Cited by 71Intergenerational Family Dynamics and CaregivingDemographic Trends and Gender PreferencesAging, Elder Care, and Social Issues

Older parents enjoy better filial piety and care from daughters than sons in China

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Yi Zeng, Linda K. George, Melanie Sereny Brasher, Danan Gu, James W. Vaupel·2016·American Journal of Medical Research

Abstract

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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Research works printed but not linked: 6

  1. Goodkind D Review of the book Healthy Longevity in China: Demographic, Socioeconomic, and Psychological Dimensions Population Studies 2009 63 3 1 7
  2. Hu A Yang Z Yan Y Trends and tasks of social security in China in the 13th fiive-year national development plan period Journal of the Party School of the Central Committee of the C.P.C 2015 1 85 90 [in Chinese]
  3. Ng Anita CY Phillips David R Lee William K Persistence and Challenges to Filial Piety and Informal Support of Older Persons in a Modern Chinese Society: A Case Study in Tuen Mun, Hong Kong Journal of Aging Studies 2002 16 2 135 153
  4. Ye Z Establish a green cover for people – the 60-years of the social security program in China People’s Daily (overseas edition) 2009 Beijing
  5. Zeng Yi George Linda K Dannefer Dale Phillipson Chris Population Aging and Old-Age Care in China Sage Handbook of Social Gerontology 2010 Thousand Oaks/CA/USA Sage Publications
  6. Zheng Zhenzhen Fertility Desire of Married Women in China Chinese Journal of Population Science 2004 5 73 78 (in Chinese)

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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
Published
2016
Volume
3
Issue
1
Pages
244
ISSN
2334-4814 (ISSN-L)
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
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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