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Family care-giving and living arrangements of functionally impaired elders in rural China

Published online by Cambridge University Press:  22 December 2015

ROB J. GRUIJTERS
ROB J. GRUIJTERS*
Affiliation:
Berlin Graduate School of Social Sciences, Humboldt-Universität zu Berlin, Germany.
*
Address for correspondence: Rob J. Gruijters, Berlin Graduate School of Social Sciences (BGSS), Humboldt Universität zu Berlin, Luisenstraße 56, 10117 Berlin, Germany E-mail: rob.gruijters@hu-berlin.de
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Abstract

China has seen a rapid decline of the traditional multi-generational household and an increase in rural-to-urban migration, raising concerns about a possible breakdown of the informal support system. Against this background, the paper looks at family care-giving (or the absence thereof) to parents in three different living arrangements: with any child or child-in-law (co-resident); independent with at least one child living in the same community (networked); and without any children in either the household or the community (isolated). It also compares the care-giving arrangements of single elders to those living with a spouse. The sample, which is derived from the comprehensive China Health and Retirement Longitudinal Study (CHARLS), contains data on 887 functionally impaired individuals aged 60 and above. The findings suggest that married parents are mostly cared for by their spouse, even if they co-reside with adult children. Proximity to children is particularly important for single elders, who are more likely to lack a care-giver when living independently. There appears to be a hierarchy in family care responsibilities, where children step in as care-givers only when the spouse is no longer able to fulfil this role. While these findings imply a significant deviation from traditional practices and norms of ‘filial piety’, they can be interpreted as a rational adaptation to the changed economic circumstances in rural China.

Keywords

family careliving arrangementsinter-generational relationsolder peoplerural ChinaChina Health and Retirement Longitudinal Study (CHARLS)
Type
Articles
Information
Ageing & Society , Volume 37 , Issue 3 , March 2017 , pp. 633 - 655
Copyright
Copyright © Cambridge University Press 2015 

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References

Arber, S. 2013. Gender, marital status and intergenerational relations in a changing world. In McDaniel, S. A. and Zimmer, Z. (eds), Global Ageing in the Twenty-first Century. Ashgate, Farnham, UK, 215–34.Google Scholar
Barrientos, A., Gorman, M. and Heslop, A. 2003. Old age poverty in developing countries: contributions and dependence in later life. World Development, 31, 3, 555–70.CrossRefGoogle Scholar
Benjamin, D., Brandt, L. and Rozelle, S. 2000. Aging, wellbeing, and social security in rural northern China. Population and Development Review, 26, supplement, 89–116.Google Scholar
Biao, X. 2007. How far are the left-behind left behind? A preliminary study in rural China. Population, Space and Place, 13, 3, 179–91.CrossRefGoogle Scholar
Biddlecom, A., Chayovan, N. and Ofstedal, M. B. 2002. Intergenerational support and transfers. In Hermalin, A. I. (ed.), The Well-being of the Elderly in Asia: A Four-country Comparative Study. University of Michigan Press, Ann Arbor, Michigan, 185–229.Google Scholar
Cai, F., Giles, J. and Meng, X. 2006. How well do children insure parents against low retirement income? An analysis using survey data from urban China. Journal of Public Economics, 90, 12, 2229–55.Google Scholar
Cai, F., Giles, J., O'Keefe, P. and Wang, D. 2012. The Elderly and Old Age Support in Rural China: Challenges and Prospects. World Bank, Washington DC.Google Scholar
Cantor, M. H. 1979. Neighbors and friends: an overlooked resource in the informal support system. Research on Aging, 1, 4, 434–63.CrossRefGoogle Scholar
Chappell, N. L. 1991. Living arrangements and sources of caregiving. Journal of Gerontology, 46, 1, 1–8.Google Scholar
Chow, J. C. 2011. Exploring the community-based service delivery model: elderly care in China. International Social Work, 54, 3, 374–87.Google Scholar
Cong, Z. and Silverstein, M. 2011. Intergenerational exchange between parents and migrant and nonmigrant sons in rural China. Journal of Marriage and Family, 73, 1, 93–104.CrossRefGoogle Scholar
Croll, E. J. 2006. The intergenerational contract in the changing Asian family. Oxford Development Studies, 34, 4, 473–91.Google Scholar
Du, P. 2013. Intergenerational solidarity and old-age support for the social inclusion of elders in Mainland China: the changing roles of family and government. Ageing & Society, 33, 1, 44–63.CrossRefGoogle Scholar
Du, Y., Park, A. and Wang, S. 2005. Migration and rural poverty in China. Journal of Comparative Economics, 33, 4, 688–709.Google Scholar
Giles, J. and Mu, R. 2007. Elderly parent health and the migration decision of adult children: evidence from rural China. Demography, 44, 2, 265–88.CrossRefGoogle ScholarPubMed
Giles, J., Wang, D. and Zhao, C. 2011. Can China's rural elderly count on support from adult children? Implications of rural-to-urban migration. Journal of Population Ageing, 3, 3/4, 183–204.Google Scholar
Glass, A. P., Gao, Y. and Luo, J. 2013. China: facing a long-term care challenge on an unprecedented scale. Global Public Health: An International Journal for Research, Policy and Practice, 8, 6, 725–38.CrossRefGoogle Scholar
Guo, M., Aranda, M. P. and Silverstein, M. 2009. The impact of out-migration on the inter-generational support and psychological wellbeing of older adults in rural China. Ageing and Society, 29, 7, 1085–1104.Google Scholar
Guo, M., Chi, I. and Silverstein, M. 2009. Intergenerational support of Chinese rural elders with migrant children: do sons’ or daughters’ migrations make a difference? Journal of Gerontological Social Work, 52, 5, 534–54.Google Scholar
Haberkern, K., Schmid, T. and Szydlik, M. 2015. Gender differences in intergenerational care in European welfare states. Ageing & Society, 35, 2, 298–320.Google Scholar
Hermalin, A. I. (ed.) 2002. The Well-being of the Elderly in Asia: A Four-country Comparative Study. University of Michigan Press, Ann Arbor, Michigan.Google Scholar
Hoi, L. V., Thang, P. and Lindholm, L. 2011. Elderly care in daily living in rural Vietnam: need and its socioeconomic determinants. BMC Geriatrics, 11, 81.Google Scholar
Holroyd, E. A. and Mackenzie, A. E. 1995. A review of the historical and social processes contributing to care and caregiving in Chinese families. Journal of Advanced Nursing, 22, 3, 473–9.CrossRefGoogle ScholarPubMed
Ikels, C. 2008. Economic reform and intergenerational relationships in China. In Goodman, R. and Harper, S. (eds), Ageing in Asia. Volume 4, Routledge, London, 14–27.Google Scholar
Knodel, J. and Chayovan, N. 2012. Inter-generational family care for and by older people in Thailand. International Journal of Sociology and Social Policy, 32, 11, 682–94.Google Scholar
Knodel, J. and Ofstedal, M. B. 2002. Patterns and determinants of living arrangements. In Hermalin, A. I. (ed.), The Well-being of the Elderly in Asia: A Four-country Comparative Study. University of Michigan Press, Ann Arbor, Michigan, 143–84.Google Scholar
Korinek, K., Zimmer, Z. and Gu, D. 2011. Transitions in marital status and functional health and patterns of intergenerational coresidence among China's elderly population. Journals of Gerontology: Social Sciences, 66B, 2, 260–70.Google Scholar
Lei, X., Strauss, J., Tian, M. and Zhao, Y. 2011. Living Arrangements of the Elderly in China: Evidence from CHARLS. RAND Labor and Population Working Paper Series, WR-866. Available online at http://www.rand.org/content/dam/rand/pubs/working_papers/2011/RAND_WR866.pdf [Accessed 12 November 2014].CrossRefGoogle Scholar
Litwak, E. and Kulis, S. 1987. Technology, proximity, and measures of kin support. Journal of Marriage and Family, 49, 3, 649–61.Google Scholar
Liu, J. 2014. Ageing, migration and familial support in rural China. Geoforum, 51, 305–12.CrossRefGoogle Scholar
Miller, E. T. 2007. ‘Living independently is good’: residence patterns in rural north China reconsidered. Care Management Journals, 8, 1, 26–32.Google Scholar
National Bureau of Statistics of China 2013. China Statistical Yearbook 2013. China Statistics Press, Beijing.Google Scholar
Peng, R., Wu, B. and Ling, L. 2014. Undermet needs for assistance in personal activities of daily living among community-dwelling oldest old in China from 2005 to 2008. Research on Aging, 37, 2, 148–70.CrossRefGoogle Scholar
Penning, M. J. 1990. Receipt of assistance by elderly people: hierarchical selection and task specificity. The Gerontologist, 30, 2, 220–7.Google Scholar
Silverstein, M., Cong, Z. and Li, S. 2006. Intergenerational transfers and living arrangements of older people in rural China: consequences for psychological well-being. Journals of Gerontology: Social Sciences, 61B, 5, 256–66.CrossRefGoogle Scholar
Silverstein, M. and Litwak, E. 1993. A task-specific typology of intergenerational family structure in later life. The Gerontologist, 33, 2, 258–64.CrossRefGoogle ScholarPubMed
Song, L., Li, S. and Feldman, M. W. 2012. Out-migration of young adults and gender division of intergenerational support in rural China. Research on Aging, 34, 4, 399–424.CrossRefGoogle ScholarPubMed
Thang, L. L. 2010. Intergenerational relations: Asian perspectives. In Dannefer, D. and Phillipson, C. (eds), The Sage Handbook of Social Gerontology. Sage, London, 202–15.Google Scholar
Thøgersen, S. and Anru, N. 2008. ‘He is he, and I am I’: individual and collective among China's rural elderly. European Journal of East Asian Studies, 7, 1, 11–37.CrossRefGoogle Scholar
Uhlenberg, P. 1996. The burden of aging: a theoretical framework for understanding the shifting balance of caregiving and care receiving as cohorts age. The Gerontologist, 36, 6, 761–7.CrossRefGoogle ScholarPubMed
Vlachantoni, A., Shaw, R. J., Evandrou, M. and Falkingham, J. 2013. The determinants of receiving social care in later life in England. Ageing & Society, 35, 2, 321–45.CrossRefGoogle ScholarPubMed
Whyte, M. K. 2003. Introduction. In Whyte, M. K. (ed.), China's Revolutions and Intergenerational Relations. Center for Chinese Studies, University of Michigan, Ann Arbor, Michigan, 3–30.Google Scholar
Whyte, M. K. 2004. Filial obligations in Chinese families: paradoxes of modernization. In Ikels, C. (ed.), Filial Piety: Practice and Discourse in Contemporary East Asia. Stanford University Press, Stanford, California, 106–27.CrossRefGoogle Scholar
Wolff, J. L. and Kasper, J. D. 2006. Caregivers of frail elders: updating a national profile. The Gerontologist, 46, 3, 344–56.CrossRefGoogle ScholarPubMed
Xu, Y. 2001. Family support for old people in rural China. Social Policy & Administration, 35, 3, 307–20.CrossRefGoogle Scholar
Yang, Y. 2010. No way out but working? Income dynamics of young retirees in Korea. Ageing & Society, 31, 2, 265–87.Google Scholar
Yarger, J. and Brauner-Otto, S. R. 2014. Non-family experience and receipt of personal care in Nepal. Ageing & Society, 34, 1, 106–28.Google Scholar
Zhan, H. J. and Montgomery, R. J. V. 2003. Gender and elder care in China: the influence of filial piety and structural constraints. Gender & Society, 17, 2, 209–29.CrossRefGoogle Scholar
Zhang, H. 2004. ‘Living alone’ and the rural elderly: strategy and agency in post Mao rural China. In Ikels, C. (ed.), Filial Piety: Practice and Discourse in Contemporary East Asia. Stanford University Press, Stanford, California, 63–87.Google Scholar
Zhang, Y. and Yeung, W. J. J. 2012. Shifting boundaries of care in Asia: an introduction. International Journal of Sociology and Social Policy, 32, 11, 612–22.CrossRefGoogle Scholar
Zhang, Z., Gu, D. and Luo, Y. 2014. Coresidence with elderly parents in contemporary China: the role of filial piety, reciprocity, socioeconomic resources, and parental needs. Journal of Cross-cultural Gerontology, 29, 3, 259–76.CrossRefGoogle ScholarPubMed
Zhao, Y., Strauss, J., Giles, J., Hu, P. P., Liu, M. and Smith, J. P. 2013. China Health and Retirement Longitudinal Study: 2011–2012 National Baseline Users’ Guide. Available online at http://charls.ccer.edu.cn/uploads/document/2011-charls-wave1/application/CHARLS_nationalbaseline_users_guide.pdf [Accessed 5 January 2015].Google Scholar
Zimmer, Z. 2005. Health and living arrangement transitions among China's oldest old. Research on Aging, 27, 5, 526–55.CrossRefGoogle Scholar
Zimmer, Z. and Korinek, K. 2010. Shifting coresidence near the end of life: comparing decedents and survivors of a follow-up study in China. Demography, 47, 3, 537–54.Google Scholar
Zimmer, Z. and Kwong, J. 2003. Family size and support of older adults in urban and rural China: current effects and future implications. Demography, 40, 1, 23–44.Google Scholar