Family structure and support for the oldest old: A cross-sectional study in Dujiangyan, China

Abstract

Objective In China, adult children have traditionally provided support for their aged parents. This model of care is increasingly challenged by the decline of the extended family. Recently, China’s decades-long one-child policy has eased. We examine the association of family size and composition with family support for nonagenarians and centenarians. Methods Data were obtained through a questionnaire survey of 619 nonagenarians and centenarians in Dujiangyan and were analyzed by chi-square tests, Student t tests, and multivariate logistic regression models. Results This study revealed that an increased number of offspring might provide financial support for older people, but this does not necessarily translate into physical and emotional care. Conclusion It is clear that although alternative sources of support for older people are increasingly needed, in China the family will continue to play an important role in supporting older people.