Abstract
Rapid demographic change, economic growth, and evolving social norms have put increasing pressure on the traditional system of filial piety and family-based eldercare in China. This paper examines the current role of intergenerational transfers in providing old-age support using nationally representative data from the China Health and Retirement Longitudinal Study. The analysis explores varied modes of care that exist in rural and urban areas, as well as the role of internal migration in influencing methods of old-age support. The results paint a rich description of the contemporary dynamics between filial obligations and economic development.
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Notes
Based on the official poverty threshold of 2300 yuan.
Lei et al. (2012) uses a sample of 800 households from the 2008 CHARLS pilot survey collected in Gansu and Zhejiang provinces in preparation for the 2011 national baseline analyzed in this paper.
Note that these numbers mask the discrepancy of what “pension” means in terms of expected financial support to an urban versus rural resident.
This implies transfers within the household between adults and their co-resident children are beyond the scope of this analysis.
Note that “in-kind” refers to physical goods such as grain and cooking oil and does not include time transfers.
CHARLS defines irregular transfers as those given at Spring Festival, and/or Mid-Autumn Festival, birthdays, weddings, funerals, or other idiosyncratic times.
Alternative definitions of “migrants” based on differing distances from the parents produce consistent results throughout.
These include agreeing or disagreeing with statements such as “I was bothered by things that don’t usually bother me.”
Excluding running 1 km from the definition of the ADL marker does not change the regression results that follow.
Heart disease includes heart attacks, coronary heart disease, angina, congestive heart failure, or additional heart problems.
The results are consistent with using a conditional-logit model to constrain the predicted probability of receipt of transfers between zero and one.
References
Altonji, J., Hayashi, F., & Kotlikoff, L. (1992). Is the extended family altruistically linked? Direct tests using micro data. American Economic Review, 82(5), 1177–1198.
Andresen, E. M., Malmgren, J. A., Carter, W. B., & Patrick, D. L. (1994). Screening for depression in well older adults: evaluation of a short form of the CES-D. American Journal of Preventive Medicine, 10(2), 77–84.
Becker, G. (1981). A treatise on the family. Cambridge: Harvard University Press.
Cai, F., Giles, J., & 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), 2229–2255.
Chiappori, P.-A. (1988). Rational household labor supply. Econometrica, 56(1), 63–89.
Chiappori, P.-A. (1992). Collective labor supply and welfare. Journal of Political Economy, 100(3), 437–467.
Cochrane, J. H. (1991). A simple test of consumption insurance. Journal of Political Economy, 99(5), 957–976.
Cong, Z., & Silverstein, M. (2011). Intergenerational exchange between parents and migrant and nonmigrant sons in rural china. Journal of Marriage and Family, 73(1), 93–104.
Cook, I. G., & Powell, J. L. (2007). New perspectives on China and aging. New York: Nova Science Publishers, Inc.
Cox, D., & Fafchamps, M. (2007). Extended family and kinship networks: Economic insights and evolutionary directions. In T. Paul Schultz and E. Evenson, (eds.), Handbook of Development Economics, Vol. 4, (pp. 3711–3784) Amsterdam: Elsevier
Dalton, M., & LaFave, D. (2015). Mitigating the consequences of a health condition: The role of informal family support. Working Paper.
Dong, X., Simon, M. A., Odwazny, R., & Gorbien, M. (2008). Depression and elder abuse and neglect among a community-dwelling Chinese elderly population. Journal of Elder Abuse & Neglect, 20(1), 25–41.
Foster, A. D., & Rosenzweig, M. R. (2001). Imperfect commitment, altruism, and the family: evidence from transfer behavior in low-income rural areas. Review of Economics and Statistics, 83(3), 389–407.
Genoni, M.E. (2012). Health shocks and consumption smoothing: evidence from Indonesia. Economic Development and Cultural Change, 60, (3).
Giles, J., & Mu, R. (2007). Elderly parent health and the migration decisions of adult children: evidence from rural China. Demography, 44(2), 265–288.
Giles, J., Wang, D., & Zhao, C. (2010). Can China’s rural elderly count on support from adult children? Implications of rural-to-urban migration. Population Aging, 3, 183–204.
Hamoudi, A., & Thomas, D. (2014). Endogenous coresidence and program incidence: South Africa’s old age pension. Journal of Development Economics, 109, 30–37.
Hayashi, F., Altonji, J., & Kotlikoff, L. (1996). Risk-sharing between and within families. Econometrica, 64(2), 261–294.
Ikels, C. (2008). Economic reform and intergenerational relationships in China. In R. Goodman & S. Harper (Eds.), Ageing in Asia (pp. 14–27). London: Routledge.
Jacobs, A., & Century, A. (2012). As China ages, Beijing turns to morality tales to Spur Filial Devotion, The New York Times, September 5, 2012.
Lee, Y.-J., & 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.
Lei, X., Giles, J., Hu, Y., Park, A., Strauss, J., & Zhao, Y. (2012). Patterns and correlates of intergenerational nontime transfers: Evidence from CHARLS. In J.P. Smith, M. Majmundar (eds.), Aging in Asia: Findings from new and emerging data initiatives, National Academies Press.
Lei, X., Sun, X., Strauss, J., Zhao, Y., Yang, G., Hu, P., Hu, Y., & Yin, X. (2013). Health outcomes and socio-economic Status among the Elderly in China: Evidence from the CHARLS Baseline Data. Working Paper.
Leung, J. (1994). Dismantling the ‘iron rice bowl’: welfare reforms in the People’s Republic of China. Journal of Social Policy, 23(3), 341–361.
Li, M., & Sicular, T. (2013). Aging of the labor force and technical efficiency in crop production: evidence from Liaoning province, China. China Agricultural Economic Review, 5(3), 342–359.
Li, L., & Wu, X. (2011). Gender of children, bargaining power, and intrahousehold resource allocation in China. Journal of Human Resources, 46(2), 295–316.
Li, L., Liang, J., Tolera, A., & Guc, S. (2005). Widowhood and depressive symptoms among older Chinese: do gender and source of support make a difference? Social Science & Medicine, 60, (3).
Park, A., Shen, Y., Strauss, J., & Zhao, Y. (2012). Relying on whom? Poverty and consumption financing of China’s elderly. In J.P. Smith and M. Majmundar (eds.), Aging in Asia: Findings from new and emerging data initiatives, National Academies Press.
Pozen, R. (2013). Tackling the Chinese pension system, Paulson Policy Memorandum, The Paulson Institute.
Sankar, A. (1989). Gerontological research in China: the role of anthropological inquiry. Journal of Cross-Cultural Gerontology, 4, 199–224.
Secondi, G. (1997). Private monetary transfers in rural China: are families altruistic? Journal of Development Studies, 33(4), 487–509.
Shen, C., & Williamson, J. B. (2010). China’s new rural pension scheme: can it be improved? International Journal of Sociology and Social Policy, 30(5/6), 239–250.
Strauss, J., & Thomas, D. (2007). Health over the life course. In T.P. Schultz and J. Strauss (eds.), Handbook of Development Economics, Vol. 4, Elsevier.
The Economist. (2012). Fulfilling Promises: China is beginning to face up to its pension problems, August 11, 2012.
The Economist. (2014). Paying for the Gray: As a pensions crisis looms, China looks at raising the retirement age, April 5, 2014.
Wang, S.-Y. (2014). Property rights and intra-household bargaining. Journal of Development Economics, 107, 192–201.
Wang, J., & Zhao, X. (2012). Family functioning and social support for older patients with depression in an urban area of Shanghai, China. Archives of Gerontology and Geriatrics, 55(3), 574–579.
Whyte, M. K. (2003). China’s revolutions and intergenerational relations. Ann Arbor: Center for Chinese Studies, University of Michigan.
Wong, E. (2013). A Chinese virtue is now the law. The New York Times, July 2, 2013.
World Bank. (2014a). GDP per capita at purchasing power parity, accessed September 1, 2014 at http://data.worldbank.org/indicator/NY.GDP.PCAP.PP.CD.
World Bank. (2014b). Population Estimates and Projections, accessed September 1, 2014 at http://datatopics.worldbank.org/hnp/popestimates.
World Bank. (2014c) Total Fertility Rates, accessed September 11, 2014 at http://data.worldbank.org/indicator/SP.DYN.TFRT.IN.
World Bank. (2014d). GDP growth (annual %), accessed September 11, 2014 at http://data.worldbank.org/indicator/NY.GDP.MKTP.KD.ZG.
Wu, X., & Li, L. (2014). The motives of intergenerational transfer to the elderly parents in China: consequences of high medical expenditure. Health Economics, 23(6), 631–652.
Xinhua, (2013). China to ease one-child policy. Xinhuanet, November 15, 2013, accessed http://news.xinhuanet.com/english/china/2013-11/15/c_132891920.htm.
Xinhua, (2014). Premier Li says China will reach 7.5% growth target, Xinhuanet, September 10, 2014, accessed http://news.xinhuanet.com/english/video/2014-09/10/c_133633492.htm.
Yan, Y. (2003). Private life under socialism. Stanford: Stanford University Press.
Zhang, H. (2009). The new realities of aging in contemporary China: Coping with the decline in family care. In J. Sokolovsky (Ed.), The cultural context of aging. Westport: Praeger Publishers.
Zhang, X., & Kanbur, R. (2005). Spatial inequality in education and health care in China. China Economic Review, 16, 189–204.
Zhang, W., & Wang, Y. (2010). Meal and residence rotation of elderly parents in contemporary rural northern China. Journal of Cross Cultural Gerontology, 25, 217–237.
Zhang, X., Yang, J., & Wang, S. (2011). China has reached the Lewis turning point. China Economic Review, 22(4), 542–555.
Zhao, Y., Strauss, J., Yang, G., Giles, J., Hu, P., Hu, Y., Lei, X., Liu, M., Park, A., Smith, J.P., & Wang, Y. (2013). China Health and Retirement Longitudinal Study - 2011–12 National Baseline User’s Guide.
Zheng, Z., Feng, T., & Lin, B. (2013). Ageing in China: Potential of Silver Economy of China, Working Paper, Institute of Population and Labor Economics, Chinese Academy of Social Sciences, December, 2013.
Zuo, X. (2013). Designing Fiscally Sustainable and Equitable Pension Systems in China, presentation at IMF OAP/FAD Conference, Tokyo, January 9–10, 2013, accessed at http://www.imf.org/external/np/seminars/eng/2013/oapfad/pdf/zuo.pdf.
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This paper has benefited greatly from discussions with Hong Zhang and Jeanne Shea.
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LaFave, D. Family Support and Elderly Well-being in China: Evidence from the China Health and Retirement Longitudinal Study. Ageing Int 42, 142–158 (2017). https://doi.org/10.1007/s12126-016-9268-0
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DOI: https://doi.org/10.1007/s12126-016-9268-0