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The care types choice in filial culture: A cross-sectional study of disabled elderly in China
Open accessAbstract
For the past few decades, studies of care types choice have been restricted to the scope of individual characteristics and health status. Meanwhile, the historiography of the research largely ignores the role of filial culture within China. This study sets out to examine the influence of the factors in the cultural context of filial piety on the choice of care types for older people with disability in China. According to the characteristics of filial culture, the factors influencing the choice of care type for the older people in China are summarized as family endowment and support. The study concludes that gender, residence, living alone or not, family income, real estate, pension and community service have momentous effects on the choice of care type of older people with disability; informal care has a substitutive effect on formal care. The research was based on cross-sectional data of CLHLS 2018 and utilized binary logistic regression analysis to compare the factors influencing the choice of old disabled people between formal and informal care. The study implies that in the context of filial culture, the older people's choice of care types is affected by family endowment and community service supply for the older people in China. In the background of filial culture, the government should give informal care official support such as cash and services, so as to change its attribute of private domain of it and enhance the quality of long-term care.
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The essence of filial piety lies in children providing support for their parents in old age, personally attending to their needs, and ensuring their well-being.
“The essence of filial piety lies in children providing support for their parents in old age, personally attending to their needs, and ensuring their well-being (69, 70).”
From Caring alone: older adult care burdens, practices, and structural imbalances among China's one-child generation (2025) · cites this paper as [69]
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Metadata
- Authors
- Zang, Z.
- Affiliations
- Soochow University (CN)
- Corresponding author
- Zang, Zheng
- Venue
- Frontiers in Public Health
- Publisher
- Frontiers Media SA
- Published
- 2022-09-06
- Volume
- 10
- Pages
- 954035-954035
- ISSN
- 2296-2565 (ISSN-L)
- PMC
- PMC9485573
- OpenAlex
- W4294792999
- Cited by
- 28
- References
- 58
- Citations by year
- 2026: 9 · 2025: 9 · 2024: 10
- FWCI
- 6.84
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Strong
- Soochow University
- Topics
- Social Sciences › Sociology and Political Science › Intergenerational Family Dynamics and Caregiving
- Social Sciences › Life-span and Life-course Studies › Aging, Elder Care, and Social Issues
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Keywords
- filial piety, older adults with disabilities, informal care, formal care, family endowment, community service, long-term care, living arrangements, gender differences, China
- MeSH terms
- Aged, China, Cross-Sectional Studies, Persons with Disabilities, Disabled Persons, Health Status, Humans, Long-Term Care
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