Determinants of primary non-immediate-family caregiving among older adults during illness
| dc.contributor.advisor | Jandoc, Karl Robert L. | |
| dc.contributor.author | Rosana, Karl Dyren M. | |
| dc.contributor.author | Sy, Lorenz A. | |
| dc.date.accessioned | 2026-08-31T07:36:50Z | |
| dc.date.available | 2026-08-31T07:36:50Z | |
| dc.date.issued | 2026-06-08 | |
| dc.description.abstract | As the Philippines transitions toward an aging society with limited formal long-term care services, informal caregiving, particularly by immediate family members, serves as the main source of support for older adults with care needs. However, demographic shifts, particularly high migration rates and increasingly diverse household structures, often constrain the availability of immediate family caregivers, elevating non-immediate-family caregiving (NIMFC) as an alternative form of caregiving. This study finds the determinants of primary reliance on NIMFC among older Filipinos during episodes of illness. Data from the 2018 Longitudinal Study of Ageing and Health in the Philippines (LSAHP) were analyzed using binary logistic regression, guided by the Andersen Behavioral Model of Health Service Utilization, with a sample of 3,057 older adults. The findings show that NIMFC primarily functions as a compensatory mechanism, with reliance on non-immediate-family networks increasing when immediate family support is limited because of demographic factors such as single status, widowhood, or fewer living children. Transnational financial transfers, particularly remittances from children abroad, facilitate the mobilization of NIMFC, while higher household wealth and poor health of potential caregivers decrease the likelihood of receiving NIMFC. Stratified analyses reveal distinct rural-urban patterns: in rural areas, NIMFC is driven predominantly by health needs and community assistance, whereas in urban areas, it is more closely associated with household structure and economic capacity. These findings show that informal care in the Philippines operates through layered networks and that NIMFC is complementary to immediate family caregiving. As demographic and social changes continue to reshape traditional caregiving, policies should recognize and strengthen support for non-immediate-family networks to sustain care for the aging population. | |
| dc.identifier.uri | https://selib.upd.edu.ph/etdir/handle/123456789/5285 | |
| dc.language.iso | en | |
| dc.subject | Non-immediate-family caregiving (NIMFC) | |
| dc.subject | LSAHP | |
| dc.subject | Andersen Behavioral Model | |
| dc.subject | older adults | |
| dc.subject | informal caregiving | |
| dc.subject | Philippines | |
| dc.title | Determinants of primary non-immediate-family caregiving among older adults during illness | |
| dc.type | Thesis |