Family change in China: a-70 year perspective

Yang, Jiaqing; Du, Shenghong

doi:10.1007/s42379-020-00068-0

Cited by 10 publications

(10 citation statements)

References 5 publications

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“…Further, the burden of caring for older adults in China multiplies when the effects of a “one-child policy” and a “4-2-1” family structure (e.g. four grandparents, two parents, and one child) are taken into account for those affected from the 1970s to early 2016 (Yang & Du, 2021).…”

Section: Introductionmentioning

confidence: 99%

“Am I entitled to take a break in caregiving?”: Perceptions of leisure activities of family caregivers of loved ones with dementia in China

Leung

et al. 2022

Dementia

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Leisure activities are essential for family caregivers of loved ones with dementia living in the community, yet these caregivers tend not to engage in them, especially in China, wherein it may have a negative impact on their physical and psychological health. To date, limited knowledge exists regarding underlying reasons that deter these family caregivers from doing leisure activities. This study aims to explore perceptions of family caregivers of people living with dementia and their engagement in leisure activities. A qualitative descriptive research design was used with semi-structured, face-to-face, individual in-depth interviews. The data were collected in Shijiazhuang, China between October and November 2019. Content analysis was used to develop categories. Results of 20 family caregivers (5 men and 15 women, mean age = 55.6±12.7) reported their perceptions under four main categories: (i) “the condition of leisure life,” (ii) “needs for leisure activities,” (iii) “reasons for the reluctance to do leisure activities,” and (iv) “motivations supporting the implementation of leisure activities.” In addition to the heavy caregiving workload and lack of support, traditional Chinese beliefs including filial commitment and “fatalistic voluntarism” were the reasons that prevented Chinese family caregivers of people living with dementia from doing leisure activities. However, engaging their loved ones in leisure activities, like doing exercise together, could motivate family caregivers themselves to participate in leisure activities. These findings encourage healthcare professionals to consider the influence of culture on family caregivers’ engagement in leisure activities which is one of the ways to reduce stress. Family caregivers may benefit from the leisure activities by learning how to better cope with and balance caregiving tasks with their leisure pursuits in the community.

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Section: Introductionmentioning

confidence: 99%

“Am I entitled to take a break in caregiving?”: Perceptions of leisure activities of family caregivers of loved ones with dementia in China

Leung

et al. 2022

Dementia

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“…The rising elderly HCD comes at a time when society is undergoing fundamental changes. Family support has traditionally played an important role in elderly healthcare services in China [32]. However, nowadays, non-traditional families have emerged in large numbers, such as exclusively elderly families, empty-nest families, grandparent families, and so on [33].…”

Section: Discussionmentioning

confidence: 99%

“…Meanwhile, after the unprecedented "one child" policy, Chinese families are becoming old due to the low birth rate and longer life expectancy [35]. The substantially reduced number of children has shortened the length of family expansion, while increasing the period of empty-nest elderly [32]. The "4-2-1" family structure and the empty nest undermine the traditional Chinese ways of caring for the elderly, such as family support.…”

Section: Discussionmentioning

confidence: 99%

Decoupling of Elderly Healthcare Demand and Expenditure in China

Yang

Wang

et al. 2021

Healthcare

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This study examined the changing trajectory and factors that influenced the health and medical expenditure of the Chinese elderly population over the past two decades. Based on the Chinese Longitudinal Healthy Longevity Survey (CLHLS) from 1998 to 2018, inferential and multiple linear regression models were constructed. The key finding is that China has experienced a decoupling of healthcare demand (HCD) and healthcare expenditure (HCE) since around 2014, when HCE began to decline despite the fact that HCD continued to rise. This is a promising sign, suggesting that the government’s health insurance policy is working. Furthermore, participating in health insurance schemes can significantly reduce the elderly’s HCD and HCE, demonstrating that health insurance can effectively affect the elderly’s decision to seek medical treatment and improve their health condition. We also found that age, region, basic old-age insurance, and care by the government and institutions were significant factors that influenced the healthcare demand and expenditure of the elderly population.

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“…Despite a low fertility rate, China has a low childlessness rate ( Zhao et al, 2017 ), which means most older adults would experience the transition to grandparenthood. In addition, the female mean age at first birth is lower in China (26.6 in 2015 ( Yang & Du, 2021 )) than in Western European countries (which ranged from 28.4 in France to 30.8 in Italy in 2015) ( Eurostat, 2022 ), generally resulting in an earlier transitioning to grandparenthood in China ( Zhang et al, 2018 ). Importantly, both co-residential and non-coresidential grandparental childcare are common in China ( Chen, 2014 ), most likely because childcare services become less available and affordable following economic reforms in recent decades ( Du & Dong, 2013 ).…”

Section: Introductionmentioning

confidence: 99%