Domestic helpers as frontline workers in China’s home-based elder care: A systematic review

We conducted a systematic review of the existing empirical studies focusing on Chinese domestic helpers in mainland China and foreign domestic helpers in Hong Kong who provide care for community-dwelling older adults. There are very limited studies specifically focusing on this population. The findings synthesized domestic helpers’ characteristics, acknowledged their contributions to elder care in China, and showed multiple challenges facing them, such as issues related to their physical health and emotional well-being, lack of legal rights protection, difficulties of adapting life in the host city, lack of training, and risk of abuse and sexual harassment. Our findings support the need for developing training and educational programs about legal rights protection and cultural competency for domestic helpers and the need to promote domestic helpers’ access to health care and social welfare and opportunities for career advancement, and provide respectful working conditions.     

Target Fertility,Contraception, And Aggregate Rates: Toward A Formal Synthesis

This paper develops a stock adjustment model relating total expected births to conventional aggregate fertility rates for married women over 25. Each year, cohorts bear about 20 percent of their additional expected births. Aggregate U.S. rates have been consistent with expectations as expressed in surveys between 1955 and 1975; indeed, total expected births may be inferred from aggregate fertility behavior. A peculiar empirical finding is that the additional expected fertility of nonterminators has not changed since 1955, despite the dramatic decline in total expected and actual fertility. The model leads to a dynamic expression for the duration pattern of current and cumulative fertility and for the proportion of couples who have terminated childbearing. The model is also used to analyze the effects of changing contraceptive failure rates on fertility patterns. For example, a decline in “timing” failure rates increases duration-specific fertility five years later.     

Remeasuring ageing in Hong Kong SAR; or ‘keeping the demographic window open’

Hong Kong SAR has among both the lowest fertility rates and highest life expectancy in the world. Under the current calculation of the Old Age Dependency Ratio (OADR), Hong Kong is, understandably, ageing extremely rapidly. This is a cause of significant concern among policy makers. However, OADR assumes that the entire population aged above 65 is both ‘old’ and ‘dependent’, neither of which is clearly defined, and that all aged below 65 are active in the labour force. Furthermore, because the rate is fundamentally based upon a European/North American model of pension and retirement it is arguably less appropriate to areas of the world where retirement ages are more fluid and pension systems less developed. We apply and extend a method for Hong Kong, designed by Sanderson and Scherbov, to ‘remeasure ageing’ by taking remaining life expectancy as the constant, rather than years lived by using projected life tables and 1 × 1 population projections. In doing so, we show that Sanderson and Scherbov’s new ‘prospective’ measurements of ageing more accurately reflect the increased longevity and vitality of Hong Kong’s population. Rather than passively accepting fate as a ‘rapidly ageing’ population, East Asian economies can be active in rethinking society’s relationship to work and other activities across the life-cycle. By adapting existing measurements to take into account the different welfare regimes in East Asia, we can radically alter the timeframe in which population ageing becomes ‘critical’. This allows more time to develop a more holistic life-course view of the relationship between work, longevity and fertility and to actively tackle ageing in an optimistic way.     

The effect of child care and part time opportunities on participation and fertility decisions in Italy

Economic models of household behavior typically yield the prediction that increases in schooling levels and wage rates of married women lead to increases in their labor supply and reductions in fertility. In Italy, low labor market participation rates of married women are observed together with low birth rates. Our explanation involves the Italian institutional structure, particularly as reflected in rigidities and imperfections in the labor market and characteristics of the publicly-funded child care system. These rigidities tend to simultaneously increase the costs of having children and to discourage the labor market participation of married women. We analyze a model of labor supply and fertility, using panel data. The empirical results show that the availability of child care and part time work increase both the probability of working and having a child. Received: 14 February 2000/Accepted: 20 February 2001     

Second Births and the Second Shift: A Research Note on Gender Equity and Fertility

In a set of propositions on fertility transition, Peter McDonald recently proposed that the decline from replacement‐level fertility to low fertility is associated with a combination of high levels of gender equity in individual‐oriented institutions, such as education and market employment, and low levels of gender equity in the family and family‐oriented institutions. Similarly, the “second shift,” or the share of domestic work performed by formally employed women, forms a critical piece of current cross‐national explanations for low fertility. Building on this scholarship, the authors explore whether there is empirical evidence at the individual level for a relationship between gender equity at home, as indicated by the division of housework among working couples with one child, and the transition to a second birth. Results, based on a sample of US couples, indicate a U‐shaped relationship between gender equity and fertility. Both the most modern and the most traditional housework arrangements are positively associated with fertility. This empirical test elaborates the family‐fertility relationship and underscores the need to incorporate family context, including gender equity, into explanations for fertility change.     

生育转型、性别平等与香港生育政策选择

香港是世界上生育率水平最低的超低生育率地区之一。低生育率现象是个体导向的社会机制所倡导的两性平等与家庭导向的社会机制在事实上的性别不平等之间强烈冲突的结果。“有偿养育计划”也许是刺激那些有多生倾向的家庭把生育意愿转变为实际生育行为的有效途径。     

The Politics of Sexual Citizenship: Negotiating Acts of Citizenship Among Non-Heterosexuals in Hong Kong

ABSTRACT

The notion of sexual citizenship has been developed over the past two decades, and its discussion has been expanded to other regions. This article investigates the claiming of rights by non-heterosexuals in Hong Kong to achieve two objectives: to articulate the importance of the rights claiming process, particularly regarding how non-heterosexuals are being transformed to become claimants through rights claims, and to extend the notion of sexual citizenship in East Asia, particularly in the Hong Kong context. The findings show four distinctive characteristics of sexual citizenship in Hong Kong. Non-heterosexuals are found to have faced different struggles and barriers before or during the process of claiming rights, including restricted welfare rights access in various social institutions. Furthermore, the development of sexual citizenship in the Hong Kong local context is found to be limited.     

Immigrant fertility patterns and differentials in Australia, 1971–1976

In this paper the fertility patterns and differentials among various immigrant groups in Australia are examined. Official vital statistics for the period 1971–76 are used.

Fertility ratios standardized by age and marital status suggest that the overall fertility of foreign-born women was higher in both 1971 and 1976; however, some evidence -of convergence towards an ‘Australian’ norm was found.

Four distinct patterns of fertility were noted. In two of them, Arab and South European, marital fertility was substantially higher but non-marital fertility quite low. The North-West European pattern was closest to that of the native-born; however, in the East European pattern fertility was lowest. Component analysis showed that most of the differences between the total fertility rate of Australians and those of the other groups reflect the significantly higher marital fertility rates and proportions married among the foreign-born groups.     

Domestic Outsourcing,Housework Shares and Subjective Time Pressure: Gender Differences in the Correlates of Hiring Help

We use data from matched dual earner couples from the Australian Time Use Survey 2006 (n = 926 couples) to investigate predictors of different forms of domestic outsourcing, and whether using each type of paid help is associated with reduced time in male or female-typed tasks, narrower gender gaps in housework time and/or lower subjective time pressure. Results suggest domestic outsourcing does not substitute for much household time, reduces domestic time for men at least as much as for women, and does not ameliorate gender gaps in domestic labor. The only form of paid help associated with significant change in gender shares of domestic work was gardening and maintenance services, which were associated with women doing a greater share of the household total domestic work. We found no evidence that domestic outsourcing reduced feelings of time pressure. We conclude that domestic outsourcing is not effective in ameliorating time pressures or in changing gender dynamics of unpaid work.     

Fertility desires and fertility outcomes

Over the last 30 years Australian fertility rates have fallen more than could have been predicted from changes in the numbers of children desired by women when they first married. This paper charts changes in desired and completed fertility in Australia, matches originally desired fertility with that ultimately achieved and explores some factors which may affect the relation between fertility desires and fertility outcomes.     

Economic development and fertility decline: lessons from Asia's newly industrialized countries

The general thesis that economic development and fertility decline are interrelated is substantiated in literature that discusses the successes of the newly industrialized countries of Hong Kong, Korea, Singapore, and Taiwan. When countries are developing rapidly, family planning accelerates the rate of fertility change, particularly among the poor uneducated rural population. Relying on economic and social development is not enough. National policy in Hong Kong, Singapore, Korea, and Taiwan recognized that population growth drains resources and the family planning programs operating since the 1960s contributed to a drop from 5 children/woman to 2 by 1988, and 70% of married couples used contraception. Coupled with this, age at marriage rose, contraception became more available, and educational and employment opportunities increased. Economically, the growth rate in the 1980's was 6-10% annually, with growth in the manufacturing and service sectors and export trade. Close economic ties evolved between governments and private sectors. Social development programs had been fully funded and gains evident in education, living standards, health care and nutrition, and life expectancy. The success of family planning is attributed to encouraging contraceptive awareness and use. Fertility reduction may occur with social and economic development, but no developing countries have reduced fertility without family planning. The relative importance of family planning may change over time, and reducing the cost through government sponsored family planning programs and encouraging the acceptability of contraceptive usage.     

Total fertility rate,women's education,and women's work: What are the relationships?

This paper presents the results of a statistical study, using cross-national data, on the relationships between total fertility rate and women's level of education and women's labor participation. Aggregate data on seventy-one countries were collected from numerous sources. Eight variables related to women's fertility, mortality, economic status, labor participation, and education are analyzed using multivariate linear regression analyses. Two models are considered. The first model regresses five variables on total fertility rate: per capita Cross National Product (GNP), percentage of women ages 15 to 19 who are married, female life expectancy at birth, calories available as a percentage of need, and percentage of married couples using contraception. The second model includes two additional regressors: the average number of years of schooling for women, and the percentage of women in the labor force. These seven variables are regressed on total fertility rate. Although the data are crude, the results of the analyses suggest that the model which incorporates women's level of education and women's labor participation captures the data better than the smaller model. The full model suggests that the percentage of women in the labor force is directly related to total fertility rate, whereas the average number of years of education for women is indirectly related to total fertility rate.     

Sex preference for children in German villages during the fertility transition

In the past, parents' sex preferences for their children have proved difficult to verify. This study used John Knodel's German village genealogies of couples married between 1815 and 1899 to investigate sex preferences for children during the fertility transition. Event history analyses of couples' propensity to progress to a fifth parity was used to test whether the probability of having additional children was influenced by the sex composition of surviving children. It appears that son preference influenced reproductive behaviour: couples having only girls experienced significantly higher transition rates than those having only boys or a mixed sibset. However, couples who married after about 1870 began to exhibit fertility behaviour consistent with the choice to have at least one surviving boy and girl. This result represents a surprisingly early move towards the symmetrical sex preference typical of modern European populations.     

Perceptions of paternal involvement and labour pain management in Chinese couples during childbirth: A qualitative study

BackgroundLabour pain is an individual experience embedded in a socio-cultural context. In childbirth, the father’s involvement provides important support to the mother during labour. However, few published studies have evaluated couples’ experiences of paternal involvement and labour pain management in the Chinese context.AimThis study aimed to understand the experience of labour pain management and the father’s involvement in childbirth from the perspectives of women and their partners in Hong Kong.MethodsAn exploratory qualitative design was adopted. A purposive sample of 45 Chinese parents was recruited at the postnatal unit of a regional hospital. Data were collected through semi-structured face-to-face interviews within 1 month after birth. The data were subjected to content analysis.FindingsThe findings revealed six major themes: the mothers’ experience of labour pain, effectiveness of pain relief measures, mothers’ perceptions of support from their partners, mothers’ perceptions of support from healthcare professionals, fathers’ experience of involvement in childbirth and suggested improvements to maternity services.DiscussionChinese mothers experienced intense labour pain and used various pain relief measures. Both parents considered the involvement of fathers and support from healthcare professionals to be highly significant during childbirth.ConclusionsThis study highlights the need for a family-centred model of care during childbirth that involves both parents in the decision-making process. Chinese maternity services should implement individualised birth plans that acknowledge both parents’ expectations and preferences, thus promoting a positive childbirth experience for the parents.     

‘Maternity migration’ and the increased sex ratio at birth in Hong Kong SAR

The sex ratio at birth (SRB) in Hong Kong SAR (Special Administrative Region) has recently increased dramatically. Using a data set (N = 850,331) of all recorded births in Hong Kong between 1995 and 2009, we calculated SRBs by parity and immigrant status. The findings indicate a strong son preference among Mainland Chinese who have travelled to Hong Kong to give birth, especially at parity two or above. Logistic regression models show that this tendency is significantly greater among more affluent couples and remains strong even among Mainland Chinese women resident in Hong Kong for any length of time. The SRB of Hong Kong-born couples, though elevated at higher parities, is less skewed. Hong Kong has been serving as an outlet for ‘elite’ Mainland couples to circumvent family planning restrictions. The analysis also suggests the advantages of a wider set of immigrant variables over a binary construct.     

Gender differences in retirement decisions in Hong Kong

The study of labor force participation at older ages and the process of retirement do not have a long tradition in Asia's newly developed societies. This study, based on telephone survey of 950 respondents, examines various socio-economic factors that would influence retirement decision among older workers in Hong Kong. The findings show that older men were more likely to participate in the labor force than older women. Interestingly, older workers, in particular older women, with pension were less likely to retire. Having a working spouse decreased the likelihood of retirement and older workers, in particular older women, living with married children were more likely to retire. Poor health also discourages the propensity to continue working at old age. These findings confirm that retirement entails much more than just a decision to stop work, and that there were gender differences in retirement decision. Finally, several policy challenges, with reference to elderly women, concerning older workers' labor force participation were discussed.     

Demographic transition and economic growth: Empirical evidence from Greece

Over the past decades, due to a combination of declining fertility rates and rising life expectancies, most industrialized countries have experienced aging populations and low numbers of young populations that may pose economic problems in the future. This paper investigates the relationship first between fertility rate and infant mortality rate and second among demographic changes, real wages and real output in Greece over the period 1960–96. When we control for fluctuations in overall economic activity and the labor market on the bivariate relationship between fertility and mortality rates, the evidence suggests that Granger-causation must exist in at least one direction. The results show that in the long run a decrease in infant mortality rates, taking into consideration economic performance and the labor market, causes a reduction in fertility rates. Also, employing the vector error-correction models, the variance decomposition analysis and the impulse response functions, the empirical results support the endogeneity of fertility choice to infant mortality, the labor market and the growth process. Received: 16 May 1999/Accepted: 18 September 2000     

Quality of Life in Hong Kong: Past Accomplishments And Future Prospects

Following several decades of rapid economic expansion, development in Hong Kong has arrived at a new crossroads. The pace of economic growth is no longer as rapid as during earlier decades, competition with other East Asian societies has grown more acute and many of the territory’s recurrent, sometimes hidden, social problems appear to be undermining selected aspects of Hong Kong’s quality of life. And Hong Kong’s political tensions with the central government in Beijing have become more confrontational since its return in 1997 to Chinese political sovereignty. This article: (1) summarizes the current state of social development in Hong Kong; (2) identifies the major social, political and economic challenges that confront Hong Kong at the beginning of a new development decade; (3) compares selected aspects of Hong Kong’s social development with that of other East Asian societies; and (4) suggests a variety of policy options that are available to leaders in Hong Kong’s for promoting a more balanced approach to social and economic development. The article also illustrates the use of social reports and social reporting in advancing development assessment and planning.     

Fertility survey in the rural area of Henan province]

The population of Henan Province is 72,850,000, 92% of whom live in villages. From July 12 to August 11, 1981, a fertility survey was taken of 20 communes and 31 work brigades in the counties of Fugou, Shancai, and Dengfeng, in which 38,168 people and 5700 fertility registration forms were studied. In 1980, 15% of the 3 counties' population were women aged 18-49, 80% of whom were married. The birth rate was 134.56/1000, of which the rate for married women was 172.36/1000. A random sampling from Shancai of 18-49 year old women showed an average of 2.3 children per couple. The factors influencing rural fertility are economic, social, ideological, and cultural. The economic system of distribution according to work has actually encouraged population growth because in rural areas where the standard of living is low larger families with more workers have greater incomes than smaller families with fewer workers. Early marriage and early births are encouraged under this system, as evidenced by findings in Fugou County. The survey also found that in the 3 counties, virtually everyone marries, women who work tend to work in the village close to home, high illiteracy is prevalent, and traditional attitudes of favoring males over females were all factors contributing to early and frequent births. In order to lower rural birth rates, rural economy should be developed, old attitudes and habits should be changed, and literacy should be increased.     

Communique of the National Sample Survey of Fertility and Birth Control (abstract)

The State Family Planning Commission in China surveyed 2,151,212 people, including 459,269 married women aged 15-57 on fertility and birth control, in July, 1988 from 30 provinces and other regions. From 1980- 87 the average total fertility rate was 2.47 vs. 4.01 in the 1970s. Fertility rates in the 80s were 1.33 for cities, 2.43 for towns, and 2.84 for villages. 1st parity births rose from 44.15% to 52.55% from Jan. to July of 1988 and 2nd parity births were about 30%. Women aged 50-57 had an average of 5.27 children while women aged 45-59 had an average of 4.44 children. 71.21% of childbearing-age women use contraception: 10.99% use male sterilization, 38.24% use female sterilization, 41.48% use IUDs, 4.91% oral pills, 2.65% condoms, 0.42% external contraceptives, and 1.32% use other methods. 13.79% of the married, childbearing-age couples have one-child certificates. The population of China as of April 1989 was 1.1 billion. In 1988 the birth rate was 20.78/1000 and the death rate was 6.58/1000.