scholarly journals The impact of living arrangements and intergenerational support on the health status of older people in China: are rural residents disadvantaged compared to urban residents?

2021 ◽  
pp. 1-26
Author(s):  
Yazhen Yang ◽  
Maria Evandrou ◽  
Athina Vlachantoni
Keyword(s):  
Life Satisfaction ◽  
Older People ◽  
Adult Children ◽  
Rural Areas ◽  
Living Arrangements ◽  
Psychological Wellbeing ◽  
Urban Residents ◽  
Intergenerational Support ◽  
Rural Residents ◽  
The Impact

Abstract Research to-date has examined the impact of intergenerational support in terms of isolated types of support, or at one point in time, failing to provide strong evidence of the complex effect of support on older persons’ wellbeing. Using the Harmonised China Health and Retirement Longitudinal Study (2011, 2013 and 2015), this paper investigates the impact of older people's living arrangements and intergenerational support provision/receipt on their physical and psychological wellbeing, focusing on rural–urban differences. The results show that receiving economic support from one's adult children was a stronger predictor for higher life satisfaction among rural residents compared to urban residents, while grandchild care provision was an important determinant for poor life satisfaction only for urban residents. Having weekly in-person and distant contact with one's adult children reduced the risk of depression in both rural and urban residents. Older women were more likely than men to receive support and to have contact with adult children, but also to report poor functional status and depression. The paper shows that it is important to improve the level of public economic transfers and public social care towards vulnerable older people in rural areas, and more emphasis should be placed on improving the psychological wellbeing of urban older residents, such as with the early diagnosis of depression.

scholarly journals The Impact of Living Arrangements and Intergenerational Support on the Health Status of Older People in China

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 796-796
Author(s):  
Yazhen Yang ◽  
Maria Evandrou ◽  
Athina Vlachantoni
Keyword(s):  
Life Satisfaction ◽  
Older People ◽  
Adult Children ◽  
Rural Areas ◽  
Living Arrangements ◽  
Urban Areas ◽  
Well Being ◽  
Intergenerational Support ◽  
Rural And Urban Areas ◽  
The Impact

Abstract Research to-date has examined the impact of intergenerational support in terms of isolated types of support, or at one point in time, failing to provide strong evidence of the complex effect of support on older persons’ wellbeing. Using the Harmonised China Health and Retirement Longitudinal Study (2011, 2013 and 2015), this paper investigates the impact of older people’s living arrangements and intergenerational support provision/ receipt on their physical and psychological wellbeing, focusing on rural/ urban differences. The results show that receiving economic support from one’s adult children was a stronger predictor for higher life satisfaction among older rural residents compared to those in urban areas, while grandchild care provision was an important determinant for poor life satisfaction only for older urban residents. Receiving informal care from one’s adult children was associated with a poor (I)ADL functional status and with depressive symptoms among older rural people. Meanwhile, having weekly in-person and distant contact reduced the risk of depression among older people in both rural and urban areas. The paper shows that it is important to improve the level of public economic transfers and public social care towards vulnerable older people in rural areas, and more emphasis should be placed on improving the psychological well-being of urban older residents, such as with the early diagnosis of depression.

Village senior centres and the living arrangements of older people in rural China: considerations of health, land, migration and intergenerational support

2016 ◽  
Vol 37 (10) ◽  
pp. 2044-2073 ◽  
Author(s):  
HUIJUN LIU ◽  
KAREN N. EGGLESTON ◽  
YAN MIN
Keyword(s):  
Older People ◽  
Rural Areas ◽  
Living Arrangements ◽  
Urban Areas ◽  
Independent Living ◽  
Rural China ◽  
Living Arrangement ◽  
Population Ageing ◽  
Intergenerational Support ◽  
North East

ABSTRACTChina is experiencing rapid urbanisation and population ageing, alongside sometimes contentious rural land consolidation. These on-going social, economic, political and demographic changes are especially problematic for older people in rural areas. In these regions, social and institutional support arrangements are less developed than in urban areas; older people have few options for re-settlement but are resistant to or incapable of adjusting to high-rise apartment living. In 2012–13, we gathered rich qualitative and quantitative data on over 600 older residents in 12 villages under the jurisdiction of City L in north-east coastal China to analyse residents’ living arrangement choices during the village renovation process. We compared villages with and without senior centres to shed light on the correlates of co-residence and independent living. Senior centres play a role in balancing the burden on rural Chinese families resulting from population ageing, smaller families, widespread migration for work, and the rapid urbanisation that is restructuring land rights and social support arrangements.

Intergenerational Caregiving Patterns, Living Arrangements, and Life Satisfaction of Adults in Mid and Later Life in China

2021 ◽  
pp. 016402752110584
Author(s):  
Jingwen Liu ◽  
Feinian Chen
Keyword(s):  
Life Satisfaction ◽  
Longitudinal Study ◽  
Adult Children ◽  
Living Arrangements ◽  
Later Life ◽  
Care Provision ◽  
Rural Residents ◽  
Health Implications ◽  
Care Recipients ◽  
Intergenerational Caregiving

While the health implications of intergenerational caregiving have been broadly investigated in the aging literature, less is known about caregivers in four-generation families and their living arrangements. Using 2011 and 2013 waves of China Health and Retirement Longitudinal Study ( N = 12,914 obs.), we document enhanced life satisfaction of grandchild caregivers and sandwich caregivers caring for both grandchildren and parents than non-caregivers. When further taking living arrangements into consideration, we find that parent caregivers also benefit from care provision when not living with their parents and sandwich caregivers only have an advantage when co-residing with care recipients with adult children present in households. By contrast, grandchild caregivers living with grandchildren show substantially higher life satisfaction no matter adult children are present or not. The subgroup comparison suggests that females and rural residents enjoy psychological advantages over their male counterparts and urban counterparts in grandparenting within skipped-generation households and sandwich caregiving.

THE IMPACT OF LIVING ARRANGEMENTS OF OLDER PEOPLE ON INTERGENERATIONAL TRANSFERS FROM THEIR ADULT CHILDREN IN CHINA

2021 ◽  
pp. 1-21
Author(s):  
QINGYUAN XUE ◽  
NOPPHOL WITVORAPONG
Keyword(s):  
Older People ◽  
Informal Care ◽  
Adult Children ◽  
Emotional Support ◽  
Living Arrangements ◽  
Intergenerational Transfers ◽  
Older Parents ◽  
Monetary Transfers ◽  
Social Security Reforms ◽  
The Impact

Based on three waves of the nationally representative survey conducted in 2005, 2008-2009, and 2011-2012, this study investigates the effect of living arrangements on intergenerational transfers in China. Outcomes of interest include monetary transfers, contact, informal care, and emotional support that adult children provide to older parents. Both actual living arrangements and the discrepancy between actual and preferred living arrangements are considered. Endogeneity bias is accounted for through fixed-effects instrumental-variable regression modeling. It is found that co-residence serves as a substitute for monetary transfers and is positively associated with the probability that parents would receive contact, informal care and emotional support from adult children. Living alone with children in the same city is positively associated with the receipt of monetary transfers and contact by older parents but is not statistically related to the other two outcomes. There is an expressed desire for independent living among older people, which impacts transfer behaviors in a complex manner. This study provides a better understanding of the role of the family amidst ongoing social security reforms in China.

scholarly journals Strategies for Disseminating and Implementing the COVID-19 Vaccines in Rural Areas

2021 ◽  
Author(s):  
Beth Prusaczyk
Keyword(s):  
United States ◽  
Health Disparities ◽  
Urban Health ◽  
Rural Areas ◽  
The United States ◽  
Urban Residents ◽  
Rural Residents ◽  
Vaccination Programs ◽  
Vaccine Information ◽  
Roll Out

Abstract The United States has well-documented rural-urban health disparities and it is imperative that these are not exacerbated by an inefficient roll-out of the COVID-19 vaccines to rural areas. In addition to the pre-existing barriers to delivering and receiving healthcare in rural areas, such as high patient:provider ratios and long geographic distances between patients and providers, rural residents are significantly more likely to say they have no intention of receiving a COVID-19 vaccine, compared to urban residents. To overcome these barriers and ensure rural residents receive the vaccine, officials and communities should look to previous research on how to communicate vaccine information and implement successful vaccination programs in rural areas for guidance and concrete strategies to use in their local efforts.

How left behind are rural parents of migrant children? Evidence from Thailand

2010 ◽  
Vol 30 (5) ◽  
pp. 811-841 ◽  
Author(s):  
JOHN KNODEL ◽  
JIRAPORN KESPICHAYAWATTANA ◽  
CHANPEN SAENGTIENCHAI ◽  
SUVINEE WIWATWANICH
Keyword(s):  
Adult Children ◽  
Rural Areas ◽  
Living Arrangements ◽  
Urban Areas ◽  
Extended Family ◽  
Age Groups ◽  
Social Contact ◽  
Migrant Children ◽  
Older Parents ◽  
Economic Changes

ABSTRACTThe consequences of adult children's migration from rural areas for older parents who remain behind are keenly debated. While the mass media and international advocacy organisations favour an ‘alarmist’ view of desertion, the academic literature makes more sanguine assessments using the ‘household strategy’ and ‘modified extended family’ perspectives. We examine the relationship between the migration of adult children and various dimensions of older parents' wellbeing in Thailand using evidence from a survey that focused on the issues. The results provide little support for the alarmist view, but instead suggest that parents and adult children adapt to the social and economic changes associated with development in ways not necessarily detrimental to intergenerational relations. The migration of children, especially to urban areas, often benefits parents' material support while the recent spread of cell phones has radically increased their ability to maintain social contact. Nevertheless, changing living arrangements through increased migration and the smaller family sizes of the youngest age groups of older people pose serious challenges for aspects of filial support, especially at advanced ages when chronic illness and frailty require long-term personal care. Dealing with this emerging situation in a context of social, economic and technological change is among the most critical issues facing those concerned with the implications of rapid population ageing in Thailand and elsewhere.

scholarly journals The impact of adult mortality on the living arrangements of older people in rural South Africa

2005 ◽  
Vol 25 (6) ◽  
pp. 431-444 ◽  
Author(s):  
VICTORIA HOSEGOOD ◽  
IAN M. TIMÆUS
Keyword(s):  
South Africa ◽  
Older People ◽  
Living Arrangements ◽  
Adult Mortality ◽  
Living Alone ◽  
Rural South ◽  
Kwazulu Natal ◽  
The Impact ◽  
Quality Infrastructure ◽  
Rural South Africa

This paper examines changes in households with older people in a northern rural area of KwaZulu Natal province, South Africa, between January 2000 and January 2002. The focus is the impact of adult deaths, especially those from AIDS, on the living arrangements of older people. The longitudinal data are from the Africa Centre Demographic Information System. In 2000, 3,657 older people (women aged 60 years or older, men 65 years or older) were resident in the area, and 3,124 households had at least one older member. The majority (87%) of older people lived in three-generation households. Households with older people were significantly poorer, more likely to be headed by a woman, and in homesteads with poorer quality infrastructure than households without older members. By January 2002, 316 (8%) of the older people in the sample had died. Of all the households with an older person, 12 per cent experienced at least one adult death from AIDS. The paper shows that older people, particularly those living alone or with children in the absence of other adults, were living in the poorest households. They were also coping with an increasing burden of young adult deaths, the majority of which were attributable to AIDS.

Empirical analysis of the impact of financial development on the income gap between urban and rural residents in the context of large data using fuzzy Kmeans clustering algorithm

2020 ◽  
pp. 002072092093683
Author(s):  
Yao Li
Keyword(s):  
Empirical Analysis ◽  
Financial Development ◽  
Rural Areas ◽  
Clustering Algorithm ◽  
Financial Industry ◽  
Rural Residents ◽  
Income Gap ◽  
Urban And Rural Residents ◽  
Urban And Rural Areas ◽  
The Impact

With the rise of the tertiary industry, the financial industry has achieved unprecedented development, which is mainly reflected in the rapid growth of economic aggregate, the increasingly balanced financial structure system and the increasingly diversified financial products. However, with the rapid development of financial industry, the income of urban and rural residents is increasingly unbalanced. The increasing income gap between urban and rural areas has caused a large number of adverse phenomena in the process of economic development, seriously affecting the income distribution of the people and even causing social instability. Therefore, in today’s big data era, it is necessary to systematically study and analyze the impact of financial industry development on the national income gap between urban and rural areas. At the same time, it is of great significance to improve the problem of excessive income gap between urban and rural areas. This paper mainly analyses the relationship between the three effects of the development of financial industry and the income gap between urban and rural residents. In the empirical aspect, the paper creatively uses the fuzzy Kmeans clustering algorithm to regression analysis the panel data of a certain area from 2010 to 2018. At the same time, in the empirical data analysis, this paper creatively replaces the European norm measure of the Kmeans clustering algorithm with the AE measure, and puts forward a proposal. The index of financial development level is based on the proportion of loans from financial institutions. Through theoretical and empirical analysis, this paper draws the following conclusions: the financial scale in the financial industry will have a huge impact on the income gap between urban and rural areas. Finally, based on the above problems and current situation, this paper puts forward relevant improvement suggestions.

scholarly journals The impact of the COVID-19 pandemic on the wellbeing of Irish Men’s Shed members

2020 ◽  
Author(s):  
Aisling McGrath ◽  
Niamh Murphy ◽  
Noel Richardson
Keyword(s):  
Physical Activity ◽  
Life Satisfaction ◽  
Rural Areas ◽  
Urban Areas ◽  
Health Promotion Program ◽  
Activity Levels ◽  
Health And Wellbeing ◽  
Self Rated Health ◽  
Increased Risk ◽  
The Impact

Summary COVID-19 disproportionately affects males especially those who are older and more socio-economically disadvantaged. This study assessed wellbeing outcomes among men’s shed members (Shedders) in Ireland at baseline (T1), 3 (T2), 6 (T3) and 12 months (T4) in response to a 10-week health promotion program ‘Sheds for Life’ (SFL). Two cohorts participated in SFL commencing in March and September 2019. This study compares the T3 findings from one cohort carried out during the COVID-19 pandemic [COVID cohort (n = 185)] with T3 findings from a comparator cohort [pre-COVID cohort (n = 195)], completed pre-COVID-19. Questionnaires assessing wellbeing [life satisfaction, mental health, loneliness, physical activity (PA), self-rated health and other lifestyle measures] were analyzed in both cohorts T1, T2 and T3. Self-rated Health and life satisfaction decreased in the COVID cohort at T3 (p < 0.001), while loneliness scores increased (p < 0.0005). Higher loneliness scores were correlated with lower health ratings, life satisfaction and PA during COVID-19 (p < 0.001). Days PA decreased in the COVID cluster at T3 from T2 (p < 0.01) with those in urban areas reporting lower activity levels than rural areas (p < 0.05). Those sufficiently active at baseline managed to maintain PA during COVID-19 while those not meeting guidelines were more likely to report decreases (p < 0.001). Shedders experiencing COVID-19 restrictions are at an increased risk of poorer wellbeing and increased levels of loneliness. Support and guidance are needed to safely encourage this cohort back into men’s sheds, settings that protect against loneliness and positively promote health and wellbeing. Lay summary The COVID-19 pandemic will have wide-reaching implications on wellbeing, particularly on those who are older and more vulnerable. Evidence also suggests that COVID-19 disproportionately affects males. This study aimed to understand the impact that COVID-19 has had on men in the setting of Men’s Sheds in Ireland. Two cohorts of men who were participating in a 10-week health and wellbeing program (Sheds for Life) at different stages were followed over time. At 6 months follow-up the first Cohort had not experienced COVID-19 whereas the second cohort was actively experiencing the COVID-19 pandemic. We measured wellbeing using questionnaires, comparing both groups of men for differences. We found that the men who were experiencing COVID-19 had lower self-rated health, physical activity and life satisfaction as well as higher rates of loneliness, with those who were more lonely reporting lower wellbeing scores. We also found that men in rural areas were more physically active during COVID-19 and that those were not active were more likely to become more inactive during COVID-19. This study suggests that support and guidance is needed to safely encourage this cohort back into Men’s Sheds, settings that protect against loneliness and positively promote health and wellbeing.

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