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Embedded in traditional culture perpetuating family-centered elderly care, informal care is still viewed as a family or moral issue rather than a social and policy issue in South Korea. Using newly available microdata from the Korean Longitudinal Study of Aging, this study investigates the effect of informal caregiving on labor market outcomes in South Korea. By doing so, this study provides evidence to inform elderly long-term care policy in South Korea, and also fills a gap in the international literature by providing results from an Asian country. Empirical analyses address various methodological issues by investigating gender differences, by examining both extensive and intensive labor market adjustments with two definitions of labor force participation, by employing different functional forms of care intensity, and by accounting for the potential endogeneity of informal care as well as intergenerational co-residence. Robust findings suggest negative effects of informal caregiving on labor market outcomes among women, but not among men. Compared with otherwise similar non-caregivers, female intensive caregivers who provide at least more than 10 hours of care per week are at an increased risk of being out of the labor force by 15.2 percentage points. When examining the probability of employment in the formal sector only, the effect magnitude is smaller. Among employed women, more intensive caregivers receive lower hourly wages by 1.65K Korean Won than otherwise similar non-caregivers. Informal care is already an important economic issue in South Korea even though aging is still at an early stage.

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Asia Health Policy Program working paper #1
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Young Kyung Do
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Karen Eggleston
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Demographic change and long-term care in Japan, chronic non-communicable disease in China, national health insurance in South Korea, TB control in North Korea, pharmaceutical policy in the region and global safety in drug supply chains -- these are some of the topics explored in a new Stanford course: East Asian Studies 117 and 217,  "%course1%." Taught in fall 2008 by Karen Eggleston, Director of the Asia Health Policy Program, the course has enrolled students not only of East Asian studies but also other undergraduate majors as well as graduate students from the School of Education, School of Medicine, and Graduate School of Business.

 

The course discusses population health and healthcare systems in contemporary China, Japan, and Korea (north and south). Using primarily the lens of social science, especially health economics, participants analyze recent developments in East Asian health policy. In addition to seminar discussions, students engage in active exploration of selected topics outside the classroom, culminating in individual research papers and group projects that present findings in creative ways. For example, several students prepared an overview of health and healthcare in North Korea; three MBA students prepared a proposal for a healthcare venture in China (+PPT+ 1.2MB); and others attended related colloquia, interviewed researchers, and prepared summaries for public posting, such as the article on gender imbalance in China.

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Stanford University
Department of Anthropology
Building 50, Central Quad
Stanford, California 94305-2034

(650) 723-3421 (650) 725-0605
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Associate Professor of Anthropology
Senior Fellow, by courtesy, at the Freeman Spogli Institute for International Studies
Faculty Affiliate at the Walter H. Shorenstein Asia-Pacific Research Center
Faculty Affiliate at the Stanford Center on China's Economy and Institutions
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Matthew Kohrman joined Stanford’s faculty in 1999. His research and writing bring multiple methods to bear on the ways health, culture, and politics are interrelated. Focusing on the People's Republic of China, he engages various intellectual terrains such as governmentality, gender theory, political economy, critical science studies, and embodiment. His first monograph, Bodies of Difference: Experiences of Disability and Institutional Advocacy in the Making of Modern China, examines links between the emergence of a state-sponsored disability-advocacy organization and the lives of Chinese men who have trouble walking. In recent years, Kohrman has been conducting research projects aimed at analyzing and intervening in the biopolitics of cigarette smoking and production. These projects expand upon analytical themes of Kohrman’s disability research and engage in novel ways techniques of public health.

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Capital in its many facets is variable.  Like quicksilver, it can divide, reunite, and metamorphose seamlessly across a spectrum of ownerships by foreigners, the state, and domestic private
entrepreneurs.  

What does variable capital mean in and for Vietnam?  Who are the different investors?  How do they respond to state efforts to attract investments from overseas Vietnamese?  How do global supply chains—corporate buyers, contract factories, and subcontractors—shape the changing nature and impacts of capital in Vietnam?  How does a self-described socialist state use policies on investment, employment, and the privatization of state-owned factories to control the relations between workers and owners?  What roles in this mix are played by journalists who can ignore neither the party line nor the workers who protest in spite of it?  

In addition to addressing these questions, Prof. Tran will argue that workers in Vietnam are not resigned to being squeezed between morphing capital and state control.  They defend their interests flexibly in diverse forms of protest, overt and covert, including appeals to the state’s own socialist vision.  Fresh from extensive fieldwork in labor-intensive industries such as textiles, garments, and footwear, Prof. Tran will show how Vietnamese workers use origin, class, gender, and ethnicity to mobilize collective action against morphing capital in a one-party state.

Angie Ngoc Tran is a professor of political economy at California State University, Monterey Bay.  Her latest publications include articles in the Labor Studies Journal (2007) on labor media and labor-management-state relations in Vietnam.  Her PhD is from the University of Southern California (1996).

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Shorenstein APARC
Stanford University
Encina Hall E301
Stanford, CA 94305-6055

(831) 582-3753 (650) 723-6530
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Lee Kong Chian NUS-Stanford Distinguished Fellow on Southeast Asia
Angie_BioPhoto_Adjusted.jpg MA, PhD

Angie Ngoc Trần is a professor in the Division of Social and Behavioral Sciences and Global Studies at California State University, Monterey Bay (CSUMB).  Her plan as the 2008 Lee Kong Chian National University of Singapore-Stanford University Distinguished Fellow is to complete a book manuscript on labor-capital relations in Vietnam that highlights how different identities of investors and owners—shaped by government policies, ethnicity, characteristics of investment, and the role they played in global flexible production—affect workers’ conditions, consciousness, and collective action differently.

Tran spent May-July 2008 at Stanford and will return to campus for the second half of November 2008.  She will share the results of her project in a public seminar at Stanford under SEAF auspices on November 17 2008.

Prof. Trần’s many publications include “Contesting ‘Flexibility’:  Networks of Place, Gender, and Class in Vietnamese Workers’ Resistance,” in Taking Southeast Asia to Market (2008); “Alternatives to ‘Race to the Bottom’ in Vietnam:  Minimum Wage Strikes and Their Aftermath,” Labor Studies Journal (December 2007); “The Third Sleeve: Emerging Labor Newspapers and the Response of Labor Unions and the State to Workers’ Resistance in Vietnam,” Labor Studies Journal (September 2007); and (as co-editor and author) Reaching for the Dream:  Challenges of Sustainable Development in Vietnam (2004).  She received her Ph.D. in Political Economy and Public Policy at the University of Southern California in 1996 and an M.A. in Developmental Economics at USC in 1991.

Angie Ngoc Tran 2008 Lee Kong Chian NUS-Stanford Distinguished Fellow Speaker
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On October 2, 2008, Dr. Marcus Feldman of Stanford's Biology department delivered the first colloquium in the series on "The Implications of Demographic Change in China," co-sponsored by the Asia Health Policy Program and the Stanford China Program. Dr. Feldman discussed the sex-ratio imbalance and gender studies in China.

As Dr. Feldman noted, the total fertility rate in China has dropped dramatically in recent years, due in large part to the Chinese government's One Child Policy, which was introduced in 1979. In the early 1970s, the fertility rate averaged almost 6 births per woman, dropping to about 1.6 after the year 2000. China's sex ratio of males to females at birth (SRB), meanwhile, has risen. In 1975, the SRB was about 106 male births per 100 female births, and in 2005 had climbed to over 120 male births per 100 female births. When parity (birth order) is taken into account, the ratio becomes even more startling; for the first birth, the ratio is close to even (about 108 in the year 2005), but exceeded 145 in 2005 for the second birth and even higher for the third birth (almost163 in 2005). Research indicates that the imbalanced SRB is largely concentrated in the lower coastal regions of mainland China, where the population is predominantly Han. Shaanxi, Anhui and Jiangxi Province have the highest ratio of male to female births.

Evidence of gender imbalance is not merely limited to the ratio at birth; high ratios of male to female children are seen through ages 0-4, indicating that son preference affects not only which children survive birth, but also the survival rate of females in early childhood. In fact, research indicates that while excess girl child mortality (EGCM) has decreased for infants less than a year old in the period between 1973 and 2000, it has become increasingly pronounced for children between the ages of 0-4 and 5-9, with EGCM rates increasing every year.

Two Studies

Two studies were carried out in 1997 and 2000 by the Institute for Population and Development Studies of Xi'an Jiaotong University to investigate the causes of gender imbalance. The 1997 study focused on the cultural transmission of son preference, and the 2000 study on marriage form and old age support.

Three counties were chosen as sites, and the studies were a combination of surveys, in-depth interviews and focus group discussions. The first county, Sanyuan () in Shaanxi province, is a medium-developed region whose principal agricultural product is wheat. Fertility is high in Sanyuan, which is characterized by the dominance of virilocal marriage (in which the bride joins the family of her husband) and strict patrilineal family systems. The second county, Lueyang () in Shaanxi province is an underdeveloped mountainous region in which the patrilineal family system is more relaxed, fertility is lower than in Sanyuan, and there are diversified forms of marriage. The third site, Songzi () in Hubei province, is a well-developed rice- and cotton-producing plains region, with low fertility, relaxed family systems and diversified marriage. The results of household surveys showed a strong preference among parents in both Sanyuan and Lueyang to live with their sons in old age, which was not surprising, but a surprising result was found when parents were asked about the primary benefits of having a son. The most-reported reason was for carrying on the family name, which shows that traditional (Confucian) values played a bigger role in son preference than practical considerations such as labor or old age support. Overall, Lueyang was shown to have a much higher rate for transmitting no son-preference than Sanyuan, with older women slightly more likely to transmit no son-preference.

The marriage study found that rates of uxorilocal marriage (in which the groom joins the family of his wife) have, for the most part, been dropping in both Lueyang and Songzi since the 1970's. In Sanyuan, where uxorilocal marriage has been traditionally uncommon, the rates have remained steady at around 5 percent since the 1950's. The researchers calculated children's odds ratios of providing financial help to parents based on marriage form, and found the net ratios highest for women in virilocal marriages and sons in uxorilocal marriages.

Mechanisms of gender imbalance

There are several likely factors for the imbalanced sex ratio at birth in China. Underreporting of female births, infanticide, and sex-selective abortion (post-pre-natal gender testing) all contribute to this syndrome. Furthermore, poor nutritional and medical care for girls in their younger years can further skew the gender balance by exacerbating excess female child mortality. At the basic source of this issue, however, remains a fundamental gender bias that dates back historically and philosophically through Confucian culture and traditional patriarchal structures.

If the SRB, EFCM, TFR (total fertility rate) were all to remain at their early 2000s levels, then by 2030 the total population of China would be 84.2% of what would normally be expected at the current fertility rate (potentially causing economic welfare issues for the elderly, along with a work force deficiency). Moreover, there would be an excess in the male population of 20-21% (relative to females), essentially making it mathematically impossible for this proportion of the male population to marry. Needless to say, the possibility of such a severe "marriage squeeze", and the general top-heavy ratio of aging population to young working population are very problematic prospects for China's population and for the government's endeavors to promote both economic growth and social stability.

Examples of government efforts

The government is considering several policy options to try to avert this potential crisis. Stronger punishments were suggested at the 2008 National People's Congress (NPC) and Chinese People's Political Consultative Conference (CPPCC) for non-medical sex identification and sex-selection abortions (both of which can be obtained for relatively cheap rates within the country, despite being illegal). More proactively, an experimental program called "Care For Girls" was implemented in 2000 in Chaohu (a city in Anhui province). This program includes: financial help for 1- and 2-daughter families; sponsoring of girls' educational fees and increased pensions to families with daughters; and the promotion of uxorilocal marital structures. Since the introduction of the program, the local SRB went from 125 in 1999 to 114 in 2002. In response to this apparent success, the government expanded the "Care For Girls" program to 24 counties with high SRB rates in 2003-2004, and saw the average SRB in those counties drop from 133.8 in 2000 to 119.6 in 2005. Stipulation and initiation of a national "Care For Girls" campaign occurred in January 2006 - July 2006, with the goal of bringing the national SRB average to normal levels within 15 years. In January 2008, the government expanded on this effort by launching the "Care For Girls Youth Volunteer Action", beginning with more than 1000 students (mostly at the university level) directed at engaging in promotional activities and data collection (under the Chinese Communist Youth League). These policies are part of a comprehensive aspiration on the part of the PRC government towards the "construction of a new reproductive culture."

Son preference among migrant workers in Shenzhen

With the Chinese economic reform of the early 1980s, millions of laborers have been migrating from rural to urban areas. After migration, rural-urban laborers have to familiarize themselves with the rules and customs of their new locations, rebuilding their social networks in the process of adapting to their new occupations and habitation. But how do individual characteristics (i.e. gender, education level and the time of residency), restructured social networks, and the experiences of migration influence migrants' attitudes and behaviors regarding son preference? These questions were examined in a 2005 study conducted in Shenzhen.

Shenzhen is the first Special Economic Zone in China to implement economic reform and has since developed from a small fishing village into a modern coastal city. According to the 2000 Population Census, the total population of Shenzhen is 7,008,800, and the ratio of migrants to permanent urban residents is 4.77:1.

The Shenzhen study seemed to indicate initially that only a small minority of migrants (7% of total respondents) expressed a strong attitude towards son preference. However, the actual childbearing behavior of rural-urban migrants was remarkably different compared to their reported attitudes. The sex ratio of migrant children is as high as 163 male births per 100 female births, and the later in the birth order, the higher the sex ratio for the child, i.e., the sex ratio is 1.52 for the first birth and rises steeply to 1.80 for the second birth, peaking at 1.94 for the third and above birth. Thus the results suggest that migrants' childbearing behaviors actually suggest a strong son preference.

The Shenzhen study also found that three major determinants, namely social networks, migration history, and individual factors, all have significant effects on son preference among rural-urban migrants.

First, weak ties (formed by friends, bosses, and fellow workers) in social networks affect the attitude of son preference among rural-urban migrants. That is, the risk of having son-preference tends to decrease when the overall influence of network members is positive (without son preference). Moreover, increasing social contacts with network members will reduce the dependence upon strong ties (formed by family members and kin) and thus decrease the traditional culture of "rearing a son to support parents in their old age" and familial pressures to have more children.

Second, the duraction of residency in an urban area has a significant effect on the attitude of son preference among rural-urban migrations. The longer the migrants live in an urban area, the more likely that their attitudes of son-preference will adapt to urban reproductive norms. For example, the data indicated that ratio of male and female birth is more balanced among those living in urban areas for 8 years or longer. However, rural-urban migrants still exhibit a strong overall behavior of son preference. In other words, the change in childbearing behavior in terms of birth patterns still lags far behind the apparent change of attitudes.

Age and education are identified as factors affecting son preference among rural-urban migrants. For instance, an increase in age relative to initial migration will often decrease the imbalance in the sex ratio.

An additional study on rural-urban migrants examined the relationship between the gender of married migrants and their provision of financial support to parents and parents-in-law post-migration. The results showed, in fact, that female migrants are more likely to give financial support to their parents-in-law after migration.

Even today, the patrilineal conception of support for elderly family members is still very prevalent in rural China. Sons are expected to provide fundamental support to their parents, while daughters tend to provide supplementary and emotional support. This traditional old-age support pattern of reliance on sons can often intensify the syndrome of son bias among rural or traditional Chinese. However, the results here proved that if aging parents are more likely to receive sustenance from married daughters compared to married sons, the dominant son-preference in rural China could be logically undercut and eventually the traditional patrilineal conception of old-age support, and resulting gender bias, could be ameliorated and even eliminated.

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Shorenstein APARC
Stanford University
Encina Hall E301
Stanford, CA 94305-6055

(650) 723-6530
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Chang.JPG

Chin-fen Chang is a full-time Research Fellow at the Institute of Sociology of Academia Sinica in Taiwan.

Currently she is working a book on The Sociology of Labor Markets, to be published in Chinese, addressed to a Chinese audience. As part of the book, but also for separate article publication, she works on another two specific empirical projects at Stanford, both of which are comparative analyses among East Asian Countries (mainly Japan, Korea, and Taiwan).

Even though employed women are still overrepresented in poorly-paid, low-status jobs, the gender wage gap has narrowed over the past two decades in most countries. A similar trend occurred in the East Asian region too. However, it remains unknown whether the smaller gender wage gap is a result of better endowments of women (more education and work experience, factors emphasized by human capital theory) or of more comparable returns for women's qualifications (supporting institutional perspectives and/or contributions of women's movements in reducing discrimination). This project utilizes the decomposition method to solve the puzzle.

The second project aims to compare differences of social identities among East Asian countries. In addition to the class perspective as being conventionally used in the past literature, this paper will compare gender differences of the status evaluation from a feminist perspective.

One of her recent publications in English is: "The employment discontinuity of married women in Taiwan: Job status, ethnic background and motherhood ethnic background and motherhood," Current Sociology, 54(2): 209-228. Her website in IOS is: http://www.ios.sinica.edu.tw/ios/index.php?pid=23&id=115

Chang got her Ph.D. in Sociology from The Ohio State University (1989), M.A. in Sociology from the University of Iowa (1986), and B.A. in Economics from National Taiwan University (1980). She served as the chief editor of Taiwanese Journal of Sociology from the year of 2004 to 2006.

Visiting Scholar, 2008-09
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Dr. Shea will talk with us about her research on menopause and aging among Chinese women and issues surrounding romance, sex, and marriage in later life in mainland China, as part three of the colloquium series on "The Implications of Demographic Change in China," co-sponsored by the Stanford China Program and the Asia Health Policy Program. 

A sociocultural anthropologist who specializes in medical and psychological anthropology and Chinese culture, Dr. Shea's research interests include gender issues, health and healing, aging and the lifecycle, and intergenerational issues. She has spent three cumulative years living, studying, and doing research in the People's Republic of China.

Dr. Shea earned a B.A. in Asian Studies from Dartmouth College in 1989, followed by an M.A. and Ph.D. in Anthropology from Harvard University in 1994 and 1998.

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Jeanne Shea Associate Professor, Department of Anthropology Speaker University of Vermont
Seminars

The Vietnamese government legalized strikes in 1995. Since then Vietnamese workers have gone on strike more than 1,500 times. Most of these actions have erupted in factories established by capital investments from South Korea and Taiwan. Far fewer have been reported in factories relying on private investments from other countries or in publicly funded and state-owned enterprises (SOEs). When labor protests do occur in SOEs, they tend to be less confrontational, involving petitions and letters of complaint sent to local labor newspapers and relevant officials.

Shorenstein APARC
Stanford University
Encina Hall E301
Stanford, CA 94305-6055

(831) 582-3753 (650) 723-6530
0
Lee Kong Chian NUS-Stanford Distinguished Fellow on Southeast Asia
Angie_BioPhoto_Adjusted.jpg MA, PhD

Angie Ngoc Trần is a professor in the Division of Social and Behavioral Sciences and Global Studies at California State University, Monterey Bay (CSUMB).  Her plan as the 2008 Lee Kong Chian National University of Singapore-Stanford University Distinguished Fellow is to complete a book manuscript on labor-capital relations in Vietnam that highlights how different identities of investors and owners—shaped by government policies, ethnicity, characteristics of investment, and the role they played in global flexible production—affect workers’ conditions, consciousness, and collective action differently.

Tran spent May-July 2008 at Stanford and will return to campus for the second half of November 2008.  She will share the results of her project in a public seminar at Stanford under SEAF auspices on November 17 2008.

Prof. Trần’s many publications include “Contesting ‘Flexibility’:  Networks of Place, Gender, and Class in Vietnamese Workers’ Resistance,” in Taking Southeast Asia to Market (2008); “Alternatives to ‘Race to the Bottom’ in Vietnam:  Minimum Wage Strikes and Their Aftermath,” Labor Studies Journal (December 2007); “The Third Sleeve: Emerging Labor Newspapers and the Response of Labor Unions and the State to Workers’ Resistance in Vietnam,” Labor Studies Journal (September 2007); and (as co-editor and author) Reaching for the Dream:  Challenges of Sustainable Development in Vietnam (2004).  She received her Ph.D. in Political Economy and Public Policy at the University of Southern California in 1996 and an M.A. in Developmental Economics at USC in 1991.

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