intergenerational care in European welfare states. Ageing and Society, 35(2): 298–320. DOI: https://doi.org/10.1017/S0144686X13000639
Hansen, E. B., & Siganos, G. (2009). Ældre danskeres og indvandreres brug af pleje- og omsorgsydelser. AKF - Anvendt Kommunal Forskning.
Hjarnø, J. (1988). Indvandrere fra Tyrkiet i Stockholm og København. Sydjysk Universitetsforlag.
Hochschild, A. R. (1995). The culture of politics: Traditional, postmodern, cold-modern, and warm-modern ideals of care. Social Politics, 2(3): 331–346. DOI: https://doi.org/10.1093/sp/2.3.331
Hovde, B., Hallberg, I. R., & Edberg, A.-K. (2008a). Public Care among Older Non-Nordic Immigrants in Sweden in Comparison with Nordic Born Controls. Nordic Journal of Nursing Research, 28(4): 9–13. DOI: https://doi.org/10.1177/010740830802800403
Hovde, B., Hallberg, I. R., & Edberg, A.-K. (2008b). Older immigrants’ experiences of their life situation in the context of receiving public care in Sweden. International Journal of Older People Nursing, 3(2): 104–112. DOI: https://doi.org/10.1111/j.1748-3743.2007.00097.x
Hsieh, H. F. and Shannon, S. E. (2005). Three approaches to qualitative content ana- lysis. Qualitative Health Research, 15, 9: 1277–88. DOI: https://doi.org/10.1177/1049732305276687
Hunter, A. (2018). Older migrants: Inequalities of ageing from a transnational perspective. In S. Westwood (ed.): Ageing, Diversity and Equality: Social Justice Perspectives (pp. 194–210). Routledge.
Ismail, A. M. (2021). Care in practice: negotiations regarding care for the elderly in multigenerational Arab Muslim families in Denmark. Contemporary Islam, 15(2): 215–232. DOI: https://doi.org/10.1007/s11562-020-00458-8
Jakobsen, V., & Pedersen, P. J. (2017). Poverty risk among older immigrants in a scandinavian welfare state. European Journal of Social Security, 19(3): 242–262. DOI: https://doi.org/10.1177/1388262717725937
Karl, U. & Torres, S. (2016) Ageing in Contexts of Migration. Routledge DOI: https://doi.org/10.4324/9781315817606
Kjær, A. A., & Siren, A. (2020). Formal and informal care: Trajectories of home care use among Danish older adults. Ageing and Society, 40(11): 2495–2518. DOI: https://doi.org/10.1017/S0144686X19000771
Lareau, A. 2003. Unequal Childhood: Class, Race and Family Life. University of California Press.
Liversage, A. (2023a). Care arrangements between family and state – developing hybrid scripts of aging in a context of migration. Ageing and Society (pp. 1–23). DOI: https://doi.org/10.1017/S0144686X23000016
Liversage, A. (2023b, forthcoming). The immigrant old man. In K.Munk, M. Smaerup, K.Maibom & K.P. Frausing (eds.): The old man (pp. 269–289). Aarhus University Press.
Liversage, A. (2019). Generational (dis)agreements-family support, national law and older immigrants in extended households. Ageing and Society, 39(5): 899–923. DOI: https://doi.org/10.1017/S0144686X17001234
Liversage, A. (2017). Twice as many helpers: Unpacking the connection between marriage migration and older labour immigrants’ access to family support. Migration Letters, 14(1): 50–62. DOI: https://doi.org/10.33182/ml.v14i1.315
Liversage, A. and Ismail, A. M. (2022). “Migrant carer-Wives” – between transnational marriages, care work for older husbands and gendered precarity. Nordic Journal of Migration Research, 12(2): 156–173. DOI: https://doi.org/10.33134/njmr.427
Marckmann, B. (2017). All is not relative: intergenerational norms in Europe. European Societies, 19(4): 466–491. DOI: https://doi.org/10.1080/14616696.2017.1290267
Mealor, C. (2020). Barrierer for kvinder med flygtninge- og indvandrerbaggrund på det danske arbejdsmarked. Copenhagen: Kvinfo.
Næss, A., & Moen, B. (2015). Dementia and migration: Pakistani immigrants in the Norwegian welfare state. Ageing and Society, 35(8): 1713–1738. DOI: https://doi.org/10.1017/S0144686X14000488
Næss, A., & Vabø, M. (2014). Negotiating Narratives of Elderly Care: The Case of Pakistani Migration to Norway. Ageing International, 39(1): 13–32. DOI: https://doi.org/10.1007/s12126-012-9147-2
Naldemirci, Ö. (2013). Caring (in) Diaspora – aging and caring experineces of older Turkish migrants in a Swedish context. PhD thesis, University of Gothenburg.
Nielsen, T. R., Waldemar, G., & Nielsen, D. S. (2020). Rotational care practices in minority ethnic families managing dementia: A qualitative study. Dementia. DOI: https://doi.org/10.1177/1471301220914751
Ochiai, E. (2009) Care diamonds and welfare regimes in East and South-East Asian societies: Bridging family and welfare sociology. International Journal of Japanese Sociology, 18(1): 60–78. DOI: https://doi.org/10.1111/j.1475-6781.2009.01117.x
Oxlund, B. (2018). The life course in a migrating world: Hybrid scripts of ageing and imaginaries of care. Advances in Life Course Research, 38(September): 72–79. DOI: https://doi.org/10.1016/j.alcr.2018.08.001
Rostgaard, T., Jacobsen, F., Kröger, T., & Peterson, E. (2022). Revisiting the Nordic long-term care model for older people—still equal? Special issue EJA, edited by Fritzell, Jylhä and Rostgaard. European Journal of Ageing, 19(2): 201–210. DOI: https://doi.org/10.1007/s10433-022-00703-4
Rytter, M. (2022). Professor: Sådan kan ordningen med selvudpegede hjælpere forbedres. Altinget, 08.03, 2022.
Rytter, M., Sparre, S.L., Ismail, A.M. & Liversage, A. (2021). Minoritetsældre og selvudpegede hjælpere – kommunal velfærd og omsorg i forandring. Aarhus University Press.
Schans, D., & Komter, A. (2010). Ethnic differences in intergenerational solidarity in the Netherlands. Journal of Aging Studies, 24(3): 194–203. DOI: https://doi.org/10.1016/j.jaging.2008.10.007
Şenol, D., & Erdem, S. (2017). Yaşlilik Ve Yaşli KadinlardaHuzurevi̇ Algisi: Ni̇tel Bi̇r Çalişma. Kırıkkale Üniversitesi Sosyal Bilimler Dergisi, 7(2): 31–50.
Songur, W. (2019). Older migrants’ use of elderly care in Sweden: family affects choice between home help services and special housing. European Journal of Social Work, 24(3): 1–11. DOI: https://doi.org/10.1080/13691457.2019.1639628
Sparre, S. L. (2021). Gendered care, empathy and un/doing difference in the Danish welfare state: care managers approaching female caregivers of older immigrants. NORA - Nordic Journal of Feminist and Gender Research, 29(4): 248–260. DOI: https://doi.org/10.1080/08038740.2021.1978541
Sparre, S. L., & Rytter, M. (2021). Between care and contract: Aging muslim immigrants, self-appointed helpers and ambiguous belonging in the Danish Welfare state. Anthropology and Aging, 42(1): 112–128. DOI: https://doi.org/10.5195/aa.2021.279
Spasova, S., Baeten, R., & Vanhercke, B. (2018). Challenges in long-term care in Europe. Eurohealth, 24(4): 7–12.
Stroh, E., Axmon, A., Lethin, C., Carlsson, G., Malmgren Fänge, A., & Mattisson, K. (2022). Impact of Sociodemographic Factors on Use of Formal Social Services in an Older Swedish Population. International Journal of Environmental Research and Public Health, 19(19). DOI: https://doi.org/10.3390/ijerph191912526
Turkstat (2022). https://data.tuik.gov.tr/Bulten/Index?p=Istatistiklerle-Kadin-2021-45635&dil=2. [Retrieved November 24, 2022]
van Mol, C., & de Valk, H.A.G. (2016), “Migration and Immigrants in Europe: A Historical and Demographic Perspective”, in B. Garcés-Mascareñas and R. Penninx (eds.), Integration Processes and Policies in Europe: Contexts, Levels and Actors, (pp. 31–55). Dordrecht: Springer. DOI: https://doi.org/10.1007/978-3-319-21674-4_3
van Tilburg, T. G., & Fokkema, T. (2020). Stronger feelings of loneliness among Moroccan and Turkish older adults in the Netherlands: in search for an explanation. European Journal of Ageing. DOI: https://doi.org/10.1007/s10433-020-00562-x
van Wezel, N., Francke, A. L., Kayan-Acun, E., LJM Devillé, W., van Grondelle, N. J., & Blom, M. M. (2016). Family care for immigrants with dementia: The perspectives of female family carers living in the Netherlands. Dementia, 15(1): 69–84. DOI: https://doi.org/10.1177/1471301213517703
World Bank (2022): Fertility rate, total (births per woman) - Turkiye | Data (worldbank.org).
WVS (2022), World Value Survey, WVS Database (worldvaluessurvey.org).
Yavuz, S. (2009). Family Formation and Household Types in Turkey. Workshop at the Max Planck Institute for Demographic Research, 5th of May, 2009.
Yazici, B. (2012). The return to the family: welfare, state and politics of the family in Turkey. Anthropological Quarterly2, 85(1): 103–140. DOI: https://doi.org/10.1353/anq.2012.0013
