Strong intergenerational relationships and fostering children's filial beliefs help reduce mortality among older Chinese Americans. Greeting, listening, and seeking advice from parents improve the preservation of the role of family for older adults.
Filial piety - the traditional value of caring for one's elders - is foundational to the Chinese concept of family and greatly influences intergenerational relationships. When older Chinese adults' expectations of care exceed receipt, however, it can lead to increased mortality risks, according to a new Rutgers study.
The study, published in Aging and Mental Health, assessed the discrepancy between older Chinese Americans' expectations versus receipt of the six domains of filial piety - care, respect, greet, make happy, obey, and financial support.
For the study, researchers interviewed 3,021 older Chinese American immigrants whose mean age was 73 and who had at least one child. They compared the mortality risks among the six domains of filial piety across three groups - no filial discrepancy, filial expectation above receipt, and filial expectation below receipt. They found that higher expectations over receipt of respect - listening to and consulting with aging parents - and greet - expressing gratitude to aging parents - was associated with higher mortality risks. When receipt of care exceeded expectations, participants experienced a lower risk of mortality. The remaining domains - make happy, obey, and financial support - had no significant relationship with mortality risk.
"Although further qualitative study is necessary to understand the filial discrepancy experience comprehensively and to explore the mechanism through which filial discrepancy affects the mortality risk of older immigrants, the study has important practical implications for social and health care services and policies focused on older Chinese American adults," said Li.
The study recommends that social service organizations adopt a culturally relevant approach to providing services to older Chinese American immigrants. Action should be taken to reduce mortality risk by reducing filial discrepancies and improving awareness about expectations versus receipt in the areas of respect and greet. Program planners and service providers should take steps to create educational programs and services which focused on fostering children's filial beliefs and behavior in intergenerational interactions. Particular attention should be paid to greeting, listening, and seeking advice from parents to improve the protection role of family for older adults.