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Intergenerational support among widowed older adults in China

            Table 4.  Source of ADL assistance received by widows and widowers a
             Main provider (%)              Bathing   Dressing   Toileting   Transferring  Continence  Feeding
             Widows
               Son                             6.2       14.4       14.8          19.5         10.1      20.3
               Daughter-in-law                41.9       41.6       43.4          38.9         35.8      40.6
               Daughter                       29.7       15.8       13.8           9.3         17.0      11.5
               Son-in-law                      0.0       0.0        0.2            0.5          0.1       1.1
               Son and daughter                2.0       4.5        3.6            6.4          2.4       5.0
               Grandchildren                   5.7       4.5        3.3            3.5          2.0       3.2
               Other relatives                 3.6       1.5        2.8            2.5          1.9       2.8
               Social service                  6.2       8.4        9.4           10.3          4.9       8.5
               Domestic worker                 4.1       9.2        7.8           8.8           9.9       7.7
               None                            0.7       0.1        0.8           0.2          15.9       1.1
               Total number (N)              2,745      1,332      1,468         1,181         735       859

             Widowers
               Son                            62.5       58.6       55.8          54.9         45.3      48.2
               Daughter-in-law                 4.2       12.2       4.5           8.3           5.1      17.4
               Daughter                        5.8       2.6        6.0           2.7           3.8       3.1
               Son-in-law                      0.9       0.6        0.2           0.1           2.0       0.1
               Son and daughter                5.3       4.7        6.4           4.9           3.1       2.1
               Grandchildren                  10.1       8.9        10.1          11.3          1.0      16.8
               Other relatives                 0.4       0.5        1.1           0.5           1.0       1.5
               Social service                  4.6       4.8        9.1           8.9           9.8       5.9
               Domestic worker                 4.1       6.4        6.1           7.8           7.8       2.8
               None                            2.0       0.8        0.6           0.5          21.1       0.3
             Total number (N)                 825        377        376           303          196       215
                 a
            Notes:  The analytic sample includes widowed older adults who had difficulties in one or more ADLs. The percentages are weighted. Due to very
            little missing data on sources of ADL assistance and the small number of people in some cells, we did not do multiple imputations and included
            respondents who answered the related questions.
                                       widows who needed help with ADLs, about 36%–43% mentioned their daughters-
                                       in-law as the main caregivers for various ADLs. It is clear that for widows in China,
                                       despite tremendous social and economic changes, daughters-in-law still played a
                                       crucial role in taking care of the day-to-day needs of their mothers-in-law. Sons,
                                       daughters, grandchildren, domestic workers, and social services accounted for most of
                                       the remaining providers. Very few widows relied on sons-in-law or other relatives for
                                       ADL assistance.
                                         By contrast, sons played a big role in helping widowers with ADLs. Approximately
                                       45%–63% of widowers mentioned that their sons helped them when they needed help
                                       with ADLs. Daughters-in-law also played a salient role in helping the widowers in
                                       terms of feeding (17%), dressing (12%), and transferring (8%). A significant proportion
                                       of widowers also were helped by their grandchildren (e.g., 17% for feeding, 11% for
                                       transferring). Likely because few widowers lived with their daughters, only a small
                                       proportion of widowers relied on their daughters for ADL assistance.
                                       4  Discussion

                                       Although China has experienced rapid demographic, social, and economic changes
                                       in the past few decades, we find that the overwhelming majority of widowed older
                                       adults still rely heavily on their adult children for financial assistance, sick care, and
                                       emotional support, and that living with adult children, sons in particular, remains
                                       the modal arrangement of widowed older Chinese. Our hypotheses were largely

            104                                 International Journal of Population Studies   2017, Volume 3, Issue 1
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