Living arrangements in four Asian countries: a comparative perspective

The willingness and influencing factors to choose institutional elder care among rural elderly: an empirical analysis based on the survey data of Shandong Province

BACKGROUND

The ageing of the population has become an escalating problem in China, which has led to an increasing demand for healthcare throughout society. The care services of elderly institutions, as a more mature way of aging, can alleviate various social problems brought about by ageing to a certain extent. The aim of this paper is to explore the degree of acceptance of institutional care by rural elderly people in Shandong Province and the factors that influence whether rural elderly people accept institutional care services.

METHODOLOGY

Based on the theory of planned behavior, an analytical framework was constructed for the willingness of rural elderly people to receive nursing services from elderly care institutions. Using survey data from 192 rural elderly people in Shandong Province, descriptive statistics, binary logistic regression, and horizontal comparative analysis methods were used to analyze the willingness of rural elderly people to provide for the elderly and its influencing factors.

RESULT

Only 17.71% of respondents expressed willingness to receive services from elderly care institutions. Among them, education level, trust in elderly care institutions, and support from adult children have a significant positive impact on whether rural elderly people receive nursing services from elderly care institutions; The number of children, the level of understanding of elderly care institutions, neighbors' choices of elderly care methods, and their ability to contribute to the family have a significant negative impact on whether rural elderly people receive nursing services from elderly care institutions. There are significant differences in the willingness and influencing factors of rural elderly people to provide for the elderly among different regions.

CONCLUSION

The non-acceptance of institutional care by rural older people is a general phenomenon rather than a sample characteristic, thus justifying the supplementary status of institutional care services. The pension intention of the rural elderly in Shandong Province is obviously affected by personal will factors, and the influencing factors are various. The traditional concept of old-age care in Shandong province has a strong path-dependent effect on the choice of the rural elderly. There is heterogeneity in the willingness and influencing factors of the rural elderly in different regions and countries. Based on this, this paper puts forward the following suggestions: strengthen the spiritual and cultural construction of residents; The government should pay attention to the correct guidance of public opinion; And increase pension subsidies. It is hoped that reduce the burden of national elderly care through these suggestions.

Associations of living arrangements with symptoms and functioning in schizophrenia

BACKGROUND

Living arrangements and accommodation are closely related, but no study had concurrently investigated their associations with outcomes in schizophrenia. This study seeks to describe and compare socio-demographic, clinical and functioning profiles of people with schizophrenia in different living arrangements and accommodation, and to examine the associations of living arrangements and accommodation with symptomatic remission and functioning.

METHODS

Community dwelling outpatients with schizophrenia (n = 276) were inquired on living arrangements, accommodation, socio-demographics and assessed on the Positive and Negative Syndrome Scale (PANSS) and the Social and Occupational Functioning Scale (SOFAS). Socio-demographics, symptoms and functioning of outpatients in different living arrangements and accommodation were compared. Symptomatic remission was investigated using logistic regression with living arrangements, socio-demographics and clinical variables as independent variables. Functioning was investigated using multiple regression with the same set of independent variables and the addition of PANSS factors. The same analyses were conducted with accommodation as independent variable.

RESULTS

185 (67.03%) participants lived with family and 195 (70.65%) participants lived in owned accommodation. People living with their spouses had significantly higher SOFAS, lower PANSS Total and PANSS Positive than people living with family, independently, or in rehabilitation centres. They also had lower PANSS Negative than people living with family and a higher likelihood to have achieved symptomatic remission. Types of accommodation was not associated with symptoms, symptomatic remission, and functioning.

CONCLUSION

Living arrangements, but not types of accommodation, were associated with symptoms and functioning in schizophrenia. Family education and support is important to help maintain a conducive environment for people with schizophrenia. People living independently may need more support.

Caregivers' hopes, expectations and concerns surrounding the employment and future of young people with mental health conditions

OBJECTIVE

Informal caregivers are often placed in a better position to understand and advocate for the vocational needs of young persons with mental health conditions. However, their opinions are largely ignored in the planning of vocational outcomes. This qualitative study had two broad aims: to explore (1) the perceptions of caregivers of young adults with mental health conditions on issues of paid employment and (2) their views and expectations of employment support services.

METHODS

A total of 30 semi-structured interviews were conducted. Caregivers were 45 years old on average, the majority were women (73%) and were of Chinese ethnicity (53%). Most participants (60%) were parents of the young persons with psychotic disorders (57%), or affective and mood disorders, such as depression or anxiety disorders (43%).

RESULTS

Thematic analyses of data revealed three superordinate themes: (1) caregiving roles, (2) caregivers' expectations and hopes, and (3) barriers to employmentof young persons with mental health conditions.

CONCLUSIONS AND IMPLICATIONS FOR PRACTICE

Caregivers strongly believed that employment support services should prioritise and advocate for recovery while securing employment. Local mental health employment support services should incorporate the views and expectations of caregivers of young persons with mental health conditions to foster better coordination between stakeholders, and enhance support for successful employment, reintegration into the community, and ultimately recovery for these individuals.

Association of family structure with gain and loss of household headship among older adults in India: Analysis of panel data

BACKGROUND

Despite huge changes in demographic behaviors, the family continues to be the major source of psychosocial support for older adults in India. The loss of household headship can be a cause of disregard for the aged and is associated in a very fundamental way with other status losses. Our study used the two rounds of the India Human Development Survey to understand the association of family structure on the gain or loss status of household headship among 10,527 older adults.

METHOD

Bivariate analysis was done using the chi-square test for association. Equivalently, the multivariate analysis involved estimating multivariable logistic regression models. Multicollinearity did not affect the estimates from the regression models. For examining headship transition, we performed two complete sets of analysis, by taking gain in headship and loss in headship as the outcome variable respectively.

RESULTS

Across two rounds, a major shift in family structure was noticed as 6.8% of households moved from extended to a single generation. Results indicate that family structure was significantly associated with gaining and losing headship among older adults. Headship loss was more common among nuclear [OR: 2.16; CI: 1.28, 3.65] and extended [OR: 2.76; CI: 1.64, 4.66] family structures. Moreover, gaining headship was found to be significantly associated with married, educated, and working older adults.

CONCLUSION

Since living in single generation household may preferably be encouraged among older adults than their living in a complex household without headship and value they deserve, the public intervention may support the independent living within the older population through housing policies that create additional choices presented to older adults making residential decisions.

Factors Associated with Willingness to Choose the Way for Old-Age Care: A Population-Based Cross-sectional Study in Chongqing, China

The objective of this study is to investigate the factors associated with the willingness for old-aged care and the demands for health care among elders, which might provide a reference for the establishment of health care strategies. A cross-sectional study was conducted via questionnaires among 1553 randomly selected residents aged 65 or older from Chongqing, China during 2016. Data of demographics, and demands for old-age care and health care services were collected. Descriptive analysis was used to examine the characteristics of the respondents. A chi-squared test and multiple logistic regression were performed to explore the relevant factors associated with the preference of old-age care among older people in Chongqing. We found that 85.4% of the respondents were willing to select home-based care: family old age care (55.9%), and its combination form for old-age care: family old age care plus community old age care (29.5%) old age care. Multivariable logistic regression analysis showed that willingness to choose family old age care for old-age care was associated with lower monthly income, more children, worse commercial insurance, better health status, and shorter distance to their children. Most older adults had the demands for health-related services, including regular check-up, regular health seminars, establishment of health files. Hospital was the most acceptable provider for care services, and there was a preference for long-term care and emergency call among the elders. The majority of older Chinese prefer the family old age care and its combination form with community old age care for old-age care, and demand for a variety of health-related services. Home- and community-based care with sound and perfect medical and health mechanism should be the main pattern of old-age care system in China.

Socio-economic and health determinants of preference for separate living among older adults: A cross-sectional study in India

INTRODUCTION

The living arrangements among the older population form a basic pointer to the care and support of older adults in India, and living with extended kin is clearly differentiated from living separately. This paper attempts to understand the associations between socio-economic and health-related variables with preference for the separate living among older adults in India.

MATERIALS AND METHODS

Using data from Building Knowledge Base on Population Ageing in India (BKPAI), we employed bivariate and probit regressions on a sample of 9540 older adults to fulfil the study objective.

RESULTS

Nearly 21% of older adults were living alone/with a spouse. Additionally, those older adults who lived alone/with spouse had specific reasons, i.e. about 14.6% reported that they had no children, 47.3% of older adults had their children away and 15.9% of older adults reported a family conflict. Availability of children is consistently found to be negatively associated with the preference of separate living. Besides, better self-rated health, independence in daily activities, and facing any type of violence were the strongest predictors of preference for separate living. In addition, the background characteristics, including age, sex, education, religion, and ethnicity, were found as significant predictors of living arrangement preference. Preference for co-residential arrangements emerges among older persons who have a feeling of importance within their family.

CONCLUSION

Physical proximity to kin and health conditions, in addition to economic conditions, substantially determine the swing towards separate living among older adults in India. This suggests that attention has to be paid to the demand for specialized care and health services among older adults living separately.

Who cares? Provision of Care and Assistance Among Older Persons in the Philippines

OBJECTIVE

This study aims to examine the provision of assistance among older persons in the Philippines who experience difficulty with activities of daily living (ADLs) or instrumental activities of daily living (IADLs).

METHOD

Data for this research are drawn from the 2007 Philippine Study on Aging (PSOA). Cross-tabulations and regression analyses are used to identify who provides assistance to older Filipinos.

RESULTS

The study shows that the Filipino family, particularly spouse and daughters, plays an important role in providing assistance to older Filipinos who need help in carrying out functional activities. This provision of caregiving, however, follows a gendered pattern. Specifically, the spouse provides assistance to older men, whereas daughters provide assistance to older women. Grandchildren and noncoresident family members, to some extent, are also active in providing care to older Filipinos.

DISCUSSION

The Filipino family remains faithful to its filial duty toward older persons, but who provides care and the way it is provided are likely to change due to the demographic changes and values shifts that have swept the country.

Family reciprocity of older Singaporeans

Reciprocity is a powerful motivation in social life. We study what older people give to their family for help received. Data are from the Panel on Health and Aging of Singaporean Elderly, Wave 2 (2011; persons aged 62+; N = 3103). Giving and receiving help are with family members other than spouse in the same household, in the past year. Types of help given and received are money, food/clothes/other material goods, housework/cooking, babysitting grandchildren, emotional support/advice, help for personal care, and help for going out. Multivariate models predict each type of giving help, with independent variables about the older person's resources, needs, and help received. Reciprocity is demonstrated by positive relationships between receiving and giving help. Results show two kinds of reciprocity: "nontangibles for tangibles" and "same for same." First, older people give their time and effort in return for money and material goods. This aligns with contemporary Singapore circumstances, in that older people tend to have ample time but limited financial resources, while family members (often midlife children) have the reverse. Second, same-for-same exchanges, such as housework both given and received, are shared tasks in families or normative behaviors in Singapore society. The results replicate and extend prior ones for Singapore. We discuss prospects for change in frequency and shape of family reciprocity as the state continues to modernize.

The Impact of AIDS on Parents and Families in Thailand

Local key informants provided data on individual adult cases of AIDS for assessing the impact of the epidemic in Thailand on aged parents and other family members. In most cases, parents provided care for their infected adult children, often assisted with expenses, and frequently played a main role in paying for treatment. For one third of the cases, a family member reduced or stopped working to provide care. For approximately one fifth of parents, the infected adult child was their main income earner. Nevertheless, in most cases, the child’s death was not judged to have a devastating economic impact for the parents, although poorer families were far more likely to be adversely affected than others. Wide availability of basic government health insurance moderated the economic impact. Results are interpreted in terms of patterns of intergenerational exchanges of support and services.

How Indicators of Socioeconomic Status Relate to Physical Functioning of Older Adults in Three Asian Societies

The relationship between socioeconomic status and physical functioning is tested among older adults in Taiwan, Thailand, and the Philippines. Socioeconomic indicators are limited to education and income, and these are linked to several measures of functioning that are constructed using four specific items—having difficulties crouching, climbing stairs, lifting things, and walking. Depending on the outcome measure, samples are treated separately or pooled. Education is found to be associated with functional health in Taiwan but is a weaker predictor in Thailand and the Philippines. Income has strong associations in Taiwan and Thailand and only a moderate association in the Philippines. Interaction effects based on pooled data confirm that differences in associations exist across settings. These results lead to questions about the universality of the relationship. Explanations for differential effects are discussed, including the impact of national levels of development on health outcomes.

Imagining the Future of Migration and Families in Asia

This paper attempts to outline observed changes in Asian families (particularly in East and Southeast Asia) in the past thirty years, reviews research-based findings on the links between international migration and the family, and identifies emerging family-related issues vis-à-vis emerging trends in international migration. Among the notable changes in Asian families during this period are the shift towards smaller families, the shift to longer family life course, and the emerging transnational configuration of families. The last one has been brought about by increasing population mobility. Despite the policy to keep migration temporary, some limited form of settlement is taking place in the region. Among others, this raises questions and policy dilemmas concerning the nature of migration in the future, the treatment of foreigners in receiving societies, and human rights issues affecting women and children.

Ageing and changing patterns in familial structure for older persons in India: a decomposition analysis

Purpose

– At the turn of twenty-first century, India is facing rapid population ageing coupled with consequential socio-economic development changes. Against the backdrop of such changes, its traditional familial support system of living arrangements for older persons is swiftly changing, undergoing rapid transition towards nuclear family systems. The paper aims to discuss these issues.

Design/methodology/approach

– This paper examined: first, the changing trends and patterns in joint family systems defined in terms of households with older persons and total households; and second, socio-economic and demographic determinants of changes in the proportion of nuclear households with older adults. The decomposition analysis segregated the contribution of determinants of the change in nuclear households with older persons in three different components: propensity, composition, and interaction. The study used data from three successive rounds of the National Family Health Survey.

Findings

– Results indicate that a lower proportion of households with older persons were nuclear compared to total households. However, for both types of households, nuclear households increased by nine percentage points during 1992-2006. Households with older persons that were headed by old aged persons, illiterates or females, situated in urban area, not owned agriculture land, lower affluent level, and from Southern India were at most risk of being nuclear than their counterparts.

Originality/value

– This study provided ample evidence of the increase in nuclear familial structure for older persons in the course of population ageing. Population ageing, urbanization and increase in education, primarily contributed to the increase in nuclear family households of older persons.

Perceptions of a Specific Family Communication Application among Grandparents and Grandchildren: An Extension of the Technology Acceptance Model

Many studies have noted that the use of social networks sites (SNSs) can enhance social interaction among the elderly and that the motivation for the elderly to use SNSs is to keep in contact with remote friends and family or the younger generation. Memotree is designed to promote intergenerational family communication. The system incorporates the Family Tree design concept and provides family communication mechanisms based on the Family Communication Scale. In addition, the system optimizes hardware and interface use to conform to the specific needs of older and substantially younger individuals. Regarding the impact of variables on SNS with respect to the interaction of usability variables in the construction of a cross-generational communication platform, we adopted the TAM model and Chung et al.’s suggestions to promote user acceptance of the proposed Memotree system. A total of 39 grandchildren and 39 grandparents met the criteria and were included in the study. The elderly and young respondents revealed substantial willingness to use and/or satisfaction with using the Memotree system. Empirical results indicate that technology affordances and perceived ease of use have a positive impact on perceived usefulness, while perceived ease of use is affected by technology affordances. Internet self-efficacy and perceived usefulness have a positive impact on the user’s behavioral intention toward the system. In addition, this study investigated age as a moderating variable in the model. The results indicate that grandchildren have a larger significant effect on the path between perceived usefulness and behavioral intention than grandparents. This study proposes a more complete framework for investigating the user’s behavioral intention and provides a more appropriate explanation of related services for cross-generational interaction with SNS services.

Intergenerational living arrangements in Myanmar and Thailand: a comparative analysis

The present study compares living arrangements and related intergenerational support in Myanmar and Thailand based on recent national surveys of older persons in both countries and prior surveys in Thailand. The countries share relatively similar cultural contexts but differ radically in economic development. Substantially higher percentages of older persons in Myanmar currently coreside with their children and are considerably more likely to have non-coresident children living in the same locality. They are also less likely to live with a spouse and to have children living at a substantial distance. Older persons in Myanmar are much less likely to have phone contact with children living away and less likely to receive visits. Thai elders are considerably more likely to provide custodial care to grandchildren with absent parents and to live in skip generation households. Older Thais are also considerably more likely to receive substantial remittances from non-coresident children. The living arrangements of older age Thais in the past, however, more closely resembles the current situation in Myanmar. It appears that current differences are largely attributable to the more advanced Thai economic development through its associated impacts on migration, fertility and mortality. Contrasting political situations and government priorities also likely play a role. The results provide insights into the implications of development for older persons and suggest that if the recent course of political transformation and opening to the global economy continues in Myanmar, living arrangements there may well follow the trends in Thailand over past decades.

The need for community care among older people in China

The social care system of China has come under close scrutiny from policy makers due to the rapid ageing of China's population. Unfortunately, there is very little Chinese research evidence that might be used to plan future service developments. This article is a contribution to filling that gap and it provides essential new information on the expressed demand among older people in China for various community care services. The data are from the 2008 wave of the Chinese Longitudinal Healthy Longevity Survey. According to the characteristics of the dependent variables, we used Binary Logistic Regression Analysis to analyse the need for community care among older people in China. The results show considerable need for such care, but China is still a developing country and there are insufficient resources to fund a Western-style social care system (even if that was desirable). Thus, it is argued that the development of social care in China should emphasise community-based care, in partnership with families, with institutional care as a last resort. In addition, it is argued that China (and other countries) should introduce measures to prevent the demand for social care.

Grandparents and grandchildren: care and support in Myanmar, Thailand and Vietnam

Recent surveys in Myanmar, Thailand and Vietnam reveal that substantial proportions of persons aged 60 and older co-reside with grandchildren and commonly provide grandparental care. Usually the grandchildren's parents are also present. Situations in which the grandchildren's parents are absent are considerably less frequent. Parents are commonly the main source of the grandchildren's financial support even if absent. Most grandparents that provide care do not consider it a serious burden even when the grandchild's parents are absent. Moreover, grandparental care is not always one-directional as grandchildren can also be of help to grandparents. These features of grandchild care reflect a regional cultural context that views acceptance of reciprocal intergenerational obligations as normal and in which co-residence of older persons and adult children is still common. Differences in economic development and past fertility trends account for much of the observed differences in grandparental care among the three countries by affecting grandchildren availability and migration of adult children. In addition, economic development and demographic trends will continue to shape grandparental care in the coming decades. Despite the lack of attention to development and demographic context in previous studies, these aspects of the changing societal context deserve a prominent place within conceptual frameworks guiding comparative research on grandparenting.

How left behind are rural parents of migrant children? Evidence from Thailand

The consequences of adult children's migration from rural areas for older parents who remain behind are keenly debated. While the mass media and international advocacy organisations favour an ‘alarmist’ view of desertion, the academic literature makes more sanguine assessments using the ‘household strategy’ and ‘modified extended family’ perspectives. We examine the relationship between the migration of adult children and various dimensions of older parents' wellbeing in Thailand using evidence from a survey that focused on the issues. The results provide little support for the alarmist view, but instead suggest that parents and adult children adapt to the social and economic changes associated with development in ways not necessarily detrimental to intergenerational relations. The migration of children, especially to urban areas, often benefits parents' material support while the recent spread of cell phones has radically increased their ability to maintain social contact. Nevertheless, changing living arrangements through increased migration and the smaller family sizes of the youngest age groups of older people pose serious challenges for aspects of filial support, especially at advanced ages when chronic illness and frailty require long-term personal care. Dealing with this emerging situation in a context of social, economic and technological change is among the most critical issues facing those concerned with the implications of rapid population ageing in Thailand and elsewhere.

Intergenerational Coresidence in Developing Countries

Newly available census microdata from IPUMS‐International are used to assess trends in intergenerational coresidence in 15 developing countries. Contrary to expectations, we find no general decline in intergenerational coresidence over the past several decades. There have been, however, significant changes in the configuration of intergenerational coresidence. Families in which a member of the older generation is household head—a configuration consistent with traditional patriarchal forms in which the older generation retains authority—are becoming more common in most of the countries. Intergenerational families headed by a member of the younger generation—the configuration one would expect if intergenerational coresidence were motivated by a need for old‐age support—are on the decline in most of the countries. Multivariate analysis reveals that intergenerational families headed by the older generation are positively associated with measures of economic development. These findings are at variance with widely accepted social theory. We hypothesize that housing shortages, economic stress in the younger generation, and old‐age pensions may contribute to the change. More broadly, in some developing countries rising incomes may have allowed more people to achieve their preferred family structure of intergenerational coresidence following traditional family forms.

Living arrangements of ever-married older Lebanese women: is living with married children advantageous?

In many Middle Eastern countries including Lebanon, the family as a social institution is greatly valued and local norms regarding family ties and living arrangements are especially important for older adults, in particular older women. While the presence of an adult child is often seen as responsive to the financial, health and social needs of older parents, it is not clear whether co-residence with married children offers a similar advantage as in the case of co-residence with unmarried children. Using data from a national Population and Housing Survey, this study examines associations of co-residence with adult children among ever-married women aged 65 years and older in Lebanon. Results showed a considerable proportion of elderly women who were living alone (18%) at the time of the survey. Co-residence was more frequent with unmarried than married children, but the gender ratio of the co-residing child varied with the marital status of both the older woman and the child. Moreover, among those co-residing with married children, results indicate a greater likelihood of co-residence with married sons over married daughters. Co-residence with an adult child associated positively with the availability of surviving children and negatively with the socioeconomic status of the woman and her spouse. Compared to other living arrangements, co-residence with a married child entailed the least advantageous Household Socioeconomic Status (HSES) score in terms of housing characteristics, infrastructure, and material possessions, for both married and unmarried women.

Older adults in sub-Saharan Africa living with children and grandchildren

Using data from Demographic and Health Surveys, we examine the composition of households containing older adults in 24 countries of sub-Saharan Africa, with a focus on those living with children and grandchildren. Overall, 59 per cent live with a child and 46 per cent with a grandchild. Men are more likely to live in nuclear households and women in extended households and alone. Regression analyses show that individual-level determinants of household composition differ by sex. For example, living with children and grandchildren is tied to living with a spouse for men, but for women the effect is either not significant or in the opposite direction. Households with an older adult and a grandchild, but no adult children, are common. Usually the adult child lives elsewhere, though about 8 per cent of older adults live with a grandchild who has at least one deceased parent. Older adults are more likely to be living with double-orphans in countries with high AIDS-related mortality.

Living arrangements of older women and men in Kuwait

The main objectives of this article are to analyze the correlates of living arrangements of persons aged 60 or above in the oil-rich, Muslim country of Kuwait and to examine whether or not patterns of co-residence differ by gender. Data were obtained from a nationally representative survey of households of Kuwaiti nationals, and this paper is based on the 687 older Kuwaiti residents of these households. Living arrangements were generally similar for women and men. Eighty nine percent of women and 94 percent of men co-reside in households with at least one son or daughter. Only 0.3 percent of men and 1.9 percent of women live alone. Socio-demographic characteristics of women and men differed significantly; 58 percent of women were widowed compared with 5 percent of men. Logistic regression analysis showed that women had two times higher odds than men of living without their children. The odds of residing without children also increased with the respondent's age and education but decreased with increasing wealth. Continued rapid demographic, socioeconomic, and cultural change in Kuwait foretells continued decline in co-residence with children, and the implications of such change in a small city-state merits further research.

Living arrangements and socio-demographic conditions of older adults in Cambodia

Since the takeover of Cambodia by the Khmer Rouge in 1975, the social conditions within the country have been understudied. Only recently has dependable socio-demographic data become available. We use some these data to examine living arrangements and other socio-demographic conditions among Cambodia's older population. We compare results to those recently found in Thailand and Vietnam, two neighboring countries, in order to place Cambodia within a regional context. On balance, living arrangements in Cambodia are similar to those in neighboring countries. Older adults are likely to be living with a child and in a variety of diverse arrangements involving different family members. We attempt to get at gender preference for coresident children indirectly by adjusting living arrangement patterns for Cambodia's unique sex and marital status structure. We find a predominance of elders living with never married children of either sex and a slight daughter preference. Older adults in Cambodia may face particular challenges due to the influences of the past decades of instability and violence. We conclude our paper with a discussion of how future research might assist in developing a national policy for older adults.

Studying living arrangements of the elderly: lessons from a quasi-qualitative case study approach in Thailand

The present study explores aspects of living arrangements of the elderly in Thailand and how they relate to intergenerational support exchanges as revealed by a quasi-qualitative case study approach. The study describes some of the challenges this topic poses for measurement if surveys are used. These include difficulties in appropriately defining a household and identifying its members, treating coresidence as a continuum, taking account of the complex links to non-coresident children and kin, recognizing that similar living arrangements can have different meanings, viewing living arrangements as part of an evolving process, and recognizing the potential sensitivity of the topic to respondents. Careful and informed design of survey questionnaires can increase their ability to accurately reflect the underlying complex reality. However, there are also relevant critical issues for which surveys are not well suited. Although the study is specific to Thailand, many of the same issues are likely to arise in the research on elderly elsewhere as well.

Regional differences in living arrangements among the elderly in Ecuador

On the national level in Ecuador in 1982 roughly 61 percent of elderly people 60 years and over lived in complex family households, but this was 70 percent in the Coastal region (Costa) compared with only 54 percent in the Mountain region (Sierra), these two regions comprising over 95 percent of Ecuador's 1982 population. The regional difference could not be explained by standard demographic or socioeconomic characteristics available in the 1982 Census, either among all elderly people or unmarried women elderly. Rather, the regional difference may reflect underlying value and attitude differences not measured in the Census. As the marital structure of the adult population in the two areas has been quite different, consensual union being much more common in the Costa than the Sierra, we are left to wonder if there might be two different family systems at play. Such speculation will need to be addressed by future research.

Labor force status transitions at older ages in the Philippines, Singapore, Taiwan, and Thailand, 1970-1990

While there is considerable evidence of a trend toward earlier retirement in the United States and Europe, trends in rapidly growing economies in other parts of the world have not been closely examined. This paper traces the labor force participation rates of older men and women in four Asian countries, the Philippines, Singapore, Taiwan, and Thailand, over the period of 1970 to 1990. Aggregate census data are used to calculate net transitions into and out of the labor force so as to permit the analysis of differences by country and cohort as well as change over time. Results show that, although men exhibit a general trend toward earlier net labor force exit, labor force participation rates at older ages remain high. Older women are found to be increasingly engaged in economic activity, especially in Singapore and Taiwan.

Cultural differences in caregiving motivations for demented parents: Korean caregivers versus American caregivers

The study examined differences in motivations for parent care of Korean caregivers and Caucasian American caregivers of elderly parents with dementia. A number of American caregivers, mostly daughters of the demented parents, had affectionate relationships with their parents, but they expressed a relatively low degree of filial responsibility. In contrast, among Korean caregivers, the care of demented parents was predominantly the responsibility of daughters-in-law who were less likely to have affectionate relationships with the parents-in-law. However, Korean caregivers expressed a significantly higher level of filial responsibility than the American caregivers. Some cultural differences between the two ethnic groups associated with parent care were discussed.