Dataset Information

No Spouse, No Son, No Daughter, No Kin in Contemporary China: Prevalence, Correlates, and Differences in Economic Support.

ABSTRACT: OBJECTIVES:China's recent demographic and social changes might undermine the sustainability of its family-oriented system for elder care. We investigate kin availability among adults aged 45+ in contemporary China, with an emphasis on child gender. METHOD:Using nationally representative survey data from the China Health and Retirement Longitudinal Study (2011), we examine the prevalence and correlates of lacking different kin types and combinations, and we test associations between kin availability and received economic support. RESULTS:Kinlessness is low in China (less than 2% lack a spouse/partner and children), but kin availability is patterned by gender, age group, and sociodemographic characteristics. More than twice as many older adults have no spouse/partner and no daughter (3.2%) as those who have no spouse/partner and no son (1.4%). Adults without close kin are disadvantaged across health, wealth, and economic support. In contrast to traditional expectations, we find that those with only daughters are more similar to those with mixed sex children, whereas those with only sons are more similar to those without children in receipt of economic support. DISCUSSION:Access to kin forms the basis of an emergent system of stratification in China, which will be amplified as cohorts with only one child age into older adulthood.

SUBMITTER: Zhou Z

PROVIDER: S-EPMC6777770 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature

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No Spouse, No Son, No Daughter, No Kin in Contemporary China: Prevalence, Correlates, and Differences in Economic Support.

Zhou Zhangjun Z Verdery Ashton M AM Margolis Rachel R

The journals of gerontology. Series B, Psychological sciences and social sciences 20191001 8

<h4>Objectives</h4>China's recent demographic and social changes might undermine the sustainability of its family-oriented system for elder care. We investigate kin availability among adults aged 45+ in contemporary China, with an emphasis on child gender.<h4>Method</h4>Using nationally representative survey data from the China Health and Retirement Longitudinal Study (2011), we examine the prevalence and correlates of lacking different kin types and combinations, and we test associations betwee ...[more]

PMID: 29688560

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Project description:The medical complexity and critical care needs of patients admitted to cardiac ICUs are increasing, and prospective studies examining the underlying cardiac and noncardiac diagnoses, the management strategies, and the prognosis of cardiac ICU patients with respiratory failure are needed.DesignProspective cohort study.SettingThe Critical Care Cardiology Trials Network is a research collaborative of cardiac ICUs across the United States and Canada.PatientsWe included all medical cardiac ICU admissions at 25 cardiac ICUs during two consecutive months annually at each center from 2017 to 2019.MeasurementsWe evaluated the use of advanced respiratory therapies including invasive mechanical ventilation, noninvasive ventilation, and high-flow nasal cannula versus no advanced respiratory support across admission diagnoses and the association with in-hospital mortality.Main resultsOf 8,240 cardiac ICU admissions, 1,935 (23.5%) were treated with invasive mechanical ventilation, 573 (7.0%) with noninvasive ventilation, and 281 (3.4%) with high-flow nasal cannula. Admitting diagnoses among those with advanced respiratory support were diverse including general medical problems in patients with heart disease as well as primary cardiac problems. In-hospital mortality was higher in patients who received invasive mechanical ventilation (38.1%; adjusted odds ratio, 2.53; 2.02-3.16) and noninvasive ventilation or high-flow nasal cannula (8.8%; adjusted odds ratio, 2.25; 1.73-2.93) compared with patients without advanced respiratory support (4.6%). Reintubation rate was 7.6%. The most common variables associated with respiratory insufficiency included heart failure, infection, chronic obstructive pulmonary disease, and pulmonary vascular disease.ConclusionsOne-third of cardiac ICU admissions receive respiratory support with associated increased mortality. These data provide benchmarks for quality improvement ventures in the cardiac ICU, inform cardiac critical care training and staffing patterns, and serve as foundation for future studies aimed at improving outcomes.

Dataset Information

No Spouse, No Son, No Daughter, No Kin in Contemporary China: Prevalence, Correlates, and Differences in Economic Support.

Publications

No Spouse, No Son, No Daughter, No Kin in Contemporary China: Prevalence, Correlates, and Differences in Economic Support.

Similar Datasets

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