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Parenthood and depression: is childlessness similar to sonlessness among Chinese seniors?

Published online by Cambridge University Press:  22 June 2017

MAJA DJUNDEVA ,
TOM EMERY  and
PEARL A. DYKSTRA
MAJA DJUNDEVA*
Affiliation:
Department of Public Administration and Sociology, Erasmus University, Rotterdam, The Netherlands.
TOM EMERY
Affiliation:
Department of Public Administration and Sociology, Erasmus University, Rotterdam, The Netherlands. Netherlands Interdisciplinary Demographic Institute, The Hague, The Netherlands.
PEARL A. DYKSTRA
Affiliation:
Department of Public Administration and Sociology, Erasmus University, Rotterdam, The Netherlands.
*
Address for correspondence: Maja Djundeva, Department of Public Administration and Sociology, Erasmus University Rotterdam, 3062 PA Rotterdam, The Netherlands E-mail: djundeva@fsw.eur.nl
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Abstract

We investigate how the mental health of older adults (60–85) is associated with childlessness and sonlessness in China, where gender-biased filial expectations and strong son preference exist. The China Family Panel Study (2012, N = 6,021) and ordinary least squares regression models are used to investigate the relationship between depression (Center for Epidemiologic Studies – Depression scale) and parental status, distinguishing between childless, parents of both sons and daughters, parents of only sons and parents of only daughters. Arguing that modernisation shapes gender preferences for children as well as formal care and pension provisions for older adults, we find a sharp rural–urban divide in the relationship between parental status and depression. Just having a son is not what matters as the best faring groups are parents who have both sons and daughters, regardless of the number of children. Rural childless and sonless are similar, whereas in urban areas parental status is not so salient, supporting modernisation theory.

Keywords

Chinasonlessnessintergenerational relationsdepressionmental healthparenthood
Type
Article
Information
Ageing & Society , Volume 38 , Issue 10 , October 2018 , pp. 2097 - 2121
Copyright
Copyright © Cambridge University Press 2017 

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References

Arnold, F. and Kuo, E. C. Y. 1984. The value of daughters and sons: a comparative study of the gender preferences of parents. Journal of Comparative Family Studies, 15, 2, 299–318.Google Scholar
Arnold, F. and Zhaoxiang, L. 1986. Sex preference, fertility, and family planning in China. Population and Development Review, 12, 2, 221–46.Google Scholar
Bian, F., Logan, J. R. and Bian, Y. 1998. Intergenerational relations in urban China: proximity, contact, and help to parents. Demography, 35, 1, 115–24.Google Scholar
Buber, I. and Engelhardt, H. 2008. Children's impact on the mental health of their older mothers and fathers: findings from the Survey of Health, Ageing and Retirement in Europe. European Journal of Ageing, 5, 1, 31–45.Google Scholar
Bures, R. M., Koropeckyj-Cox, T. and Loree, M. 2009. Childlessness, parenthood, and depressive symptoms among middle-aged and older adults. Journal of Family Issues, 30, 5, 670–87.Google Scholar
Central Intelligence Agency 2015. China. In The World Factbook. Available online at https://www.cia.gov/library/publications/the-world-factbook/geos/ch.html [Accessed 3 October 2016].Google Scholar
CESD-R Explanation 2008. The Centre for Epidemiological Studies Depression Scale Revised. Available online at http://cesd-r.com/cesdr/ [Accessed 3 October 2016].Google Scholar
Chan, K. W. and Zhang, L. 1999. The hukou system and rural–urban migration in China: processes and changes. The China Quarterly, 160, 818–55.Google Scholar
Chen, R., Copeland, J. R. M. and Wei, L. 1999. A meta-analysis of epidemiological studies in depression of older people in the People's Republic of China. International Journal of Geriatric Psychiatry, 14, 10, 821–30.Google Scholar
Chen, J., Xie, Z. and Liu, H. 2007. Son preference, use of maternal health care, and infant mortality in rural China, 1989–2000. Population Studies, 61, 2, 161–83.Google Scholar
Chen, X. and Silverstein, M. 2000. Intergenerational social support and the psychological well-being of older parents in China. Research on Aging, 22, 1, 43–65.Google Scholar
Cheng, S. T., Chan, T. W. S., Li, G. H. and Leung, E. M. 2014. Childlessness and subjective well-being in Chinese widowed persons. Journals of Gerontology: Psychological Sciences and Social Sciences, 69B, 1, 48–52.Google Scholar
Chou, K. L. and Chi, I. 2004. Childlessness and psychological well-being in Chinese older adults. International Journal of Geriatric Psychiatry, 19, 5, 449–7.Google Scholar
Chu, C. C. 1991. Primogeniture. Journal of Political Economy, 99, 1, 78–99.Google Scholar
Chu, C. Y. and Yu, R. R. 2009. Co-residence and family size. In Chu, C. Y. and Yu, R. R. (eds), Understanding Chinese Families: A Comparative Study of Taiwan and Southeast China. Oxford University Press, Oxford, 130–32.Google Scholar
Chu, C. Y., Xie, Y. and Yu, R. R. 2011. Coresidence with elderly parents: a comparative study of southeast China and Taiwan. Journal of Marriage and Family, 73, 1, 120–35.Google Scholar
Cleland, J., Verrall, J. and Vaessen, M. 1983. Preferences for the Sex of Children and Their Influence on Reproductive Behaviour. World Fertility Surveys Comparative Studies 27, International Statistical Institute, Voorburg, The Netherlands.Google Scholar
Coale, A. J. 1991. Excess female mortality and the balance of the sexes in the population: an estimate of the number of ‘missing females’. The Population and Development Review, 17, 3, 517–23.Google Scholar
Cong, Z. and Silverstein, M. 2008. Intergenerational support and depression among elders in rural China: do daughters-in-law matter? Journal of Marriage and Family, 70, 3, 599–612.Google Scholar
Cong, Z. and Silverstein, M. 2011 a. Parents’ depressive symptoms and support from sons and daughters in rural China. International Journal of Social Welfare, 20, 1, 4–17.Google Scholar
Cong, Z. and Silverstein, M. 2011 b. Intergenerational exchange between parents and migrant and nonmigrant sons in rural China. Journal of Marriage and Family, 73, 1, 93–104.Google Scholar
Cong, Z. and Silverstein, M. 2012. A vignette study on gendered filial expectations of elders in rural China. Journal of Marriage and Family, 74, 3, 510–25.Google Scholar
Cooney, R. S. and Di, J. 1999. Primary family caregivers of impaired elderly in Shanghai-China: kin relationship and caregiver burden. Research on Aging, 21, 6, 739–61.Google Scholar
Daniluk, J. C. 2003. Women's Sexuality Across the Life Span: Challenging Myths, Creating Meanings. Guilford Press, New York.Google Scholar
Das Gupta, M., Zhenghua, J., Bohua, L., Zhenming, X., Chung, W. and Hwa-Ok, B. 2003. Why is son preference so persistent in East and South Asia? A cross-country study of China, India and the Republic of Korea. Journal of Development Studies, 40, 2, 153–87.Google Scholar
Djundeva, M., Mills, M., Wittek, R. and Steverink, N. 2015. Receiving instrumental support in late parent–child relationships and parental depression. Journals of Gerontology: Psychological Sciences and Social Sciences, 70B, 6, 981–94.Google Scholar
Dykstra, P. A. 2016. Childless older adults. In Whitbourne, S. K. (ed.), Encyclopedia of Adulthood and Aging. Wiley-Blackwell, Hoboken, New Jersey, 1–4.Google Scholar
Dykstra, P. A. and Hagestad, G. O. 2007. Roads less taken: developing a nuanced view of older adults without children. Journal of Family Issues, 28, 10, 1275–310.Google Scholar
Dykstra, P. A. and Keizer, R. 2009. The wellbeing of childless men and fathers in mid-life. Ageing & Society, 29, 8, 1227–42.Google Scholar
Evenson, R. J. and Simon, R. W. 2005. Clarifying the relationship between parenthood and depression. Journal of Health and Social Behavior, 46, 4, 341–58.Google Scholar
Feng, X., Guo, L. and Liu, K. 2016. Reliability and construct validity of cut version of Center for Epidemiological Studies Depression Scale (CES-D) in community elderly population. China Journal of Modern Medicine, 28, 10, 131–34.Google Scholar
Feng, Z., Liu, C., Guan, X. and Mor, V. 2012. China's rapidly aging population creates policy challenges in shaping a viable long-term care system. Health Affairs, 31, 12, 2764–73.Google Scholar
Friedman, D., Hechter, M. and Kanazawa, S. 1994. A theory of the value of children. Demography, 31, 3, 375–401.Google Scholar
Gao, S., Jin, Y., Unverzagt, F. W., Liang, C., Hall, K. S., Ma, F., Murrell, J. R., Cheng, Y., Matesan, J., Li, P., Hendrie, H. C. and Bian, J. 2009. Correlates of depressive symptoms in rural elderly Chinese. International Journal of Geriatric Psychiatry, 24, 12, 1358–66.Google Scholar
Giles, J. and Mu, R. 2007. Elderly parent health and the migration decisions of adult children: evidence from rural China. Demography, 44, 2, 265–88.Google Scholar
Guo, M. 2014. Parental status and late-life well-being in rural China: the benefits of having multiple children. Aging and Mental Health, 18, 1, 19–29.Google 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 & Society, 29, 7, 1085–104.Google Scholar
Guo, M., Chi, I. and Silverstein, M. 2012. The structure of intergenerational relations in rural China: a latent class analysis. Journal of Marriage and Family, 74, 5, 1114–28.Google Scholar
Guo, M., Chi, I. and Silverstein, M. 2016. Trajectories and determinants of elder care in rural China during an 8-year period: why having sons makes a difference. Research on Aging, 38, 5, 531–53.Google Scholar
Hank, K. and Kohler, H. P. 2000. Gender preferences for children in Europe: empirical results from 17 FFS countries. Demographic Research, 2, 1, 1–21.Google Scholar
Hank, K. and Wagner, M. 2013. Parenthood, marital status, and well-being in later life: evidence from SHARE. Social Indicators Research, 11, 42, 639–53.Google Scholar
Hesketh, T. and Wei, X. Z. 1997. Health in China. From Mao to market reform. BMJ: British Medical Journal, 314, 7093, 1543.Google Scholar
Huijts, T., Kraaykamp, G. and Subramanian, S. V. 2013. Childlessness and psychological well-being in context: a multilevel study on 24 European countries. European Sociological Review, 29, 1, 32–47.Google Scholar
Institute of Social Science Survey. 2012. China Family Panel Studies Follow-up Survey, Harvard Dataverse, V1. http://dx.doi.org/10.7910/DVN/WLCDYJGoogle Scholar
Johnson, K. A. 2004. Wanting a Daughter, Needing a Son: Abandonment, Adoption, and Orphanage Care in China. Yeong and Yeong, St. Paul.Google Scholar
Johnson, K., Banghan, H. and Liyao, W. 1998. Infant abandonment and adoption in China. Population and Development Review, 24, 3, 469–510.Google Scholar
Koropeckyj-Cox, T. 1998. Loneliness and depression in middle and old age: are the childless more vulnerable? Journals of Gerontology: Psychological Sciences and Social Sciences, 53B, 6, S303–12.Google Scholar
Koropeckyj-Cox, T. and Call, V. R. 2007. Characteristics of older childless persons and parents: cross-national comparisons. Journal of Family Issues, 28, 10, 1362–414.Google Scholar
Koropeckyj-Cox, T., Pienta, A. M. and Brown, T. H. 2007. Women of the 1950s and the ‘normative’ life course: the implications of childlessness, fertility timing, and marital status for psychological well-being in late midlife. International Journal of Aging and Human Development, 64, 4, 299–330.Google Scholar
Kraeger, P. 2004. Where are the children? In Kraeger, P. and Schroeder-Butterfill, E. (eds), Ageing Without Children: Asian and European Perspectives. Berghahn, Oxford, 1–45.Google Scholar
Lai, D., Tong, H., Zeng, Q. and Xu, W. 2010. The factor structure of a Chinese Geriatric Depression Scale-SF: use with alone elderly Chinese in Shanghai, China. International Journal of Geriatric Psychiatry, 25, 5, 503–10.Google Scholar
Lee, Y. J. and Xiao, Z. 1998. Children's support for elderly parents in urban and rural China: results from a national survey. Journal of Cross-cultural Gerontology, 13, 1, 39–62.Google Scholar
Lim, L. L., Chang, W., Yu, X., Chiu, H., Chong, M. Y. and Kua, E. H. 2011. Depression in Chinese elderly populations. Asia-Pacific Psychiatry, 32, 46–53.Google Scholar
Liu, H. J., Meng, C. and Tang, Z. 2004. Survey on depression of Beijing residents over 55 year-old. Chinese Mental Health Journal, 18, 794–95.Google Scholar
Liu, Y., Hsiao, W. C. and Eggleston, K. 1999. Equity in health and health care: the Chinese experience. Social Science and Medicine, 49, 10, 1349–5.Google Scholar
Lui, F. T. 2010. Demographic transition, childless families, and economic growth. In Ito, T. and Rose, A. K. (eds), The Economic Consequences of Demographic Change in East Asia, NBER-EASE. Volume 19, University of Chicago Press, Chicago, 351–73.Google Scholar
Luo, G. 2012. Social policy, family support, and rural elder care. In Chen, S. and Powell, J. L. (eds), Aging in China. Springer, New York, 83–98.Google Scholar
Pan, A., Sun, Q., Okereke, O. I., Rexrode, K. M. and Hu, F. B. 2011. Depression and risk of stroke morbidity and mortality: a meta-analysis and systematic review. JAMA, 306, 11, 1241–9.Google Scholar
Pei, X. and Tang, Y. 2012. Rural old age support in transitional China: efforts between family and state. In Chen, S. and Powell, J. L. (eds), Aging in China. Springer, New York, 61–81.Google Scholar
Poston, D. L. 2002. Son preference and fertility in China. Journal of Biosocial Science, 343, 333–47.Google Scholar
Poston, D. L. and Glover, K. S. 2005. Too many males: marriage market implications of gender imbalances in China. Genus, 61, 2, 119–40.Google Scholar
Potts, M. 2006. China's one child policy. BMJ, 333, 7564, 361–2.Google Scholar
Radloff, L. S. 1977. The CES-D scale: a self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 3, 385–401.Google Scholar
Shen, C. and Williamson, J. B. 2010. China's new rural pension scheme: can it be improved? International Journal of Sociology and Social Policy, 30, 5/6, 239–50.Google Scholar
Silverstein, M., Chen, X. and Heller, K. 1996. Too much of a good thing? Intergenerational social support and the psychological well-being of older parents. Journal of Marriage and the Family, 58, 4, 970–82.Google Scholar
Song, S. 2009. Does famine have a long-term effect on cohort mortality? Evidence from the 1959–1961 Great Leap Forward famine in China. Journal of Biosocial Science, 41, 4, 469–91.Google Scholar
Stek, M. L., Gussekloo, J., Beekman, A. T. F., Van Tilburg, W. and Westendorp, R. G. J. 2004. Prevalence, correlates and recognition of depression in the oldest old: the Leiden 85-plus study. Journal of Affective Disorders, 78, 3, 193–200.Google Scholar
Sun, R. 2002. Old age support in contemporary urban China from both parents’ and children's perspectives. Research on Aging, 24, 3, 337–59.Google Scholar
Tiikkainen, P. and Heikkinen, R. L. 2005. Associations between loneliness, depressive symptoms and perceived togetherness in older people. Aging and Mental Health, 9, 6, 526–34.Google Scholar
United Nations 2007. World Population Ageing 2007. Population Division, United Nations Department of Economic and Social Affairs, New York.Google Scholar
United Nations 2008. World Population Prospects, the 2008 Revision. Population Division, United Nations Department of Economic and Social Affairs, New York.Google Scholar
Wang, L. N., Tang, D., Xu, J. J. and Shen, J. L. 2006. The sex difference of effect of social support on depressive symptoms of the elderly in China. Chinese Journal of Clinical Psychology, 14, 1, 70–84.Google Scholar
Wen, Z., Bi-Rong, D., Chang-Quan, H., Zhen-Chan, L., Yuan, Z., Hong-Mei, W., Yan-Ling, Z., Hui, W. and Ping, H. 2010. Depression and hypertension among Chinese nonagenarians and centenarians. International Journal of Geriatric Psychiatry, 25, 6, 554–61.Google Scholar
Whyte, M. 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.Google Scholar
Whyte, M. 2005. Continuity and change in Chinese family life. The China Journal, 53, 9–33.Google Scholar
Whyte, M. K. 2010. One Country, Two Societies: Rural–Urban Inequality in Contemporary China. Volume 16, Harvard University Press, Cambridge, Massachusetts.Google Scholar
Wu, X. and Treiman, D. J. 2004. The household registration system and social stratification in China: 1955–1996. Demography, 41, 2, 363–84.Google Scholar
Wulsin, L. R., Vaillant, G. E. and Wells, V. E. 1999. A systematic review of the mortality of depression. Psychosomatic Medicine, 61, 1, 6–17.Google Scholar
Xie, Y. and Zhu, H. 2009. Do sons or daughters give more money to parents in urban China? Journal of Marriage and Family, 71, 1, 174–86.Google Scholar
Yi, Z., Vaupel, J. W. and Yashin, A. I. 1985. Marriage and fertility in China: a graphical analysis. Population and Development Review, 11, 4, 721–36.Google Scholar
Yip, W. and Hsiao, W. 2009. China's health care reform: a tentative assessment. China Economic Review, 20, 4, 613–9.Google Scholar
Zeng, Y., Brasher, M. S., Gu, D. and Vaupel, J. W. 2016. Older parents benefit more in health outcome from daughters’ than sons’ emotional care in China. Journal of Aging and Health, 28, 8, 1426–47.Google Scholar
Zhan, H. J. 2004. Willingness and expectations: intergenerational differences in attitudes toward filial responsibility in China. Marriage and Family Review, 36, 1/2, 175–200.Google Scholar
Zhan, H. J., Luo, B. and Chen, Z. 2012. Institutional elder care in China. In Chen, S. and Powell, J. L. (eds), Aging in China. Springer, New York, 221–35.Google Scholar
Zhang, Z. and Hayward, M. D. 2001. Childlessness and the psychological well-being of older persons. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 56, 5, 311–20.Google Scholar
Zhang, B., and Li, J. 2011. Reliability and validity of a short version of Center for Epidemiologic Studies Depression Scale in national adult population. Chinese Mental Health Journal, 25, 7, 506–11.Google Scholar
Zhang, J., Wu, Z. Y., Fang, G., Li, J., Han, B. X. and Chen, Z. Y. 2010. Development of the Chinese age norms of CES-D in urban area. Chinese Mental Health Journal, 24, 2, 139–43.Google Scholar
Zhang, W. and Liu, G. 2007. Childlessness, psychological well-being, and life satisfaction among the elderly in China. Journal of Cross-cultural Gerontology, 22, 2, 185–203.Google Scholar
Zhang, W. and Wang, Y. 2010. Meal and residence rotation of elderly parents in contemporary rural Northern China. Journal of Cross-cultural Gerontology, 25, 3, 217–37.Google Scholar
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