published_or_final_version / Social Work and Social Administration / Doctoral / Doctor of Philosophy

Background: Self-rated health is an important predictor of adverse health outcomes (e.g. mortality) and health service use. While intergenerational family capital has been considered as one of the most important social determinants of self-rated health, the role of grandparent-grandchild dyads in self-rated health has not been fully investigated. Further, little is known about the patterns of change in trajectories of the self-rated health of older rural Chinese adults, who constitute the largest ageing population in the world. Objectives: This study investigated the association between grandparent-grandchild family capital and the self-rated health of older adults in rural China, as well as the mediation role of the grandparent-parent relationship in the association between grandparent-grandchild family capital and self-rated health. The present study also examined the development trajectories of the self-rated health of older rural Chinese adults from the point of view of intergenerational relationship and socio-economic status. Methods: Data for this study are derived from the Well-Being of the Elderly in Anhui Province survey. A random sample of 1,715 adults aged 60 and older were interviewed in the rural Chaohu region in 2001. A total of 1391 and 1067 respondents participated in the 2003 wave and 2006 wave respectively. New respondents were recruited for the 2009 wave and 1224 respondents were interviewed in 2009. Based on the 2009 wave of the Chaohu survey, structural equation modeling was used to examine the direct effect of grandparent-grandchild family capital on the self-rated health of older adults and the mediation role of the grandparent-parent relationship. Based on the 2001, 2003 and 2006 waves of the Chaohu survey, general growth mixture modeling was used to examine the multiple underlying trajectory patterns of self-rated health as well as the antecedents of the latent class memberships. Results: The results showed that grandparent-grandchild family capital had a direct effect on the self-rated health of older adults in rural China. The results also showed that the grandparent-parent relationship played a partial mediation role in the association between grandparent-grandchild family capital and self-rated health. Further, a two-class model was chosen to interpret the underlying trajectory classes. The two trajectories were labeled “good but declining SRH class” and “poor and declining SRH class”. Discussion: The findings enriched our theoretical understanding of intergenerational family capital and its effects in a cultural context that emphasizes collectivism and intergenerational exchanges. The mediator role of the grandparent-parent relationship was also highlighted in the findings, which confirmed “grandchild-as-linkage” theory. Further, there are underlying multiple trajectory patterns of the self-rated health of rural older adults. Intergenerational relationship was an important antecedent of the latent classes of self-rated health trajectories in rural China. / published_or_final_version / Social Work and Social Administration / Doctoral / Doctor of Philosophy

朱穎. / "2010年8月". / "2010 nian 8 yue". / Thesis (M.Phil.)--Chinese University of Hong Kong, 2010. / Includes bibliographical references (leaves 91-100). / Abstracts in Chinese and English. / Zhu Ying. / 目錄 --- p.3 / 論文摘要 --- p.5 / Abstract. --- p.6 / Chapter 第一章 --- 引言 --- p.7 / Chapter 1.1 --- 文獻綜述 --- p.10 / Chapter 1.1.1 --- 子女分工 --- p.10 / Chapter 1.1.2 --- 性別分工 --- p.11 / Chapter 1.1.3 --- 理想和現實的落差 --- p.13 / Chapter 1.1.4 --- 老人的養老期望 --- p.15 / Chapter 1.2 --- 研究方法 --- p.15 / Chapter 1.3 --- 文章架構 --- p.22 / Chapter 第二章 --- 當代農村家庭中的養老內容 --- p.25 / Chapter 2.1 --- 經濟支持 --- p.26 / Chapter 2.1.1 --- 農村家庭中老人的收入來源 --- p.26 / Chapter 2.1.2 --- 農村家庭中老人的經濟需求 --- p.28 / Chapter 2.2 --- 日常照料 --- p.29 / Chapter 2.2.1 --- 老年父母的需求 --- p.29 / Chapter 2.2.2 --- 農村養老與社區情理 --- p.32 / Chapter 2.2.3 --- 居住安排 --- p.34 / Chapter 2.2.4 --- 由現今居住棋式所引發的養老問題 --- p.37 / Chapter 2.3 --- 情感支持 --- p.40 / Chapter 2.3.1 --- p.40 / Chapter 2.3.2 --- "“主與我同在"" " --- p.44 / 討論 --- p.45 / Chapter 第三章 --- 子女間的分工合作 --- p.46 / Chapter 3.1 --- 養老分工的傳統理想模式 --- p.46 / Chapter 3.2 --- 養老分工理想模式的轉變 --- p.55 / Chapter 3.3. --- 理想與現實的落差 --- p.59 / Chapter 3.3.1 --- 當女兒付出了比期望多 --- p.59 / Chapter 3.3.2 --- 子女出去打工了 --- p.63 / 討論 --- p.66 / Chapter 第四章 --- "“家庭策略與家庭迷思""一家庭關係中的權力變動與日常生活中的協商 " --- p.67 / Chapter 4.1 --- 性別策略 --- p.68 / Chapter 4.1.1 --- "對“男女平等""的解釋:""耙子""和""匣子""" --- p.68 / Chapter 4.1.2 --- """考順女兒""的權力象徵" --- p.70 / Chapter 4.1.3 --- 兒媳的策略:利益結盟和自立門派 --- p.73 / Chapter 4.2 --- 留守子女:依照空間劃分的責任 --- p.75 / Chapter 4.3 --- 父母的策略 --- p.77 / Chapter 4.2.1 --- "“息事寧人""的矛盾調停者 " --- p.77 / Chapter 4.2.2 --- "“兇狠的兒媳,懦弱的兒子"" " --- p.78 / Chapter 4.2.3 --- 自力更生的態度 --- p.79 / Chapter 4.2.4 --- 風險分擔:參與保險 --- p.81 / 結論 --- p.81 / Chapter 第五章 --- 結論 --- p.83 / 參考文獻 --- p.91