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Challenges for the Aging Family in the People’s Republic of China

  • David R. Phillips (a1) and Zhixin Feng (a2)
Abstract

The People’s Republic of China has the largest population of older persons of any country in the world. It is a nation that has experienced enormous economic, social, and demographic changes over the past three and a half decades. Traditionally, the family was the main social support for older persons; this changed somewhat under early socialism, but in recent years, the importance of family support has been reasserted. However, over this time, the family’s ability to support its older members has been considerably altered and arguably weakened. This article reviews four key issues (population change, the hukou system, economic reform, general features surrounding modernization) that have gradually changed families’ capacity to provide support for older members. Research foci and public policy directions are considered under which the state might take some responsibilities from the family, support capacity to care, and improve the quality and quantity of support for older citizens.

La République populaire de Chine a la plus grande population de personnes âgées de tous les pays du monde. Il est une nation qui a subi d'énormes changements économiques, sociaux et démographiques au cours des dernières trois et demi-décennies. Traditionnellement, la famille a fourni le soutien social principal pour les personnes âgées; sous le socialisme précoce, cela a changé quelque peu, mais au cours des dernières années, l'importance du soutien de la famille a été réaffirmé. Cet article examine quatre questions essentielles (changements démographiques, le système du hukou, le réforme économique, et les caractéristiques générales entourant la modernisation) qui ont peu à peu changé la capacité des familles à fournir un soutien pour leur membres plus âgés. Domaines de recherche et orientations de politique publique sont considérés en vertu de lesquelles l'État pourrait prendre quelques responsabilités de la famille, soutenir la capacité des soins, et aussi améliorer la qualité et la quantité de l'aide pour les citoyens âgés.

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Corresponding author
Correspondence and requests for reprints should be sent to / La correspondance et les demandes de tirés-à-part doivent être adressées à: David R. Phillips, Ph.D. Lingnan University – Sociology and Social Policy Tuen Mun Hong Kong (phillips@LN.edu.hk)
References
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Baker, H. D. R. (1979). Chinese family and kinship. New York: Columbia University Press.
Bartlett, H., & Phillips, D. R. (1997). Ageing and aged care in the People’s Republic of China: National and local issues and perspectives. Health and Place, 3, 149159.
Bulard, M. (2006). China breaks the iron rice bowl. An uncertain future for a two-tier society. Le Monde Diplomatique, January. Retrieved online 4 May 2014 from http://mondediplo.com/2006/01/04china.
Cai, F., Giles, J., O’Keefe, P., & Wang, D. (2012). The elderly and old age support in rural China: Challenges and prospects. Washington, DC: The World Bank.
Cai, Y. (2010). China’s below-replacement fertility: Government policy or socioeconomic development? Population and Development Review, 36, 419440.
Chappell, N. (1991). Living arrangements and sources of caregiving. Journal of Gerontology, 46, S1S8.
China Daily. (2014). China integrates rural, urban pensions. China Daily, 14 February. Retrieved online 4 May 2014 from http://www.chinadaily.com.cn/business/2014-02/14/content_17282782.htm.
Cheng, T. M. (2013). China must solve its daughter deficit. Hong Kong: South China Morning Post, 6 April. Retrieved online 4 May 2014 from http://www.scmp.com/comment/insight-opinion/article/1207870/china-must-solve-its-daughter-deficit.
Chu, C. Y. C., & Yu, R. R. (2010). Understanding Chinese families: A comparative study of Taiwan and Southeast China. Oxford, UK: Oxford University Press.
Cong, Z., & Silverstein, M. (2008). Intergenerational time-for-money exchanges in rural China: Does reciprocity reduce depressive symptoms of older grandparents? Research in Human Development, 5(1), 625.
Dai, B., Zhou, J., Mei, Y., Wu, B., & Mao, Z. (2011). Can the New Cooperative Medical Scheme promote rural elders’ access to health-care services? Geriatrics and Gerontology International, 11, 239245.
Dixon, J. (1982). The community-based rural welfare system in the People’s Republic of China: 1949-1979. Community Development Journal, 17, 212.
Dong, K. (2009). Medical insurance system evolution in China. China Economic Review, 20, 591597.
Du, P., & Phillips, D. R. (2004). Potential consequences of population ageing for social development in China. In Lloyd-Sherlock, P. (Ed.), Living longer (pp. 97116). London: Zed Books.
Ebenstein, A. (2010). The “Missing Girls” of China and the unintended consequences of the One Child Policy. Journal of Human Resources, 45, 87115.
Eklund, L. (2011). Rethinking son preference – Gender, population dynamics and social change in the People’s Republic of China. PhD Thesis, Lund Dissertations in Sociology, Lund University. Retrieved online 4 May 2014 from http://www.lunduniversity.lu.se/o.o.i.s?id=12683&postid=1950819.
Fei, X. (1983). Problem of providing for the senile in the changing family structure. Journal of Peking University (Philosophy and Social Sciences) (in Chinese), 3, 615.
Feng, W., & Mason, A. (2005). Population aging in China: Challenges, opportunities, and institutions. In Zhao, Z. & Guo, F. (Ed.), Transition and challenge: China’s population at the beginning of the 21st century. Oxford, UK: Oxford Scholarship Online. Retrieved online 4 May 2014 from http://www2.hawaii.edu/∼amason/Research/Population%20Aging%20in%20China.pdf.
Feng, Z., Wang, W., & Jones, K. (2013). A multilevel analysis of the role of the family and the state in self-rated health of elderly Chinese. Health and Place, 23, 148156.
Feng, Z., Wang, W., Jones, K., & Li, Y. (2012). An exploratory multilevel analysis of income, income inequality and self-rated health of the elderly in China. Social Science & Medicine, 75, 24812492.
FlorCruz, M. (2013). Chinese law requires children to visit elderly parents. International Business Times, 2 January. Retrieved online 4 May 2014 from http://www.ibtimes.com/chinese-law-requires-children-visit-elderly-parents-987796.
Gao, Y. (2013). The high cost of migration in China. The New York Times, 3 December. Retrieved online 4 May 2014 from http://www.nytimes.com/roomfordebate/2013/12/03/life-in-a-mobile-nation/the-high-cost-of-migration-in-china.
Giles, G. (2014). China poised to pass US as world’s leading economic power this year. Financial Times, 30 April. Retrieved online 4 May 2014 from http://www.ft.com/intl/cms/s/0/d79ffff8-cfb7-11e3-9b2b-00144feabdc0.html.
Global AgeWatch Index (2014). HelpAge International. Retrieved online 4 May 2014 from http://www.helpage.org/globalagewatch/population-ageing-data/country-ageing-data/?country=China.
Goodkind, D. (2011). Child underreporting, fertility, and sex ratio imbalance in China. Demography, 48, 291316.
Gu, D., Dupre, M., & Liu, G. (2007). Characteristics of the institutionalized and community-residing oldest-old in China. Social Science & Medicine, 64, 871883.
Han, Y., & Wei, M. (2012). Only twenty percent of the elderly rely on pension for daily living. The Beijing News (p. 1). Retrieved online 4 May 2014 from http://epaper.bjnews.com.cn/html/2012-10/23/content_382215.htm?div=-1.
He, C., & Ye, J. (2014). Lonely sunsets: Impacts of rural-urban migration on the left-behind elderly in rural China. Population, Space and Place, 20, 352369.
HelpAge International (2013). Pension Watch. Briefing no 11. London: HAI. Retrieved online 4 May 2014 from http://www.refworld.org/pdfid/5301df5d4.pdf.
Hu, X. C. (2012). China’s young rural-to-urban migrants: In search of fortune, happiness, and independence. Migration Information Source, Migration Policy Institute, Washington, DC. 4 January. Retrieved online 4 May 2014 from http://www.migrationpolicy.org/article/chinas-young-rural-urban-migrants-search-fortune-happiness-and-independence.
Huang, Y. H. (2013). China’s doctors are under attack. The Atlantic, 3 December. Retrieved online 4 May 2014 from http://www.theatlantic.com/china/archive/2013/12/chinas-doctors-are-under-attack/282002/.
Ikels, C. (Ed.) (2004). Filial piety: Practice and discourse in contemporary East Asia. Stanford, CA: Stanford University Press.
IndexMundi (2014). China’s GDP – real growth rate. IndexMundi, 26 September 2014. Retrieved online 4 May 2014 from http://www.indexmundi.com/china/gdp_real_growth_rate.html.
Jackson, R., Nakashima, K., & Howe, N. (2009). China’s long march to retirement reform. Washington, D.C.: Center for Strategic and International Studies (CSIS), and The Prudential Foundation. Retrieved online 4 May 2014 from http://csis.org/files/media/csis/pubs/090422_gai_chinareport_en.pdf.
Jiang, Q. B., & Sánchez-Barricarte, J. J. (2011). The 4-2-1 family structure in China: A survival analysis based on life tables. European Journal of Ageing, 8(2), 119127.
Kam, W. C. (2013). China: internal migration. In Ness, I. (Ed.), The encyclopedia of global human migration (15 pp.). London: Blackwell.
Lei, X., & Lin, W. (2009). The New Cooperative Medical Scheme in rural China: Does more coverage mean more service and better health? Health Economics, 18, S25S46.
Li, J. (2014). Migrant rights plan ‘critical’. Hong Kong: South China Morning Post, 6 December, p. A3.
Li, S., Sato, H., & Sicular, T. (Eds.) (2013). Rising inequality in China: Challenges to a harmonious society. New York: Cambridge University Press.
Liu, Y., & Wu, F. (2006). The state, institutional transition and the creation of new urban poverty in China. Social Policy and Administration, 40, 121137.
McCracken, K., & Phillips, D. R. (2012). Global health: An introduction to current and future trends. Abingdon, UK: Routledge.
Mamdani, B., & Mamdani, M. (2006). The impact of China’s one-child policy. Indian Journal of Medical Ethics, 2, 106108.
Miller, T. (2012). China’s urban billion: the story behind the biggest migration in human history. London: Zed Books.
Ministry of Civil Affairs of the People’s Republic of China (PRC) (2013). China civil affairs’ statistical yearbook. Beijing: China Statistics Press.
Ministry of Labour and Social Security (2008). China labour and social security yearbook, 2008. Beijing: Chinese Ministry of Labour and Social Security Press.
Mujahid, G. (2006). Population ageing in East and South-east Asia: Current situation and emerging challenges. Papers in Population Ageing no 1. Bangkok: UNFPA Country Technical Services Team for East and South-east Asia.
National Bureau of Statistics (1988). Chinese statistical yearbook. Beijing: Chinese Statistics Press.
National Bureau of Statistics (2013). Chinese statistical yearbook. Beijing: Chinese Statistics Press.
National Health Services Survey (2012). An analysis report of National Health Services survey in China. Beijing: Center for Health Statistics and Information.
Phillips, D. R. (Ed.) (2000). Ageing in the Asia-Pacific region: Issues, policies and future trends. London: Routledge.
Phillips, D. R., & Cheng, K. (2012). The impact of changing value systems on social inclusion: An Asia-Pacific perspective. In Scharf, T. & Keating, N. C. (Eds.) From exclusion to inclusion in old age: A global challenge (pp. 109124). Bristol, UK: Policy Press.
Piquet, H. (2008). Chinese labor law in retrospect: Efficiency and flexibility legitimized. In Laliberté, A. & Lanteigne, M. (Eds.) The Chinese party-state in the 21st century (pp. 3957). Abingdon, UK: Routledge.
Qian, Y., & Xu, C. (1993). Why China’s economic reforms differ: the m-form hierarchy and entry/expansion of the non-state sector. Economics of Transition, 1, 135170.
Quah, S. R. (Ed.) (2015). Routledge handbook of families in Asia. Abingdon, Oxon. and New York: Routledge.
Sereny, M. (2011). Living arrangements of older adults in China: The interplay among preferences, realities, and health. Research on Aging, 33, 172204.
Sicular, T. (2013). The challenge of high inequality in China. World Bank Inequality in Focus, 2, 2, 1-5. Retrieved online 4 May 2014 from http://www.worldbank.org/content/dam/Worldbank/document/Poverty%20documents/Inequality-In-Focus-0813.pdf.
Skeldon, R. (2012). Migration and Asia: Reflections on continuities and change. Asia-Pacific Population Journal, 27(1), 103118.
The Economist (2014). Catching the Eagle. The Economist, 22 August. Retrieved online 4 May 2014 from http://www.economist.com/blogs/graphicdetail/2014/08/chinese-and-american-gdpforecasts.
Umberson, D., & Montez, J. K. (2010). Social relationships and health: A flashpoint for health policy. Journal of Health & Social Behavior, 51(S), S54S66.
United Nations Economic and Social Commission for Asia and the Pacific (UNESCAP). (2013). 2013 ESCAP population data sheet. Bangkok: United Nations ESCAP. Retrieved online 4 May 2014 from http://www.unescapsdd.org/files/documents/PUB_Datasheet-2013.pdf.
United Nations. (2012). World Population Prospects: The 2012 Revision. Retrieved online 4 May 2014 from http://esa.un.org/wpp/.
Wang, D. (2006). China’s urban and rural old age security system: Challenges and options. China and World Economy, 14(1), 102116.
Wang, D., Zheng, J., Kurosawa, M., Inaba, Y., & Kato, N. (2009). Changes in activities of daily living (ADL) among elderly Chinese by marital status, living arrangement, and availability of healthcare over a 3-year period. Environmental Health and Preventive Medicine, 14, 128141.
Wang, Q., & Zhou, Q. (2010). China’s divorce and remarriage rates: Trends and regional disparities. Journal of Divorce & Remarriage, 51, 257267.
Wang, Y. (2013). Less than 10 % widowed elderly actually register for marriage. Retrieved online 4 May 2014 from http://paper.people.com.cn/smsb/html/2013-01/25/content_1190602.htm.
World Bank. (2014). GNI per capita ranking, Atlas method and PPP based. World Bank Data, Washington, DC: World Bank Group. Retrieved online 4 May 2014 from http://data.worldbank.org/data-catalog/GNI-per-capita-Atlas-and-PPP-table.
Wu, L. (2013). Inequality of pension arrangements among different segments of the labor force in China. Journal of Aging & Social Policy, 25, 181196.
Wu, X. (2001). A rural community in urban areas: The study on the settlements of the floating population. City Planning Review (in Chinese), 25, 2529.
Xinhua News Agency. (2011). The left-behind elderly reached more than 40 million. Xinhua News Agency. Retrieved online 4 May 2014 from http://news.qq.com/a/20111005/000104.htm.
Zeng, Y. (1991). Family dynamics in China: A life table analysis. Wisconsin: The University of Wisconsin Press.
Zeng, Y., & George, L. (2002). Extremely rapid ageing and the living arrangements of the elderly: The case of China. In Living Arrangements of Older Persons, Population Bulletin of the United Nations, Special Issue Nos. 42/43, New York: United Nations.
Zhan, H. J., Feng, X. T., & Luo, B. Z. (2008). Placing elderly parents in institutions in urban China – A reinterpretation of filial piety. Research on Aging, 30, 543571.
Zhan, H. J., Liu, G., Guan, X., & Bai, H. (2006). Recent developments in institutional elder care in China: changing concepts and attitudes. Journal of Aging and Social Policy, 18, 85108.
Zhang, Q., & Zou, H. (2012). Regional inequality in contemporary China. Annals of Economics and Finance, 13, 113137.
Zhang, S., & Liu, L. (2000). China rural elderly social security system in historical flux: Traits and reasons. Population Journal, 5, 3539.
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Canadian Journal on Aging / La Revue canadienne du vieillissement
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  • EISSN: 1710-1107
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