Chinese Migrant Workers' Care Experiences: A Model of the Mediating Roles of Filial Piety

Qual Health Res. 2020 Sep;30(11):1749-1761. doi: 10.1177/1049732320925420. Epub 2020 Jun 20.

Abstract

Filial piety is a highly relevant cultural mechanism that mediates the impacts of caregiving experiences on Chinese adult children, worldwide but perhaps especially in rural China. We undertook qualitative research with 24 migrant workers who were caring for an elderly parent diagnosed with terminal cancer. Research aims included building a comprehensive explanatory theoretical model for filial piety's mediating role in caregivers' lived experiences. We undertook a culturally sensitive Foucauldian discourse analysis of data, which showed that filial piety can not only function as a positive resource but also (mainly) translate to a requirement for secrecy, including about an ill parent's prognosis and the need for support for caregivers. The findings challenge the extent of this secrecy and the burdens it places on caregivers. Policy makers should take account of the importance of filial piety and its mediating role both as a resource and hindrance to providing support to caregivers.

Keywords: China; Foucauldian discourse analysis; care burden; care experiences; caregiver; filial piety; health service; hindrance; migrant workers; qualitative; resource; responsibility; secrecy.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Adult Children
  • Aged
  • Caregivers
  • China
  • Humans
  • Parent-Child Relations
  • Qualitative Research
  • Transients and Migrants*