This study explores the dual caregiving challenges, adaptation strategies and cognitive aging characteristics of China’s “sandwiched young-old new elderly” (aged 60–69, caring for elderly/disabled parents and grandchildren). Via semi-structured interviews, it identifies three core cognitive challenges: fear of health decline under care burdens, anxiety about irreplaceable care responsibilities, and emotional distress from intergenerational cognitive differences. Unlike traditional elders who cope with aging passively, this group adapts actively through health management, restructuring care via community/institutional support, and building multidimensional support networks. The study argues that enhancing scientific understanding of aging, strengthening policy support, and expanding childcare and respite services are key to promoting their positive aging. It provides empirical evidence for understanding their cognitive aging characteristics and practical references for addressing “sandwich care” dilemmas.
- Open Access
- Article
The Challenges and Adaptations of Filial Care and Grandchild Care for the “Sandwiched Young-Old New Elderly”
- Bao-Wen Shao 1,2,
- Shao-Han Zhang 3,
- Yi-Ru Wang 4,
- Meng-Long Xiao 5,6,
- Ke-Teng Huai 1,
- Muhammad Ihsan Rokeman 1,*,
- Yu-Lu Jin 1,*
Author Information
Received: 16 Feb 2026 | Revised: 31 May 2026 | Accepted: 12 Jun 2026 | Published: 30 Jun 2026
Abstract
Keywords
sandwiched young-old new elderly | dual care | concept of filial piety | attitude towards aging
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