Older parents enjoy better filial piety and care from daughters than sons in China
Open accessAbstract
This study analyzes the unique datasets of the Chinese Longitudinal Healthy Longevity Survey using logistic regression and controlling for various covariates. Our analyses clearly demonstrate that disabled older parents are more satisfied with care provided by daughters than sons and that older parents enjoy greater filial piety from and better relationships with daughters than sons. The daughter-advantages of enjoying greater filial piety from and better relationships with children are stronger among the oldest-old aged 80+ than the young-old aged 65-79, and surprisingly more profound in rural areas than urban areas, while son-preference is much more prevalent among rural residents. We also discuss why China's rigorous fertility policy until October-2015 and much less-developed pension system in rural areas substantially contribute to sustaining traditional son-preference and a high sex ratio at birth (SRB) when fertility is low. We recommend China take integrative public health policy actions of informing the public that having daughter(s) is beneficial for old age care, developing the rural pension system and implementing the universal two-child policy as soon as possible. We believe that these policy actions would help to reduce son-preference, bring down the high SRB, and enable more future elderly parents to enjoy better care from their children and healthier lives.
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For elderly care, daughters are more beneficial than sons.
“Further, the benefits of daughters rather than sons for old age care42,43 should be widely publicised.”
From The effects of China’s universal two-child policy (2016) · cites this paper as [43]
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How gendered lived experiences shape sex preference attitudes in contemporary urban China
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Adaptation and validation of the Chinese version of the Fear of Alzheimer’s Disease Scale
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- Authors
- Zeng, Y., George, L. K., Brasher, M. S., Gu, D., & Vaupel, J. W.
- Affiliations
- Duke University (US)
- University of Rhode Island (US)
- United Nations Department of Economic and Social Affairs (US)
- Max Planck Institute for Demographic Research (DE)
- Venue
- American Journal of Medical Research
- Publisher
- Addleton Academic Publishers
- Published
- 2016
- Volume
- 3
- Issue
- 1
- Pages
- 244
- ISSN
- 2334-4814 (ISSN-L)
- PMC
- PMC5438089
- OpenAlex
- W2408818083
- Cited by
- 71
- References
- 76
- Citations by year
- 2026: 2 · 2025: 10 · 2024: 12 · 2023: 10 · 2022: 10 · 2021: 10 · 2020: 4 · 2019: 5 · 2018: 4 · 2017: 2 · 2016: 2
- FWCI
- 12.36
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Medical Research (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DukeSpace (Duke University) (submittedVersion, cc-by-nc-nd)
- University of Southern Denmark Research Portal (University of Southern Denmark) (submittedVersion, other-oa)
- Funders
- National Natural Science Foundation of China (71490732, 71110107025, 71233001)
- Peking University
- Max-Planck-Institut für demografische Forschung
- National Institutes of Health
- National Institute on Aging (R01AG023627, P30AG034424)
- Topics
- Social Sciences › Sociology and Political Science › Intergenerational Family Dynamics and Caregiving
- Social Sciences › Gender Studies › Demographic Trends and Gender Preferences
- Health Sciences › Health Professions › General Health Professions › Aging, Elder Care, and Social Issues
- Keywords
- filial piety, son preference, intergenerational caregiving, oldest old, urban-rural differences, fertility policy, sex ratio at birth, rural pension system, two-child policy, Chinese Longitudinal Healthy Longevity Survey, China
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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