Old-age support and care in China in the early 1990s.

Owing to increased life expectancies and falling fertility, China will have not only the largest aged population but also the most rapid ageing process in the foreseeable future. The need to provide adequate and affordable support and care for the elderly has recently caused both scholars and policymakers concern. By analysing a 1992 sample of the aged in 12 provinces, this paper examines the support and care received by the elderly, focusing on living arrangements, economic security (income sources and levels), physical care, access to health services and emotional support. In the early 1990s old-age support in China was mainly provided by families, primarily through co-residence. The coverage of government-sponsored pension programmes was limited largely to city dwellers. Economically, physically and emotionally, most old people were well cared for, although the rural old and women were relatively disadvantaged. Rural elderly were more likely to still be engaged in productive activities, while old women were more likely than old men to be financially dependent on their children. Women played an important role as care-givers at home. However, the current familial system is under increasing pressure as the country's social and economic structure changes drastically. To meet the mounting challenge of the future, early and comprehensive strategies are needed to establish an old-age support system that brings into full play the state, local communities and individuals. [ABSTRACT FROM AUTHOR]