Hostname: page-component-848d4c4894-5nwft Total loading time: 0 Render date: 2024-06-02T18:52:18.563Z Has data issue: false hasContentIssue false

Health and marital status of older Chinese couples and implications for intergenerational co-residence

Published online by Cambridge University Press:  06 April 2020

Sneha Kumar*
Affiliation:
Department of Development Sociology, Cornell University, Ithaca, NY, USA
Lindy Williams
Affiliation:
Department of Development Sociology, Cornell University, Ithaca, NY, USA
*
*Corresponding author. Email: sk2586@cornell.edu

Abstract

Older individuals who are in poor health or who lack spousal support are in many ways vulnerable in contemporary China. Declines in family size, combined with improvements in life expectancy and the out-migration of young adults from rural areas, have reduced the pool of potential care-givers for a growing number of older individuals. At the same time, state support for elderly people remains inadequate, further emphasising families’ role in care provision. This paper uses couple-level panel data from the 2012, 2014 and 2016 China Family Panel Studies to examine whether older couples with health-care or other needs receive help in the form of intergenerational co-residence. Multinomial logistic regressions are used to examine factors associated with the intergenerational solidarity framework from the older parents’ perspective that could motivate co-residence. Results show that when mothers report activity limitations or poor word recall at baseline, or when at least one parent has activity limitations in both waves, the probability of co-residence in both waves increases. Further, when both parents have depression at baseline, or when a parent loses a spouse, the probability of transitioning to co-residence increases. Findings suggest that adult children in present-day China do respond to parental needs by living together. Nevertheless, going forward, the state will likely have to play a greater role in old-age care provision.

Type
Article
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Acock, AC (2005) Working with missing values. Journal of Marriage and Family 67, 10121028.CrossRefGoogle Scholar
Allison, PD (2001) Missing Data, Vol. 136. Thousand Oaks, CA: Sage.Google Scholar
Becker, GS (1974) A theory of social interactions. Journal of Political Economy 82, 10631093.CrossRefGoogle Scholar
Bengtson, VL (2001) Beyond the nuclear family: the increasing importance of multigenerational bonds. Journal of Marriage and Family 63, 116.CrossRefGoogle Scholar
Bengtson, VL and Roberts, RE (1991) Intergenerational solidarity in aging families: an example of formal theory construction. Journal of Marriage and the Family 53, 856870.CrossRefGoogle Scholar
Bordone, V (2015) Intergenerational solidarity. In Wright, JD (ed.), International Encyclopedia of the Social & Behavioral Sciences, 2nd Edn. New York, NY: Elsevier, pp. 402408.CrossRefGoogle Scholar
Brown, JW, Liang, J, Krause, N, Akiyama, H, Sugisawa, H and Fukaya, T (2002) Transitions in living arrangements among elders in Japan: does health make a difference? Journals of Gerontology: Psychological Sciences and Social Sciences 57B, S209S220.CrossRefGoogle Scholar
Chan, KW (2013) China: internal migration. In Ness, I (ed.), The Encyclopedia of Global Human Migration. Hoboken, NJ: Wiley-Blackwell.Google Scholar
Chen, F (2005) Residential patterns of parents and their married children in contemporary China: a life course approach. Population Research and Policy Review 24, 125148.CrossRefGoogle Scholar
Chen, J and Chen, Q (2016) Socioeconomic statuses across generations and coresidence in China. Journal of Chinese Sociology 3, 24.CrossRefGoogle Scholar
Chen, F and Liu, G (2009) Population aging in China. In Uhlenberg, P (ed.), International Handbook of Population Aging. Dordrecht, The Netherlands: Springer, pp. 157172.CrossRefGoogle Scholar
Chen, F and Short, SE (2008) Household context and subjective well-being among the oldest old in China. Journal of Family Issues 29, 13791403.CrossRefGoogle ScholarPubMed
Chen, X and Silverstein, M (2000) Intergenerational social support and the psychological well-being of older parents in China. Research on Aging 22, 4365.CrossRefGoogle Scholar
Chen, F, Liu, G and Mair, CA (2011) Intergenerational ties in context: grandparents caring for grandchildren in China. Social Forces 90, 571594.CrossRefGoogle ScholarPubMed
Chen, X, Giles, J, Wang, Y and Zhao, Y (2018) Gender patterns of eldercare in China. Feminist Economics 24, 5476.CrossRefGoogle ScholarPubMed
Chu, CYC, Xie, Y and Yu, RR (2011) Coresidence with elderly parents: a comparative study of southeast China and Taiwan. Journal of Marriage and Family 73, 120135.CrossRefGoogle ScholarPubMed
Cong, Z and Silverstein, M (2015) End-of-life co-residence of older parents and their sons in rural China. Canadian Journal on Aging 34, 331341.CrossRefGoogle ScholarPubMed
Coward, RT and Cutler, SJ (1991) The composition of multigenerational households that include elders. Research on Aging 13, 5573.CrossRefGoogle Scholar
Crimmins, EM and Ingegneri, DG (1990) Interaction and living arrangements of older parents and their children: past trends, present determinants, future implications. Research on Aging 12, 335.CrossRefGoogle ScholarPubMed
Feng, Z, Zhan, HJ, Feng, X, Liu, C, Sun, M and Mor, V (2011) An industry in the making: the emergence of institutional elder care in urban China. Journal of the American Geriatrics Society 59, 738744.CrossRefGoogle ScholarPubMed
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, 27642773.CrossRefGoogle ScholarPubMed
Frankenberg, E, Chan, A and Ofstedal, MB (2002) Stability and change in living arrangements in Indonesia, Singapore, and Taiwan, 1993–99. Population Studies 56, 201213.CrossRefGoogle Scholar
Giles, J and Mu, R (2007) Elderly parent health and the migration decisions of adult children: evidence from rural China. Demography 44, 265288.CrossRefGoogle ScholarPubMed
Giles, J, Wang, D and Zhao, C (2010) Can China's rural elderly count on support from adult children? Implications of rural-to-urban migration. Journal of Population Ageing 3, 183204.CrossRefGoogle Scholar
Hashimoto, A (1996) The Gift of Generations: Japanese and American Perspectives on Aging and the Social Contract. New York, NY: Cambridge University Press.CrossRefGoogle Scholar
He, C and Ye, J (2014) Lonely sunsets: impacts of rural–urban migration on the left-behind elderly in rural China. Population, Space and Place 20, 352369.CrossRefGoogle Scholar
Hermalin, AI (2002) Theoretical perspectives, measurement issues and related research. In Hermalin, AI (ed.), The Well-being of the Elderly in Asia. Ann Arbor, MI: University of Michigan Press, pp. 101141.CrossRefGoogle Scholar
Ikels, C (1993) Settling accounts: the intergenerational contract in an age of reform. In Davis, D and Harrell, S (eds), Chinese Families in the Post-Mao Era. Berkeley, CA: University of California Press, pp. 307334.Google Scholar
Isengard, B and Szydlik, M (2012) Living apart (or) together? Coresidence of elderly parents and their adult children in Europe. Research on Aging 34, 449474.CrossRefGoogle Scholar
Johar, M and Maruyama, S (2014) Does coresidence improve an elderly parent's health? Journal of Applied Econometrics 29, 965983.CrossRefGoogle Scholar
Kim, CS and Rhee, KO (1997) Variations in preferred living arrangements among Korean elderly parents. Journal of Cross-cultural Gerontology 12, 189202.CrossRefGoogle ScholarPubMed
Knodel, J and Ofstedal, MB (2002) Patterns and determinants of living arrangements. In Hermalin, AI (ed.), The Well-being of the Elderly in Asia. Ann Arbor, MI: University of Michigan Press, pp. 143184.Google Scholar
Ko, PC and Hank, K (2014) Grandparents caring for grandchildren in China and Korea: findings from CHARLS and KloSA. Journals of Gerontology: Psychological Sciences and Social Sciences 69B, 646651.CrossRefGoogle 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: Psychological Sciences and Social Sciences 66B, 260270.CrossRefGoogle Scholar
Laidlaw, K, Wang, D, Coelho, C and Power, M (2010) Attitudes to ageing and expectations for filial piety across Chinese and British cultures: a pilot exploratory evaluation. Aging and Mental Health 14, 283292.CrossRefGoogle ScholarPubMed
Lee, GR and Dwyer, JW (1996) Aging parent–adult child coresidence: further evidence on the role of parental characteristics. Journal of Family Issues 17, 4659.CrossRefGoogle Scholar
Lee, YJ, Parish, WL and Willis, RJ (1994) Sons, daughters and intergenerational support in Taiwan. American Journal of Sociology 99, 10101041.CrossRefGoogle Scholar
Lei, X, Strauss, J, Tian, M and Zhao, Y (2015) Living arrangements of the elderly in China: evidence from the CHARLS national baseline. China Economic Journal 8, 191214.CrossRefGoogle Scholar
Li, L, Liang, J, Toler, A and Gu, S (2005) Widowhood and depressive symptoms among older Chinese: do gender and source of support make a difference? Social Science and Medicine 60, 637647.CrossRefGoogle Scholar
Liu, T and Sun, L (2016) Pension reform in China. Journal of Aging and Social Policy 28, 1528.CrossRefGoogle ScholarPubMed
Logan, JR and Bian, F (1999) Family values and coresidence with married children in urban China. Social Forces 77, 12531282.CrossRefGoogle Scholar
Logan, JR, Bian, F and Bian, Y (1998) Tradition and change in the urban Chinese family: the case of living arrangements. Social Forces 76, 851882.CrossRefGoogle Scholar
Meng, D, Xu, G, He, L, Zhang, M and Lin, D (2017) What determines the preference for future living arrangements of middle-aged and older people in urban China? PLOS ONE 12, e0180764.CrossRefGoogle ScholarPubMed
Ogawa, N and Retherford, RD (1997) Shifting costs of caring for the elderly back to families in Japan: will it work? Population and Development Review 23, 5994.CrossRefGoogle Scholar
Pezzin, LE, Pollak, RA and Schone, BS (2015) Bargaining power, parental caregiving, and intergenerational coresidence. Journals of Gerontology: Psychological Sciences and Social Sciences 70B, 969980.CrossRefGoogle Scholar
Pimentel, E and Liu, J (2004) Exploring nonnormative coresidence in urban China: living with wives’ parents. Journal of Marriage and Family 66, 821836.CrossRefGoogle Scholar
Population Reference Bureau (2018) 2018 World Population Data Sheet. Washington, DC: Population Reference Bureau.Google Scholar
Qian, Y and Knoester, C (2015) Parental status and subjective well-being among currently married individuals in China. Journal of Family Issues 36, 13511376.CrossRefGoogle Scholar
Radloff, LS (1977) The CES-D Scale: a self-report depression scale for research in the general population. Applied Psychological Measurement 1, 385401.CrossRefGoogle Scholar
Ren, Q and Treiman, DJ (2015) Living arrangements of the elderly in China and consequences for their emotional well-being. Chinese Sociological Review 47, 255286.CrossRefGoogle Scholar
Rubin, DB (1996) Multiple imputation after 18+ years. Journal of the American Statistical Association 91, 473489.CrossRefGoogle Scholar
Silverstein, M (1995) Stability and change in temporal distance between the elderly and their children. Demography 32, 2945.CrossRefGoogle ScholarPubMed
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: Psychological Sciences and Social Sciences 61B, S256S266.CrossRefGoogle Scholar
Song, Q (2017) Facing ‘double jeopardy’? Depressive symptoms in left-behind elderly in rural China. Journal of Aging and Health 29, 11821213.CrossRefGoogle Scholar
StataCorp (1985) Stata Multiple-imputation Reference Manual. College Station, TX: StataCorp.Google Scholar
Stinner, WF, Byun, Y and Paita, L (1990) Disability and living arrangements among elderly American men. Research on Aging 12, 339363.CrossRefGoogle ScholarPubMed
Sung, KT (1998) An exploration of actions of filial piety. Journal of Aging Studies 12, 369386.CrossRefGoogle Scholar
Szydlik, M (2008) Intergenerational solidarity and conflict. Journal of Comparative Family Studies 39, 97114.CrossRefGoogle Scholar
Takagi, E, Silverstein, M and Crimmins, E (2007) Intergenerational coresidence of older adults in Japan: conditions for cultural plasticity. Journals of Gerontology: Psychological Sciences and Social Sciences 62B, S330S339.CrossRefGoogle Scholar
Teerawichitchainan, B, Pothisiri, W and Long, GT (2015) How do living arrangements and intergenerational support matter for psychological health of elderly parents? Evidence from Myanmar, Vietnam, and Thailand. Social Science & Medicine 136, 106116.CrossRefGoogle ScholarPubMed
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, 1137.CrossRefGoogle Scholar
Umberson, D, Crosnoe, R and Reczek, C (2010) Social relationships and health behaviour across the life course. Annual Review of Sociology 36, 139157.CrossRefGoogle Scholar
Voorpostel, M and Blieszner, R (2008) Intergenerational solidarity and support between adult siblings. Journal of Marriage and Family 70, 157167.CrossRefGoogle Scholar
Wang, D, Laidlaw, K, Power, MJ and Shen, J (2010) Older people's belief of filial piety in China: expectation and non-expectation. Clinical Gerontologist 33, 2138.CrossRefGoogle Scholar
Whyte, MK and Xu, Q (2003) Support for aging parents from daughters versus sons. In Whyte, MK (ed.), China's Revolutions and Intergenerational Relations. Ann Arbor, MI: University of Michigan Center for Chinese Studies, pp. 167196.CrossRefGoogle Scholar
Williams, L, Zhang, R and Packard, KC (2017) Factors affecting the physical and mental health of older adults in China: the importance of marital status, child availability and gender. SSM – Population Health 3, 2036.CrossRefGoogle Scholar
Wong, E (2013) A Chinese virtue is now the law. New York Times, July 2.Google Scholar
World Bank (2016) Live Long and Prosper: Aging in East Asia and Pacific. Washington, DC: World Bank.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, 174186.CrossRefGoogle ScholarPubMed
Xie, Y, Zhang, X, Tu, P, Ren, Q, Sun, Y, Lv, P, Ding, H, Hu, J and Wu, Q (2017) China Family Panel Studies User's Manual, 3rd Edn. Beijing, P.R. China: Peking University, Office of China Family Panel Studies.Google Scholar
Xu, Q (2013) An exploring matrilocal coresidence: the influence of modernization, population transition and practical needs. Population and Economics 201, 4755.Google Scholar
Zeng, Y and Wang, Z (2003) Dynamics of family and elderly living arrangements in China: new lessons learned from the 2000 census. China Review 3, 95119.Google Scholar
Zhang, QF (2004) Economic transition and new patterns of parent–adult child coresidence in urban China. Journal of Marriage and Family 66, 12311245.CrossRefGoogle 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, 217237.CrossRefGoogle ScholarPubMed
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, 259276.CrossRefGoogle ScholarPubMed
Zhuo, Y and Liang, Z (2015) Migration and well-being of the elderly in rural China. In Iredale, R and Guo, F (eds), Handbook of Chinese Migration: Identity and Wellbeing. Cheltenham, UK: Edward Elgar Publishing, pp. 126147.CrossRefGoogle Scholar
Zimmer, Z (2005) Health and living arrangement transitions among China's oldest-old. Research on Aging 27, 526555.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, 537554.CrossRefGoogle ScholarPubMed