Dr. LAM GigiProf. TANG So Kum, CatherineCatherineProf. TANG So KumDr. CHOW Tak Sang, JasonJasonDr. CHOW Tak Sang2026-01-282026-01-282026Frontiers in Public Health, 2026, vol.13, article no. 1730220.2296-2565http://hdl.handle.net/20.500.11861/26643Open access<jats:sec> <jats:title>Introduction</jats:title> <jats:p>The sandwich generation refers to individuals who simultaneously care for children and parents or grandparents. This study explores how they utilize social capital at various levels to manage their responsibilities.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods</jats:title> <jats:p>Ten participants, aged 35–50, who care for both children and older family members, were interviewed. The data was analyzed thematically and deductively coded based on bonding, bridging, and linking social capital.</jats:p> </jats:sec> <jats:sec> <jats:title>Results</jats:title> <jats:p>The study found that the sandwich generation faces time management issues, physical exhaustion, stress, and caregiver burnout. The findings revealed that significant support comes from parents, in-laws, and maids, while broader support from siblings, peers, and neighborhoods is limited. Religious groups were identified as a key source of emotional and spiritual support. Participants valued pre-nursery and kindergarten services but expressed concerns about the government’s unequal allocation of childcare and long-term care resources. The key role of family over government support reflects traditional Chinese family values and social policies.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusion</jats:title> <jats:p>The study concludes with recommendations for future research and policy development.</jats:p> </jats:sec>enCaregiver BurnoutSandwich GenerationSocial CapitalSocial Capital TheoryStressMiddle-aged sandwich generation: The utilization of social capital in coping with the caring demands and threats to mental healthPeer Reviewed Journal Article10.3389/fpubh.2025.1730220