This book investigates how rapid socio-political-economic change in China since 1949 has affected intergenerational relationships and practices in rural areas, specifically the care provided to elderly parents by their adult children. It focuses on the lived experiences of rural villagers and their perceptions of the impact of these socio-political changes on intergenerational relationships, care of the elderly, family cohesion, and the traditional value of filial piety. It notably considers the importance of filial piety as a dominant family value, the conflict between strong family bonds and growing desires for individuality and autonomy, the prevalence of migrant work among adult children and the diversification of intergenerational practices, alongside the need for national policy and services development for residential and community-based aged care in rural China.

Elder Abuse and Its Prevention is the summary of a workshop convened in April 2013 by the Institute of Medicine's Forum on Global Violence Prevention. Using an ecological framework, this workshop explored the burden of elder abuse around the world, focusing on its impacts on individuals, families, communities, and societies. Additionally, the workshop addressed occurrences and co-occurrences of different types of abuse, including physical, sexual, emotional, and financial, as well as neglect. The ultimate objective was to illuminate promising global and multisectoral evidence-based approaches to the prevention of elder maltreatment. While the workshop covered scope and prevalence and unique characteristics of abuse, the intention was to move beyond what is known about elder abuse to foster discussions about how to improve prevention, intervention, and mitigation of the victims' needs, particularly through collaborative efforts. The workshop discussions included innovative intervention models and opportunities for prevention across sectors and settings. Violence and related forms of abuse against elders is a global public health and human rights problem with far-reaching consequences, resulting in increased death, disability, and exploitation with collateral effects on well-being. Data suggest that at least 10 percent of elders in the United States are victims of elder maltreatment every year. In low- and middle-income countries, where the burden of violence is the greatest, the figure is likely even higher. In addition, elders experiencing risk factors such as diminishing cognitive function, caregiver dependence, and social isolation are more vulnerable to maltreatment and underreporting. As the world population of adults aged 65 and older continues to grow, the implications of elder maltreatment for health care, social welfare, justice, and financial systems are great. However, despite the magnitude of global elder maltreatment, it has been an underappreciated public health problem. Elder Abuse and Its Prevention discusses the prevalence and characteristics of elder abuse around the world, risk factors for abuse and potential adverse health outcomes, and contextually specific factors, such as culture and the role of the community.

Informed by the social-ecological framework, this book focuses on the development of Home and Community Based Services (HCBS) in urban China. Bringing a timely discussion around HCBS development in Shanghai, it presents an interplay of formal caregiving relationships, evolving caregiving culture, and the trajectory of long-term care in China. Drawing on surveys, in-depth interviews, and government archives, this book explores the emergence of one of the most developed HCBS programs in Shanghai, its development over the past decade, its administration and services, resource allocation, staff members’ work experiences, older adults’ service experiences, as well as service evaluation and improvements. Offering fresh insight into new forms of caregiving in community settings, and shaping a new discourse on caregiving policy, this book is a key read for both students and practitioners in the fields of long-term care, gerontology, geriatrics, health care, and health policy.

The population of Asia is growing both larger and older. Demographically the most important continent on the world, Asia's population, currently estimated to be 4.2 billion, is expected to increase to about 5.9 billion by 2050. Rapid declines in fertility, together with rising life expectancy, are altering the age structure of the population so that in 2050, for the first time in history, there will be roughly as many people in Asia over the age of 65 as under the age of 15. It is against this backdrop that the Division of Behavioral and Social Research at the U.S. National Institute on Aging (NIA) asked the National Research Council (NRC), through the Committee on Population, to undertake a project on advancing behavioral and social research on aging in Asia. Aging in Asia: Findings from New and Emerging Data Initiatives is a peer-reviewed collection of papers from China, India, Indonesia, Japan, and Thailand that were presented at two conferences organized in conjunction with the Chinese Academy of Sciences, Indian National Science Academy, Indonesian Academy of Sciences, and Science Council of Japan; the first conference was hosted by the Chinese Academy of Social Sciences in Beijing, and the second conference was hosted by the Indian National Science Academy in New Delhi. The papers in the volume highlight the contributions from new and emerging data initiatives in the region and cover subject areas such as economic growth, labor markets, and consumption; family roles and responsibilities; and labor markets and consumption.

The contributors to this book present case studies of elder care in China and India, and draw comparisons between the two – illuminating some of the key issues facing the two largest Asian countries as they develop rapidly. Caring for the elderly is a major challenge for all countries, and one which is of acute concern for rapidly developing economies. Development tends to run counter to long-established cultural norms of family-based caring and filial piety, even as it also tends to lead to longer life expectancy. Taking a range of methodological and conceptual approaches to understanding these challenges, the contributors present a multifaceted understanding of elder care issues in both India and China. They focus in particular on caregiving within families and at care homes – and the impacts these have on quality of life and the experience of caregiving for both caregivers and the aged themselves. An invaluable collection for scholars and students of gerontology and aging in Asia, that will also be of great interest to scholars with a broader interest in global trends in caregiving.

China is aging at an unprecedented rate. Improvements in life expectancy and the consequences of the decades-old family planning policy have led to a rapid increase in the elderly population. According to the United Nations World Population Prospects, the proportion of older people age 65 and over will increase by about one-fourth by 2030, and the elderly will account for about one quarter of the total population by 2050. Population aging will not only pose challenges for elder care but also have an impact on the economy and all aspects of society (World Bank, 2016a). The government is aware of the need to develop an efficient and sustainable approach to aged care. To this end, the General Office of the State Council issued the 12th Five-Year Plan for the Development of Aged Care Services in China and the Development Plan for a System of Social Services for the Aged (2011-2015). It is now in the process of formulating the 13th Five-Year National Plan on Aging, which will further elaborate and finalize the reform roadmap for 2016 to 2020. The Plan is expected to be finalized and launched by June 2016. The National Development and Reform Commission (NDRC) helped draft these plans and is now leading the development of policy measures for the provision of social services for the elderly. This volume has been prepared to support the translation of the broad ideas on aged care provision expressed in the 12th and 13th Five-Year Plans and other government plans into reality and to help the government tackle the challenges described above. It strives to identify a policy framework that fits the Chinese context and can be put in place gradually. Specifically, it aims to provide an up-to-date understanding of the evolving aged care landscape in China; review international experiences in long-term care provision, financing, and quality assurance and assess their relevance to China’s current situation; discuss implications of current developments and trends for the future of aged care in China; and propose policy options based on available evidence and best practices.

This perceptive volume presents conceptual, theoretical, and empirical approaches to social policy analysis comparing China and Nordic countries in their treatment of the elderly. An international panel of experts offers valuable policy insights into issues of housing, community care, family care, pensions and social security, and mental health as China translates and adapts Western examples, particularly those set by Norway, Sweden, and Finland. The book contrasts shared issues in the contexts of economic history, accountability and service improvements, and sustainability while also examining specifically Chi nese problems such as care gaps between urban and rural elders. Coverage also considers the centrality of aging policy in China as the nation works toward its long-term goal of eradicating poverty. Included among the topics: Building a welfare system with Chinese characteristics: from a residual type to moderate universalism. “Aging in community”: historical and comparative study of aging welfare and social policy. Sweden: aging welfare and social policy in the 21st century. Policy responses to aging: care services for the elderly in Norway. China’s elderly care policy and its future trends. Aging Welfare and Social Policy will interest professionals and researchers addressing questions of Chinese and comparative social policy, health psychologists, and sociologists focused on family, youth, and aging.