Placing elderly parents in institutions in urban China - A reinterpretation of filial piety

The authors examined changing attitudes about filial piety, or xiao, using data from intensive interviews with 20 elderly residents, 14 family members, and 9 staff members in Nanjing, China. The findings reveal that respondents interpreted the notion of xiao in terms of their own social worlds and on the basis of their own social locations and contexts. The increasing unavailability of adult children, various benefits of institutional care, and children's financial assistance for older parents are major explanations for xiao behaviors, even when elders are placed in institutions. The high cost of professional care in institutions is contributing to a shift in attitudes about institutional elder care from stigma to privilege. The authors argue that China can expect an increasing need and demand for elder care institutions as a large number of Chinese baby boomers retire.