Table 1.
Concept | Life Course Perspective | Derived Concept | Examples in the Mexican-American Caregiving Trajectory |
---|---|---|---|
Trajectory | Health, social, and other trajectories in one’s life tend to develop together in consistent ways that reinforce each other and remain stable over time. | Caregiving trajectory | The caregiving trajectory for Mexican American families, although underresearched, should unfold over time in ways consistent with the social trajectory already established with relatives and friends. |
Transitions | Transitions are significant changes in social roles or in responsibilities of an existing role, often accommodated into a trajectory as a gradual change. | Caregiving transitions | Case in point: When abuelita (little grandmother) grows increasingly confused, adult children adjust by altering their work hours so that someone is always home to act as caregiver. |
Turning points | Transitions may be of sufficient magnitude to cause a break in the life course trajectory: life takes a fateful turn. | Reckoning points | Caregivers, many of whom work outside the home, may come to a “reckoning point” where they accept responsibility for caring for an aging or disabled parent because there is no one else to do it. |
Timing of life events | Health is affected by accumulated disadvantage in the interaction between early-life and later-life social, behavioral, and environmental factors. | Timing of caregiving | Many older adults who emigrated, worked in low-paying jobs, and had little health care are more disabled at younger ages than Anglos yet continue to be cared for at home. |
Adaptive strategies | Adaptive strategies are templates that guide the interaction between the context and culture of a group and the conscious decisions that one makes to adjust to external events. | Caregiving strategies | The need for reciprocity for their own caregiving as children compels commitment to caregiving of elders, even though privacy and family life with a spouse and children may be compromised. |
Cultural and contextual influences | Cultural and contextual influences in childhood and adolescence affect adaptive strategies and health across the lifespan. | Caregiving in la familia | Age, gender, spirituality, and socioeconomic status shape the caregiving trajectory through social norms or expectations for behavior in la familia. |
Source: Adapted from Wethington (2005).