School of Public Administration, Zhongnan University of Economics and Law, Wuhan, 430073, China.
Center for Social Security, Wuhan University, Wuhan, 430072, China.
Int J Equity Health. 2023 Mar 14;22(1):46. doi: 10.1186/s12939-023-01856-z.
The changes in demographic and family structures have weakened the traditional norms of filial piety and intergenerational relationships dramatically. This study aims to examine the dynamic association between financial support of adult children to their parents and informal care provision in China and its differences in household registration, residence arrangement and community-based care services.
Data was derived from the 2008-2018 Chinese Longitudinal Healthy Longevity Survey (CLHLS), which is a longitudinal survey of a nationally representative sample of individuals aged 60 and over. Random effects model was used to assess the association between financial support and informal care provision of adult children to their parents.
It was found that financial support showed an upward trend while informal care provision showed a download trend from 2008 to 2018. The result indicated a significant and negative association between financial support and informal care provision of adult children to their parents (B = -0.500, 95% confidence interval (CI) = -0.761 to -0.239). And the association was significant among elderly people who were from urban areas (B = -0.628, 95% CI = -0.970 to -0.287), co-resided with adult children (B = -0.596, 95% CI = -0.939 to -0.253), and had community-based services (B = -0.659, 95% CI = -1.004 to -0.315).
Financial support was negatively associated with informal care provision of adult children to their parents in China, and the association has differences in household registration, residence arrangement and community-based care services. It is suggested that policymakers should prioritize planning interventions for elderly care services and establish a family caregiver support system.
人口和家庭结构的变化极大地削弱了传统的孝道和代际关系规范。本研究旨在检验中国成年子女对父母的经济支持与非正式护理提供之间的动态关联及其在户籍、居住安排和社区护理服务方面的差异。
数据来自于 2008-2018 年中国纵向健康长寿调查（CLHLS），这是一项对 60 岁及以上人群进行的全国代表性样本的纵向调查。使用随机效应模型评估成年子女对父母的经济支持与非正式护理提供之间的关联。
发现从 2008 年到 2018 年，经济支持呈上升趋势，而非正式护理提供呈下降趋势。结果表明，成年子女对父母的经济支持与非正式护理提供之间存在显著负相关（B=-0.500，95%置信区间（CI）=-0.761 至-0.239）。在来自城市地区（B=-0.628，95%CI=-0.970 至-0.287）、与成年子女共同居住（B=-0.596，95%CI=-0.939 至-0.253）和有社区服务的老年人中，这种关联更为显著（B=-0.659，95%CI=-1.004 至-0.315）。
在中国，经济支持与成年子女对父母的非正式护理提供呈负相关，且这种关联在户籍、居住安排和社区护理服务方面存在差异。建议政策制定者优先规划老年护理服务干预措施，并建立家庭护理人员支持系统。
