Parents In China Research Articles

Patterns and relationships of prolonged grief, post-traumatic stress, and depressive symptoms in Chinese shidu parents: Latent profile and network analyses

Parents who experience the trauma of losing an only child are called “shidu” parents in China. There are individual differences in post-loss outcomes.1,061 Chinese shidu parents were asked to complete questionnaires assessing prolonged grief, post-traumatic stress, and depressive symptoms. The mean age of the sample was 59.68 (SD = 7.52), with the average time since the loss was 9.46 years (SD = 7.05). Most participants were female (62.3%). The main cause of the loss was an unnatural case (52.7%). Latent profile analysis was used to identify similar symptom patterns. Network analysis was used to explore the relationships among symptoms within different subgroups. A two-profile model based on symptom severity identified a “low symptom severity” subgroup (n = 419) and a “high symptom severity” subgroup (n = 642). In the low symptom severity subgroup network, the most central symptoms were loss of interest, feeling numb, and meaninglessness. In the high symptom severity subgroup network, the most central symptoms were physiological cue reactivity, emotional pain, and feeling easily startled. Individual differences in the post-loss outcomes of Chinese shidu parents are reflected not only in symptom patterns but also in the relationships among symptoms.

The associations between mothers’ and grandmothers’ self-control, mother-grandmother coparenting relationships and caregiver-child attachment: An actor-partner interdependence mediation model

More and more grandparents are involved in parenting and share the responsibility of raising children with parents in China. Less is known, however, regarding the mutual effects of caregivers on children in intergenerational coparenting families. This study aimed to examine how mothers’ and grandmothers’ self-control, mother-grandmother coparenting relationships, and caregiver-child attachment were associated and to investigate whether the pathways were different in mother-child and grandmother-child dyads. Participants were mothers and grandmothers from 501 intergenerational coparenting households. The results from Actor-Partner Interdependence Mediation Modeling (APIMeM) indicated that mothers’ and grandmothers’ self-control were indirectly related to their own caregiver-child attachment through their self-report coparenting relationships. Additionally, the effect of mothers’ self-control spilled over to the grandmother-child attachment through grandmothers’ self-report coparenting relationships. Overall, the findings indicated that mothers’ and grandmothers’ self-control, mother-grandmother coparenting relationships, and their attachment to the child significantly differed between mother-child dyads and grandmother-child dyads. This study contributes to a deeper understanding of women caregiver-child attachment processes and highlight the implications of using the dyadic approach in understanding and improving family functioning in intergenerational coparenting families, which provide implications for family interventions.

Whose Egg, Whose Sperm, Whose Household Registration? Reproductive Decisionmaking Among LGBT Parents in China

This article examines how LGBT individuals and couples in China make reproductive decisions in a sociopolitical context characterized by homophobia and an absence of LGBT familial rights and legal recognition. The existing literature on LGBTQ+ childbearing and family formation, based primarily in Euro-American countries, tends to focus on the central role of same-sex marriage legalization and features marriage as the core intimate bond that bestows parental and other familial rights. This article argues that China’s household registration (hukou) system is an equally, if not more, salient regulatory system that determines daily life opportunities, access to state-subsidized schooling and health care, life-long social welfare, and placement in a hierarchy of urban versus rural citizenship. LGBT intending parents in China make reproductive decisions with a child’s hukou in mind, treating genetic contributions, gestational labor, and legal parental status as flexible resources to achieve desired hukou outcomes. The hukou system encourages reproductive strategies that make and unmake LGBT kinship, securing family bonds that otherwise lack legal and social recognition while potentially risking parental precarity. The article suggests new directions for LGBT rights advocacy by focusing on the governing systems and statuses that determine access to key citizenship resources and family rights.

Are HPV Vaccines Well Accepted among Parents of Adolescent Girls in China? Trends, Obstacles, and Practical Implications for Further Interventions: A Five-Year Follow-Up Study.

In 2020, the WHO proposed the global strategic goal of accelerating the elimination of cervical cancer (CC). One of the key strategies is that, by 2030, 90% of girls will complete HPV vaccination by age 15. In 2017, HPV vaccines were first marketed in China. This study aimed to explore the changes in parents' knowledge about CC, HPV, HPV vaccines, and acceptance of HPV vaccination 5 years after the introduction of HPV vaccines into China. Associated factors and reasons for refusal by parents were also explored. A school-based follow-up study was conducted among parents in China from May 2018 to May 2023. Comparison using Chi-square tests was performed to measure the changes. Univariate and multivariate analyses were used to explore factors associated with HPV vaccination among teenage girls. The overall cognitive level in terms of CC- and HPV-related knowledge among parents increased, and they expressed more willingness to vaccinate their daughter (35.4% in 2018 vs. 56.6% in 2023). The HPV vaccination rate among teenage girls remained at a low level (4.4% in 2018, 9.8% in 2023). The main obstacles reported by parents were limited knowledge (42.0%), scarcity of the HPV vaccine (29.2%), waiting until their daughter was older (27.5%), safety concerns (14.7%), high cost (9.0%), and effectiveness concerns (4.6%). Parents who are elderly, local residents, have received HPV vaccines themselves, have had experience of vaccinating their children with influenza vaccines, and have a higher knowledge level of CC, HPV and HPV vaccines are more likely to vaccinate their children with HPV vaccines. Although we observed an increment in parents' knowledge level in terms of CC, HPV, HPV vaccines, and HPV vaccine uptake over the past 5 years, the HPV vaccine coverage among girls still falls short of the WHO's 2030 target. Comprehensive intervention strategies, including tailored health education among adolescents and their parents, doctor recommendations, and providing financial subsidies or free HPV vaccines are needed in China.

Parental Hesitancy toward Seasonal Influenza Vaccination for Children under the Age of 18 Years and Its Determinants in the Post-Pandemic Era: A Cross-Sectional Survey among 1175 Parents in China.

Children's susceptibility to influenza increased after COVID-19 control measures were lifted. This study investigated parental hesitancy toward seasonal influenza vaccination (SIV) for children and its determinants in the post-pandemic era. An online survey of full-time adult factory workers was conducted in Shenzhen, China in December 2023. This analysis was based on 1175 parents who had at least one child under the age of 18 years. Among all parents, 37.1% were hesitant to have their index child receive SIV. Mothers exhibited lower parental hesitancy toward SIV compared to fathers (31.9% versus 41.3%, p < 0.001). After adjusting for significant background characteristics, mothers and fathers who were more satisfied with the SIV health promotion materials, perceived more severe consequences of seasonal influenza for their children, and perceived more benefits, cues to action, and self-efficacy related to their children's SIV were less likely to exhibit hesitancy toward SIV. Higher frequency of exposure to information about the increasing number of patients or severe cases due to seasonal influenza and other upper respiratory infections on social media was associated with lower parental hesitancy toward SIV among fathers but not mothers. There is a strong need to address parental hesitancy toward SIV for children in the post-pandemic era.

Subjective feedback among long-term orthokeratology lens (Ortho-K) wearers and parents in China: A multicentre assessment

Subjective feedback among long-term orthokeratology lens (Ortho-K) wearers and parents in China: A multicentre assessment

Applying Kumpfer’s resilience framework to understand the social adaptation process of the trailing parents in China

BackgroundTrailing parents, a distinct group emerging from China’s rapid social change and urbanization, are experiencing migration in old age, posing challenges for their social adaptation. Existing research has mainly focused on the hardships faced by this group, but few studies have focused on how they cope with change and achieve some degree of successful social adaptation. This study aimed to understand the coping and social adaptation process of trailing parents in China.MethodsThis study used a qualitative research approach. A total of 24 trailing parents were invited to participate in a semi-structured interview and share their experiences and efforts to cope with the many challenges. Kumpfer’s resilience framework was used as the theoretical framework for the study design, data collection, and data analysis.ResultsThis study identified several intra-family and community stressors that trailing parents may face when moving to a new environment and uncovered five key resilience characteristics that may be triggered or fostered in the presence of these stressors, including physical fitness, psychological stability, open-mindedness, learning ability, and nurturing hobbies. Individuals with resilience traits have been observed to engage in positive cognitive processing and transform the new environment. Consistent with Kumpfer’s resilience framework, this study revealed the dynamics of the stressors faced by trailing parents in the new environments, the role of resilience characteristics, and the critical influence of social support in shaping the interplay between the individual and the environment that enabled them to adapt positively.ConclusionsThis study highlights the importance of fostering resilience traits and leveraging positive coping mechanisms to facilitate a smoother adaptation process for trailing parents. Meanwhile, there is an urgent need to focus on creating opportunities that strengthen their social support networks.

Whole-exome-based single nucleotide variants and copy number analysis for prenatal diagnosis of compound heterozygosity of SMPD4.

Biallelic loss-of-function variants in SMPD4 cause a rare and severe neurodevelopmental disorder. These variants have been identified in a group of children with neurodevelopmental disorders with microcephaly, arthrogryposis, and structural brain anomalies. SMPD4 encodes a sphingomyelinase that hydrolyzes sphingomyelin into ceramide at neutral pH and can thereby affect membrane lipid homeostasis. SMPD4 localizes to the membranes of the endoplasmic reticulum and nuclear envelope and interacts with nuclear pore complexes. For the efficient prenatal diagnosis of rare and undiagnosed diseases, the parallel detection of copy number variants (CNVs) and single nucleotide variants using whole-exome analysis is required. A physical examination of the parents was performed. Karyotype and whole-exome analysis were performed for the fetus and the parents. A fetus with microcephaly and arthrogryposis; biallelic null variants (c.387-1G>A; Chr2[GRCh38]: g.130142742_130202459del) were detected by whole-exome sequencing (WES). We have reported for the first time the biallelic loss-of-function mutations in SMPD4 in patients born to unrelated parents in China. WES could replace chromosomal microarray analysis and copy number variation sequencing as a more cost-effective genetic test for detecting CNVs and diagnosing highly heterogeneous conditions.

How does intergenerational coresidence affect the physical health of middle-aged children? Evidence from China

ABSTRACT Due to increasing longevity and decreasing fertility, the middle-aged generation has emerged as the primary caregivers for their elderly parents in China. Using the China Health and Retirement Longitudinal Survey, this study employs an endogenous treatment effect model to estimate the causal impact of intergenerational coresidence on the physical health of middle-aged children. The findings reveal that coresidence significantly deteriorates the physical health of middle-aged children. Notably, this effect is more pronounced in employed individuals compared to unemployed ones. Marginal effect analysis uncovers that coresidence has adverse effects on middle-aged children who are either particularly healthy or particularly unhealthy, while the marginal impact of coresidence on children in average health conditions is insignificant.

A Comparative Study of Prevalence and Associated Factors of Social Support Among Chinese Shidu Parents and Non-Shidu Parents.

The number of parents in China who have lost their only child, referred to as shidu parents, currently exceeds one million and is increasing by approximately 76,000 annually. Shidu parents face a unique challenge in long-term care, primarily stemming from the sudden and tragic loss of their only child, which leads to a substantial decrease in their social support network. A multi-stage, stratified, and cluster sampling method was employed across various economic belts. Linear regression analysis was utilized to examine factors associated with the social support status of shidu and non-shidu parents. The level of social support decreases as the severity of depression increases. Shidu parents with grandchildren tend to have good social support. The city of Hangzhou exhibits relatively high levels of social support. Married individuals typically report higher levels of social support. It is recommended to prioritize shidu parents without grandchildren as a primary focus for government and societal support. Key recommendations include strengthening social skills training and developing social support networks. Drive economic development, particularly in relatively underdeveloped regions. Strengthen social organizations and community development. Enhancing access to support services, leveraging technology, and encouraging volunteerism for non-married parents.

Childhood Adversities and Caregiving for Older Parents: Building Capacity for a Caring Society.

This study investigates the relationships between childhood adversities and the provision of informal care for older parents in later life in China. The data came from 4 waves of the China Health and Retirement Longitudinal Study (N = 20,047). Using multilevel logistic regression models, we examined the relationships between adverse experiences in childhood and both the propensity and intensity of caregiving for older parents. Drawing on the regression results, we then estimated the total number of caregivers for older parents in China. Experiencing 1 additional childhood adversity was associated with a decrease of 8% in the odds of providing informal care (p < .001). The association between childhood adversity and caregiving remained significant after sociodemographic factors and later-life outcomes were controlled for. We estimated that 58.3 million middle-aged adults in China were providing care for parents in 2020. Had people experienced 1 fewer adversity in their childhood, there would have been 2.2 million more caregivers in 2020. Had they experienced 2 fewer adversities, there would have been 3.4 million more caregivers. The factors associated with informal caregiving can be traced back to early-life experiences. To address the shortage of informal care supply, it is crucial to foster a caring culture from the very beginning of human development.

Frictions between familism and neoliberalism: exploring the intergenerational ambivalence narratives of migrant older parents in China

ABSTRACT This article explores the narratives of Chinese migrant older parents and addresses how the interplay between familism and neoliberalism, as structural forces behind older parents migrating to reside with their adult children, influences their perceptions of intergenerational relationships in the context of internal migration in China. Adopting the intergenerational ambivalence perspective, this study thus analyzes the connections between participants’ lived experiences and the structural forces and processes. The empirical data are drawn from 16 semi-structured interviews with 10 migrant older parents in Shenzhen. Through narrative and thematic analyzes, three main areas of intergenerational ambivalence are identified, which were expressed through how they talk about: (1) their adult children; (2) the childcare work they provided; (3) their expectation about filial care. These narratives highlight a strong focus on the younger generation’s socioeconomic success, with older parents inscribing themselves the role of supporting them to achieve this goal. This entails a change in the norms that regulate intergenerational relationships in contrast to the traditional direction of obligation around filial piety. Furthermore, the analysis demonstrates that the intergenerational ambivalences experienced by migrant older parents are created by their unfavourable positions across two incompatible systems: the neoliberal state-capitalist economy and unchanged family-based welfare/care regime.

Moderating Effect of Parents’ Anxiety about Their Children’s Education between Parent WeChat Group Use and Online Support among Chinese Parents

Previous studies have investigated the influence of social media as a digital resource for parental support. However, little research is available regarding parent WeChat groups and their impact in providing online parenting support. Given that parents in China frequently have specific anxiety around their children's education, this is an important research area. Thus, this study examines the moderating effect of Parents’ Anxiety about Their Children’s Education (PAE) in the relationship between parents WeChat group use and online support. Using a sample of primary school parents (N = 493), the study found a positive association between parents WeChat group use and online support. The results indicated that PAE moderated the association between parents WeChat group engagement and online support, but not for the relationship between parents WeChat group intensity and online support. This study contributes to expanding the literature in WeChat group use, online support and PAE in East Asian countries with similar social and cultural contexts.

Love, health, and robots: Automation, migration, and family responses in rural China

As industrial automation supplants labor, there are important consequences on the labor market, especially for the vast rural population in developing countries. This study investigates how industrial automation, particularly the use of robots, affects the employment and mobility of young rural workers and the decision-making of their elderly parents in China. Using longitudinal data from rural Chinese households and a shift-share approach, we find automation in urban areas decelerates the rural-to-urban migration. This slowdown is accompanied by a reduction in rural workers' employment opportunities and an increase in their propensity to co-reside with their elderly parents in their home counties, which in turn alters their parents' financial decisions, including labor supply, savings, and family transfers. Notably, rural workers' decision to stay and co-reside with their senior parents fosters more frequent family interactions, contributing to notable improvements in the elders' mental and physical health. Our study underscores the complex effects of automation on labor mobility, family relationships, and the overall well-being of the rural populace in the face of technological advancements.

Correlates of feeding difficulties among children of Chinese transgender parents

Background Ensuring proper early feeding for young children is crucial, as encountering feeding difficulties (FD) during this stage can give rise to a cascade of health problems, the repercussions of which may endure into late childhood and adolescence. Children raised by transgender parents may be at risk of encountering FD, however, there is no research conducted on Chinese transgender families. Methods We designed a cross-sectional survey in which the rate of FD and its influencing factors were investigated among transgender parents in China. A total of 446 Chinese transgender parents (average age 30.39 years) were included in the analysis. Logistic regression models were applied to investigate the influencing factors of FD among children of transgender parents. We also established structural equation modeling (SEM) to explore the possible pathways among these factors and FD. Results The rate of FD in children of Chinese transgender parents is 55.4%, with 34.5% having severe FD. Coming out after having a child (AOR = 2.26, 95%CI = 1.33 ∼ 3.91), family violence (AOR = 1.06, 95%CI = 1.04 ∼ 1.09), partner violence (AOR = 1.11, 95%CI = 1.08 ∼ 1.15), no feeding education (accepting feeding education: AOR = 0.43, 95%CI = 0.25 ∼ 0.74), being discriminated during seeking of childbearing health care (AOR = 1.99, 95%CI = 1.3 ∼ 3.05), and poor relationship with partner (fair: AOR = 0.09, 95%CI = 0.03 ∼ 0.22; good: AOR = 0.06, 95%CI = 0.02 ∼ 0.15) are significantly associated with higher FD. Furthermore, through the pathway analysis, the indirect effects of education level (β=−0.151), feeding education (β = 0.145), and relationship with partner (β=-0.196) on FD are observed. Conclusions Children of Chinese transgender parents showed a high FD rate. It is crucial to help build a better family and social environment for transgender families to reduce the FD and improve children’s and adolescents’ health.

The Value of Higher Education: The Voices from Middle-class Parents in China's Yunnan Province

This study delves into the perceptions of middle-class parents in Yunnan province, China, regarding the significance of higher education. It further seeks to identify the determinants of these attitudes and to comprehend their implications for children's educational trajectories. Positioned within the broader discourse on the role of higher education for middle-class families in contemporary China, this research employs a qualitative approach, selecting four representative middle-class families as its subjects. Utilizing semi-structured interviews with both parents and children, the study reveals a pronounced emphasis on higher education among these parents. While various factors influence parental expectations, there is a consistent pattern of deep parental involvement in their children's educational journey. Additionally, the study highlights how parental expectations affect children's views on higher education. The findings contribute to understanding the evolving role of higher education in Chinese society, particularly among the middle class, and its implications for educational planning and social mobility.

Too much of a good thing? Linking overparenting and Chinese young children’s social preference

ABSTRACT Overparenting is an emerging topic in parenting research and has gained increasing attention in media. Most studies have focused on adolescents and young adults in Western countries, while it remains unclear whether overparenting is related to young children’s outcomes in non-Western contexts. The present study aimed to examine the mechanism by which overparenting was associated with Chinese young children’s social preference. The study surveyed 283 Chinese parents of children aged 36–83 months (mean age = 58.61) to examine parenting practices and child social preference. The results suggested that parents’ psychological control and parent–child relationship had serial mediating effects on the relationship between overparenting and young children’s social preference in terms of shyness and unsociability. The present study further raised the importance of parenting during early childhood and generated practical implications for parents in China and beyond, encouraging parents to reflect on how their beliefs and practices may influence child outcomes from the early years.

Examining Parental Social Media Use and Educational Anxiety During Their Childs Transition to Higher Education: An EPPM Analysis

This study investigates the relationship between proactive social media engagement and parental anxiety during the academic transition period in contemporary China. Through the process of gathering questionnaire data and performing data analysis, this research investigates the manner in which actively participating in social media platforms has a positive impact on parental anxiety. This impact is observed through the mediation of two variables: risk perception and efficacy perception. The academic transition period, which involves important educational milestones such as entrance exams or university admissions, often creates significant stress and anxiety for both students and their parents in China. With the rapid growth and widespread use of social media in recent years, it is crucial to explore its potential impact on parental anxiety during this crucial phase. This study can provide a reference for the extension of EPPM to address issues related to social anxiety. Additionally, it can offer effective approaches to alleviate parental educational anxiety.

International Study Abroad Tourism: A case study of the influence of Chinese families in location decision making

This paper explores the decision making process of Chinese students when choosing to study abroad, focusing on an under-represented group in the literature: students’ families. The paper has three objectives: 1) To explore the relationship between Chinese parents and their children in the context of a decision to study abroad; 2) To discover the rationale offered by parents for influencing their child’s decision; and 3) To investigate the role of the macro environment on the family decisionmaking process in the context of international education. Primary qualitative evidence is presented, drawing on semi-structured data collected in China with families between 2022–2023. During this period of time strict control of China’s borders remained in the context of pandemic management. The findings of the study reveal that parents in China exhibit high levels of involvement and interest in their children’s international education decisions. Financial capability empowers parents to have a stronger voice than their children concerning the decision-making process. Social capital is one of the motivations for parents to support the study abroad for their children. Destination managers, university management, recruitment agents and policymakers need to pay deeper attention to the role of parents in international education decision-making. A deeper understanding of parental ambitions, concerns and wishes would facilitate more targeted marketing and an improved student experience.

Investing in sons or daughters? The educational aspirations of rural parents in China

Based on the first wave of the China Education Panel Survey, this study aims to test two competing mechanisms including son preference and meritocracy of leading to parents’ expectations of and investment in their children’s education. This article presents a general portrayal of academic performance among rural boys and girls. The findings depict a general pattern of parents’ investment: parents are more likely to invest in their daughters than sons, and fathers have a higher educational expectation of daughters. The influence of sibling numbers and ‘having a brother(s) or not’ on parents’ educational expectations and investment is similar for rural boys and girls. Fathers’ educational expectations are mainly based on the academic performance of their children (meritocracy) while mothers’ are more closely related to children’s gender. Son preference as a cultural characteristic remains influential in rural regions, although it is not as powerful as before and a trend towards egalitarianism is emerging.