The role of the family in institutional long‐term care: cultural management of filial piety in China
Abstract
Zhan HJ, The role of the family in institutional long‐term care – cultural management of filial piety in China Int J Soc Welfare 2011: 20: S121–S134 © 2011 The Author(s), International Journal of Social Welfare © 2011 Blackwell Publishing Ltd and the International Journal of Social Welfare. This study used both qualitative and quantitative data collected in Nanjing, China, from 2008 to 2009, to examine the role of the family in long‐term institutional elder care. The qualitative data reported on four separate groups of family members and their elderly parents residing in institutions. The survey included information from 140 elder care institutions (over 95% of all urban elder care institutions) in Nanjing. The quantitative data provided a background from which to understand the qualitative responses of family members obtained during the focus group discussions. The qualitative data added a contextualized understanding of the reasons for institutional placement and aspects of the families' continued involvement in long‐term care. In conclusion, Chinese families, unlike families in the West, are currently struggling to manage the cultural demands of elder care together with the usual financial, caregiving, and emotional concerns. Managing stigma has been one of the adult children's prevalent themes in the transition from familial to institutional care.
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The younger generation faces pressure to manage the cultural demands of elder care, together with financial, caregiving, and emotional concerns, especially when all the burden falls on a single child.
“At the same time, the younger generation also faces pressure to manage the cultural demands of elder care, together with the usual financial, caregiving, and emotional concerns, especially when all the burden falls on a single child (Zhan et al. 2011).”
From The Social and Sociological Consequences of China's One-Child Policy (2021) · cites this paper as Zhan et al. 2011
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- Authors
- Zhan, H. J., Feng, Z., Chen, Z., & Feng, X.
- Affiliations
- Georgia State University (US)
- Brown University (US)
- Nanjing University (CN)
- Corresponding author
- Zhan, Heying Jenny
- Venue
- International Journal of Social Welfare
- Publisher
- Wiley
- Published
- 2011-05-26
- Volume
- 20
- Issue
- s1
- ISSN
- 0907-2055 (ISSN-L)
- 1369-6866
- 1468-2397
- OpenAlex
- W1529680133
- Cited by
- 72
- References
- 41
- Citations by year
- 2026: 8 · 2025: 7 · 2024: 4 · 2023: 6 · 2022: 7 · 2021: 4 · 2020: 7 · 2019: 4 · 2018: 2 · 2017: 3 · 2016: 6 · 2015: 3 · 2014: 6 · 2013: 2 · 2012: 3
- FWCI
- 11.79
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Social Welfare (publishedVersion)
- Funders
- Fogarty International Center
- Topics
- Social Sciences › Sociology and Political Science › Intergenerational Family Dynamics and Caregiving
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Health Sciences › Health Professions › General Health Professions › Aging, Elder Care, and Social Issues
- Keywords
- long-term care facilities, filial piety, Chinese family, stigma, adult children, Nanjing
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