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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
Only daughters caring for their aging mothers in Ufa, Russia
1Department of Sociology, Case Western Reserve University.
Abstract:
Russia is not the only country in the world that relies heavily on informal caregiving, but what makes Russia unique is the number of single-parent one-child families. With the collapse of the Soviet Union and the transition from state socialism to market capitalism, little has changed in terms of the social protection of older adults. Unaffordable home care services, low pensions, bifurcation of the formerly free healthcare into state and private sectors, the invisibility of people with disabilities, and the absence of quality nursing homes, have left adult children in Russia no choice but to bear the full burden of caregiving for their aging parents completely alone. Given the scarcity of research that examines informal caregiving in Russia in general and in provincial cities in particular, this study addresses this gap by centering on previously unheard voices of a unique group of women: only children of single mothers from Ufa, a metropolitan city in the Ural Mountains. Twenty middle-aged (M = 40.75, SD = 3.43), college-educated women participated in a two-hour, semi-structured interview. Inductive thematic analysis revealed three themes: incongruence with the microenvironment, aging in the "cement box," and distrust of outsiders. The findings suggest material and cultural constraints that female caregivers face as they negotiate the mothers' discordance with the microenvironment of Khrushchev-era apartments.
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