Old age security and inheritance in Nepal: motives versus means

Elderly care in Nepal: Are existing health and community support systems enough

In Nepal, a few governmental and community-based programmes for elderly care are in place; however, information about successful implementation and overall effectiveness of these programmes is not well understood. In this article, we introduced these programmes and discussed existing programmes’ gaps and implementation problems in light of existing grey and peer-reviewed evidence. A few notable governmental programmes, such as providing monthly allowances, pensions and free health care, have targeted specifically the elderly individuals. Yet, most health care institutions and providers are privately owned and profit-oriented, and there is a general lack of proper governmental health as well as social security systems for the elderly in the country. Generally, Nepalese communities consist of neighbourhood-based and religious-based groups that provide emotional and spiritual support to elderly individuals as well as provide support for health care access when needed. However, the influence that these groups can have on health and social well-being of elderly remains not well understood. Traditional family-based support systems may be feasible only for some families, while for others it could impose financial and psychological burdens. The role of the state is important in the effective implementation of existing programmes as well as in the development and implementation of additional programmes to ensure health and social well-being of elderly individuals. Furthermore, there is a need to establish partnerships with existing community structures and to mobilize them in the implementation of community-based programmes.

Offspring education and parental mortality: Evidence from South Asia

Decades of research show that education not only confers individual health benefits, but it also spills over to advantage subsequent generations. More recently, research has confirmed that the intergenerational health benefits of education can also flow upward: aging adults with more highly educated children experience better health and higher survival. Research has documented this finding in high-income settings, and also in select low- and middle-income contexts, raising questions about how having an adult child who attended relatively low levels of education can benefit aging parents' well-being. In this study, we use multilevel, long-term panel data on a cohort of older adults from the Chitwan Valley Family Study in rural Nepal to establish whether the association between offspring education and parents' survival is observable in this extremely poor, agrarian context. Extending past studies, we then leverage additional data on older adults to examine the association between offspring education and two theorized mechanisms: older adults' better health behaviors and their greater support in later life.

Family composition and marital dissolution in rural Nepal, 1945-2008

The presence, number, sex, and age composition of children within families can have important influences on couples' marital outcomes. Children are valued across settings, but their value in settings where there is an absence of formalized social security is distinctive. This paper explores the influences of childlessness, and different number, age, and sex compositions of children, on the odds of marital dissolution among couples in rural Nepal. Results reveal that childless couples face significantly higher odds of dissolution than couples with at least one child, and each additional child-up to three children-reduces couples' odds of dissolution. Furthermore, having a child aged under two reduces couples' odds of marital dissolution, but interactions reveal that this age effect only holds at parity one. Surprisingly, despite a history of son preference in this setting, there is no evidence that children's within-parity sex composition is associated with the odds of marital dissolution.

Predictors of Marital Dissolution During a Period of Rapid Social Change: Evidence From South Asia

Few studies have examined the causes and consequences of marital dissolution in non-Western settings. This article explores the fundamental factors that may predict marital dissolution in a mainly agrarian setting in South Asia, where collectivism has historically been valued over individualism and where life is centered on the family. Using event history analyses with retrospective life history data from the Chitwan Valley Family Study conducted in rural Nepal, I explore the possible predictors of marital dissolution. Results suggest that couples in which wives married at older ages and chose their spouse in conjunction with their parents face lower risk of marital dissolution, while wives' work increases the risk. Moreover, couples married for longer durations and couples who have more children face lower risks of marital dissolution. The influences of many of these factors have changed over the last few decades, pointing toward the important role of changing social context on marital trajectories.

Fertility Decline, Gender Composition of Families, and Expectations of Old Age Support

Recent fertility declines in non-Western countries may have the potential to transform gender systems. One pathway for such transformations is the creation of substantial proportions of families with children of only one gender. Such families, particularly those with only daughters, may facilitate greater symmetry between sons and daughters. This article explores whether such shifts may influence gendered expectations of old age support. In keeping with patriarchal family systems, old age support is customarily provided by sons, but not daughters, in India. Using data from the 2005 Indian Human Development Survey, I find that women with sons overwhelmingly expect old age support from a son. By contrast, women with only daughters largely expect support from a daughter or a source besides a child. These findings suggest that fertility decline may place demographic pressure on gendered patterns of old age support and the gender system more broadly.

Changing Attitudes Toward Care of Aging Parents: The Influence of Education, International Travel, and Gender

Population aging is a key public health issue facing many nations, and is particularly pronounced in many Asian countries. At the same time, attitudes toward filial obligation are also rapidly changing, with a decreasing sense that children are responsible for caring for elderly parents. This investigation blends the family versus nonfamily mode of social organization framework with a life course perspective to provide insight into the processes of ideational change regarding filial responsibility, highlighting the influence of education and international travel. Using data from a longitudinal study in Nepal-the Chitwan Valley Family Study-results demonstrate that education and international travel are associated with a decrease in attitudes toward filial obligation. However, findings further reveal that the impact of education and international travel vary both across the life course and by gender.

The Effect of Parents' Attitudes on Sons' Marriage Timing

Theories of family stability and change, demographic processes, and social psychological influences on behavior all posit that parental attitudes and beliefs are a key influence on their children's behavior. Though we have evidence of these effects in Western populations, there is little information regarding this social mechanism in non-Western contexts. Furthermore, comparisons of mothers' and fathers' independent roles in these crucial intergenerational mechanisms are rare. This paper uses measures from a ten-year family panel study featuring independent interviews with both mothers and fathers in rural Nepal to investigate these issues. We test the association of specific attitudes, rather than broad ideational domains, about childbearing and old-age care with sons' subsequent marriage behavior. Our results indicate that both mothers' and fathers' attitudes have important and independent influences on sons' marriage behavior. Simultaneous study of both parents' attitudes reveals that gender-specific parenting contexts can shape the relationship between parental attitudes and children's behaviors. This crucial mechanism of intergenerational continuity and change is strong in this non-Western setting, with substantial implications for studies of intergenerational influences on behavior in all settings.

Son and daughter preferences in Benighat, Nepal: implications for fertility transition

Married women in Benighat, Nepal stressed old age security and continuity of lineage as prominent reasons for wanting sons. In addition, women clearly desired daughters too--an important finding that is less often stressed. Religious reasons and help with household chores were the most common reasons reported for wanting a daughter. Strong desires for sons could increase fertility in settings where fertility is controlled. Additional desires for daughters could have an additional pronatalist influence. For Benighat we document a pervasive desire for at least two sons and at least one daughter. If realized, these sex composition preferences would increase fertility by 50 per cent. Actual effects are no doubt smaller, but the effects of sex preference on the desire for more children and on contraceptive use are clearly visible.