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Caregiving for China's one-child generation: a simulation study of caregiving responsibility and impact on women's time use.
Kwete, Xiaoxiao; Knaul, Felicia Marie; Essue, Beverley M; Touchton, Michael; Arreola-Ornelas, Héctor; Langer, Ana; Calderon-Anyosa, Renzo; Nargund, Renu Sara.
Afiliación
  • Kwete X; Yaozhi Global Health Research and Consulting, Yangzhou, China.
  • Knaul FM; Institute for Advanced Study of the Americas, University of Miami, Coral Gables, Florida, USA.
  • Essue BM; Institute for Advanced Study of the Americas, University of Miami, Coral Gables, Florida, USA.
  • Touchton M; Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, Florida, USA.
  • Arreola-Ornelas H; Institute for Advanced Study of the Americas, University of Miami, Coral Gables, Florida, USA.
  • Langer A; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
  • Calderon-Anyosa R; Institute for Advanced Study of the Americas, University of Miami, Coral Gables, Florida, USA.
  • Nargund RS; Department of Political Science, University of Miami College of Arts and Sciences, Coral Gables, Florida, USA.
BMJ Glob Health ; 9(6)2024 Jun 05.
Article en En | MEDLINE | ID: mdl-38843897
ABSTRACT

INTRODUCTION:

The introduction, strict enforcement and recent exit of China's one-child policy (OCP) resulted in China's demographical changes, and, alongside its epidemiological transition, disproportionately impacted caregiving needs and demands on women. This study examines women's caregiving responsibilities in contemporary China and evaluates how the OCP affected them.

METHODS:

We simulated the female population aged 25-54 years in 2020 in China and their caregiving responsibilities based on epidemiological and demographic data for women, their parents and parents-in-law, and children under 10. Three different health states were simulated for children and the senior generation (1) healthy, (2) end of life-decedents and (3) non-decedents in need of palliative care. We combine the care responsibility for senior family members and for children using an aggregate indicator-the Care Responsibility Score (CRS) -to compare the impact of the OCP across different generations of women.

RESULTS:

Approximately 60 million working-age women are living with medium to high levels of care responsibilities (a CRS over 0.8), which is equivalent to caring for a senior family member with palliative care needs without any assistance from siblings. This includes more than one-third of the 156 million women born after the OCP and only 5% of women born before the OCP.

CONCLUSION:

For women born under the OCP, the additional responsibility generated by a lack of siblings outweighs the benefit of having four dedicated grandparents to support them in raising children.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cuidadores Límite: Adult / Child / Child, preschool / Female / Humans / Infant / Middle aged País/Región como asunto: Asia Idioma: En Revista: BMJ Glob Health Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cuidadores Límite: Adult / Child / Child, preschool / Female / Humans / Infant / Middle aged País/Región como asunto: Asia Idioma: En Revista: BMJ Glob Health Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido