Family care of the elderly in Northeast Thailand: Changing patterns.

Using exchange theory, the effects of the change from a kin-based to a cash-based economic system on family care to the elderly in rural Northeast Thailand are examined. Eighty-nine households from three sites representing three levels of development were analyzed in relation to family and household membership, as well as economic and employment status. In addition, 32 elders from two old age homes were interviewed. This study found that, in general, the more land a household owns, the more likely the traditional pattern of elder caregiving will be maintained. When land is limited, children leave to find employment elsewhere and will try to send money to help their parents as they are able. Poverty plays a major role in the perceived quality of life of these elders.