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98 (95% confidence interval [CI] 0.89-1.08) and 1.04 (95% CI 0.85-1.27) observed from fixed-effects and three-year follow-up models, respectively, contrary to 0.86 (95% CI 0.81-0.91) of the pooled cross-sectional model. Similar patterns were observed for self-rated health for grandmothers, while grandfathers' health outcomes were not sensitive to grandchild care. These results contrasted with those of caring for parents, which had almost consistently a negative association with grandparents' health. The results suggest that caring for gr