This study examines the effects of frequency of visits, monetary, and in-kind support provided to older parents on the depressive symptoms of adult children.
Method
This study drew secondary data from the China Health and Retirement Longitudinal Study Follow-up Questionnaire. A total of 629 older children aged 55 years and older (M = 59.80, standard deviation = 3.90) met the inclusion criteria. The dependent variable—depressive symptoms—was measured with the Center for Epidemiological Studies Depression scale.
Results
Approximately 22% of participants reported clinically significant levels of depressive symptoms. Hierarchical regression analyses found that more frequent visits and monetary support to older parents were related to lower levels of depressive symptoms in older children.
Conclusion
Providing monetary support to parents may help mitigate a major concern of parents: health-care costs. Older children’s altruistic behaviors meet legal and cultural expectations in Chinese society, contributing to family intimacy and thereby their own mental health outcomes.
BianF.LoganJ. R.BianY. (1998).
Intergenerational relations in urban China: Proximity, contact, and help to parents. Demography,
35(1), 115–124. doi:10.2307/3004031
2.
ChappellN. L.KuschK. (2007).
The gendered nature of filial piety—A study among Chinese Canadians. Journal of Cross-Cultural Gerontology,
22(1), 29–45. doi:10.1007/s10823-006-9011-5
3.
Chao, S. F. (2011). Assessing social support and depressive symptoms in older Chinese adults: a longitudinal perspective. Aging & Mental Health, 15(6), 765–774.
4.
ChenC. (2000).
Economic independence is the primary condition for older people’s well-being: Analysis and suggestions based on exchange theory. Population Research,
24, 53–58.
5.
ChenX.SilversteinM. (2000).
Intergenerational social support and the psychological well-being of older parents in China. Research on Aging,
22(1), 43–65. doi:10.1177/0164027500221003
6.
ChouK. L.HoA. H. Y.ChiI. (2006).
Living alone and depression in Chinese older adults. Aging & Mental Health,
10(6), 583–591. doi:10.1080/13607860600641150
7.
CongZ.SilversteinM. (2008).
Intergenerational support and depression among elders in rural China: Do daughters-in-law matter?Journal of Marriage and Family,
70(3), 599–612. doi:10.1111/j.1741-3737.2008.00508.x
8.
CouchK. A.DalyM. C.WolfD. A. (1999).
Time? Money? Both? The allocation of resources to older parents. Demography,
36(2), 219–232. doi:10.2307/2648110
9.
De Jong GierveldJ.DykstraP. A. (2008).
Virtue is its own reward? Support-giving in the family and loneliness in middle and old age. Ageing and Society,
28(2), 271–287. doi:10.1017/S0144686X07006629
10.
Elder Rights Protection Law. (2013). Retrieved from www.npc.gov.cn
11.
FengL.YanZ.SunB.CaiC.JiangH.KuaE.QiuC. (2013).
Tea consumption and depressive symptoms in older people in rural China. Journal of the American Geriatrics Society,
61(11), 1943–1947.
12.
GilesJ.MuR. (2007).
Elderly parent health and the migration decisions of adult children: Evidence from rural China. Demography,
44(2), 265–288. doi:10.1353/dem.2007.0010
13.
GrundyE. (2005).
Reciprocity in relationships: Socio-economic and health influences on intergenerational exchanges between third age parents and their adult children in Great Britain. The British Journal of Sociology,
56(2), 233–255. doi:10.1111/j.1468-4446.2005.00057.x
14.
HuangC. Q.ZhangX. M.DongB. R.LuZ. C.YueJ. R.LiuQ. X. (2010).
Health status and risk for depression among the elderly: A meta-analysis of published literature. Age and Ageing,
39(1), 23–30. doi:10.1093/ageing/afp187
15.
JinX.GuoQ.FeldmanM. W. (2015).
Marriage squeeze and intergenerational support in contemporary rural china: Evidence from X county of Anhui Province. The International Journal of Aging and Human Development,
80(2), 115–139. doi:10.1177/0091415015590304
16.
KrauseN.LiangJ.GuS. (1998).
Financial strain, received support, anticipated support, and depressive symptoms in the People’s Republic of China. Psychology and Aging,
13(1), 58–68. doi:10.1037/0882-7974.13.1.58
17.
LaditkaJ. N.LaditkaS. B. (2000).
Aging children and their older parents: The coming generation of caregiving. Journal of Women & Aging,
12(1–2), 189–204. doi:10.1300/J074v12n01_12
18.
LawtonM.BrodyE. (1969).
Assessment of older people: Self-maintaining and instrumental activities of daily living. Gerontologist,
9, 179–186.
19.
LeeG.DwyerJ.CowardR. (1993).
Gender differences in parent care-demographic-factors and same-gender preferences. Journals of Gerontology,
48(1), S9–S16.
20.
LiL. W.LiuJ.XuH.ZhangZ. (2016).
Understanding rural-urban differences in depressive symptoms among older adults in China. Journal of Aging and Health,
28(2), 341–362. doi:10.1177/0898264315591003
21.
LinJ.ChangT.HuangC. (2011).
Intergenerational relations and life satisfaction among older women in Taiwan: Intergenerational relations and life satisfaction. International Journal of Social Welfare,
20, S47–S58. doi:10.1111/j.1468-2397.2011.00813.x
22.
LinZ.PeiX. (2016).
Intergenerational exchange of resources and elderly support in rural China. The International Journal of Aging and Human Development,
83(2), 108–127. doi:10.1177/0091415016647728
23.
ManciniJ. A.BliesznerR. (1989).
Aging parents and adult children: Research themes in intergenerational relations. Journal of Marriage and Family,
51(2), 275–290.
PanY.JonesP. S.PothierP. (2017).
The relationship between mutuality and health-related quality of life in adult child caregivers in China. Journal of Family Nursing,
23(3), 366–391. doi:10.1177/1074840717718540
26.
SheppardH. L. E. (1991).
Social services and aging policies in the U.S. and Asia. Presentations. Asia-U.S. Conference on Social Services and Aging Policies (Pensacola, Florida, August 8–11, 1988). Aging,
547, 71–83.
27.
SilvermanP.HechtL.McMillinJ. D.ChangS. (2008). Social networks of older adults: A comparative study of Americans and Taiwanese.
New York, NY:
Cambria Press.
28.
Social Science Survey Center at Beijing University. (2012). China Family Panel Studies. Beijing, China: Beijing University Press.
29.
WolinskyF. D.MahnckeH. W.WegM. W. V.MartinR.UnverzagtF. W.BallK. K.TennstedtS. L. (2009).
The ACTIVE cognitive training interventions and the onset of and recovery from suspected clinical depression. Journals of Gerontology Series B: Psychological Sciences and Social Sciences,
64B(5), 577–585. doi:10.1093/geronb/gbp061
30.
YanJ.ChenY. P. (2010).
Do rural Chinese older adults waste medical resources?—Age distribution of medical expenditures. Management World,
5, 91–95.
31.
Zhang, Y., & Goza, F. W. (2006). Who will care for the elderly in China? A review of the problems caused by China's one-child policy and their potential solutions. Journal of Aging Studies, 20(2), 151–164.
32.
ZhangH. (2007).
Who will care for our parents? Changing boundaries of family and public roles in providing care for the aged in urban China. Care Management Journals,
8(1), 39–46. doi:10.1891/152109807780494087
33.
ZhaoY.HuY.SmithJ.StraussJ.YangG. (2014).
Cohort profile: The China Health and Retirement Longitudinal study (CHARLS). International Journal of Epidemiology,
43(1), 61–68. doi:10.1093/ije/dys20
34.
ZhuX.FanT. (2017).
Poverty of Chinese older adults and associated factors—based on China longitudinal aging social survey. Beijing Social Science,
1, 90–99.
