Erosion of Eldercare in China: a Socio-Ethical Inquiry in Aging, Elderly Suicide and the Government’s Responsibilities in the Context of the One-Child Policy

@article{Nie2016ErosionOE,
  title={Erosion of Eldercare in China: a Socio-Ethical Inquiry in Aging, Elderly Suicide and the Government’s Responsibilities in the Context of the One-Child Policy},
  author={Jing-Bao Nie},
  journal={Ageing International},
  year={2016},
  volume={41},
  pages={350-365}
}
  • J. Nie
  • Published 7 November 2016
  • Political Science
  • Ageing International
More than 200 million elderly people now live in China, about 15 % of the total Chinese population, equivalent to the fifth most populous country in the world. China’s “one-child policy” significantly accelerated the advent of an aging society, radically altered the structure of the population, and made eldercare a more challenging task. The oldest population group and families who lose the single child are rapidly increasing. Most alarmingly, suicide rates among elderly Chinese are extremely… 
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    Nursing ethics
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It is argued that the current configuration of rural family care, featured by structural impediments and exploration of female labour, is unjust and some policy recommendations are proposed to empower caregivers and advance care for rural older people.
Experiences of family caregivers with day-care centers for elders in Southern China: a qualitative study
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The findings indicated that the day-care centres presented both challenges and opportunities to family caregivers, and the psychological and cultural services at these centres must be further enhanced.
Urban-Rural Differences: The Impact of Social Support on the Use of Multiple Healthcare Services for Older People
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References

SHOWING 1-10 OF 16 REFERENCES
The Benevolent Polity: A Confucian Socio-Ethical Vision of Eldercare
Population aging and eldercare constitute a pressing major issue for more and more societies in Asia and worldwide. In China today, the age-old Chinese tradition of respecting and caring for the
Suicide among the elderly in mainland China
  • Xia Li, Ze-ping Xiao, S. Xiao
  • Psychology, Medicine
    Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society
  • 2009
TLDR
The profile of suicide among the elderly in China is delineated, including the prevalence, characteristics, underlying reasons and measures of preventing it.
The relationship between elder mistreatment and suicidal ideation in rural older adults in China.
  • Li Wu, Min Shen, Youjie Wang
  • Psychology, Medicine
    The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry
  • 2013
China's one-child policy, a policy without a future. Pitfalls of the “common good” argument and the authoritarian model.
  • J. Nie
  • Political Science
    Cambridge quarterly of healthcare ethics : CQ : the international journal of healthcare ethics committees
  • 2014
TLDR
The question to be asked is whether China's one-child policy and the authoritarian model of population governance have a future; the answer must be no; they do not.
Non-medical sex-selective abortion in China: ethical and public policy issues in the context of 40 million missing females.
  • J. Nie
  • Medicine
    British medical bulletin
  • 2011
TLDR
This article is based on a search and review of Chinese and English-language literature, including several very recent books in Chinese on the imbalance of the sex ratio at birth in China, and draws on first-hand information gathered from the author's extensive fieldwork on Chinese views and experiences of abortion.
Suicide rates in China from 2002 to 2011: an update
TLDR
The overall suicide rate in China decreased significantly over the past decade, but rates in young males and rural older adults did not reduce and in fact increased among older adults in both urban and rural areas towards the end of the study period.
The Origins and Social Consequences of China's Hukou System
Throughout the 1950s China implemented a code of laws, regulations and programmes whose effect was formally to differentiate residential groups as a means to control population movement and mobility
Medical Ethics in China: A Transcultural Interpretation
TLDR
The search for a Transcultural Bioethics goes beyond Stereotypes and Stereotyping and explores the Core of Humanity, a Chinese-Western Dialogue on Personhood, and beyond Individualism and Communitarianism, which leads to Toward the Uncertain Future.
Limits of state intervention in sex-selective abortion: the case of China
  • J. Nie
  • Sociology
    Culture, health & sexuality
  • 2010
TLDR
The dominant Chinese approach to the issue of sex-selective abortion is characterised as state-centred and coercion-oriented, and alternative social programmes that are focused on women, community-oriented and voluntary in nature need to be developed.
To Set a Gross Distortion Straight: A Reply to Reidar Lie’s Book Review of Jing-Bao Nie’s Medical Ethics in China: A Transcultural Interpretation (Routledge 2011)
I am grateful to the editor and the editorial office of the Asian Bioethics Review for having published two reviews of, respectively, a volume I co-edited on Japan’s wartime medical atrocities and
...
...