Impacts of China’s One-child Policy on Public Health in China: An Overview

Авторы

  • Zheng Li US Centers for Disease Control and Prevention
  • Ziwei Song

Ключевые слова:

China, One-child policy, public health, review, maternal health, children’s health, sex ratio, aging society

Аннотация

Abstract

In 2015, China lifted its one-child policy and replaced it with a universal two-child policy that became effective on January 1, 2016.  The one-child policy, introduced in 1979 to strictly reduce population growth in the country, had profound impacts not only on population growth control, but also on public health and many other aspects affecting population health. In this article, we review its positive impacts on public health in China, such as greatly improved health status in the country, most likely due to the combination of the one-child policy and the economic reform that started approximately the same time. We also discussed several undesirable outcomes, such as skewed sex ratio and aging population. Finally, we proposed potential strategies to compliment the newly implemented two-child policy. 

摘要: 2015年底, 中国宣布取消独生子女政策,并于2016年一月一日开始实施二孩政策。自从1979,独生子女政策在过去30多年减缓了中国的人口增长, 同时也在公共卫生和人口健康有深远的影响。这篇概述回顾独生子女政策在公共卫生方面的积极影响,也讨论了一些政策的负面影响,比如偏倚的男女比例和加速老龄化。 最后,本篇概述提出一些让二孩政策更好实施的策略。

 

关键词:中国,独生子女政策,公共卫生,妇幼健康,性别比,老龄化社会


Библиографические ссылки

Arnold F, Liu Z. Sex Preference, Fertility, and Family Planning in China. Population and Development Review. 1986: 221-246.

Bredenkamp C. Policy-Related Determinants of Child Nutritional Status in China: the Effect of Only-Child Status and Access to Healthcare. Social Science & Medicine. 2009;69(10):1531-8.

Cao S, Tian T, Qi F, Ma L, Wang G. An Investigation of Women's Attitudes towards Fertility and China's Family Planning Policy. Journal of Biosocial Science. 2010;42(3):359-75.

Chen JJ, Xie ZM, Liu HY. Son Preference, Use of Maternal Health Care, and Infant Mortality in Rural China, 1989-2000. Population Studies- Journal of Demography. 2007;61(2):161-83.

Chen Z, Yu J, Song Y, Chui D. Aging Beijing: Challenges and Strategies of Health Care for the Elderly. Ageing Research Reviews. 2010;9 Suppl 1:S2-5.

China Daily. Special Coverage: China Family Planning Policy. 2009. Available from: http://www.chinadaily.com.cn/60th/2009-09/02/content_8646242.htm.

China MOH. Report on Women and Children’s Health Development in China. 2011. Available at: http://unpan1.un.org/intradoc/groups/public/documents/apcity/unpan051019.pdf

Cui Z, Huxley R, Wu Y, Dibley MJ. Temporal Trends in Overweight and Obesity of Children and Adolescents from Nine Provinces in China from 1991-2006. International Journal of Pediatric Obesity. 2010;5(5):365-74.

Ding QJ, Hesketh T. Family Size, Fertility Preferences, and Sex Ratio in China in the Era of the One Child Family Policy: Results from National Family Planning and Reproductive Health Survey. British Medical Journal. 2006;333(7564):371-3.

Doherty JP, Norton EC, Veney JE. China's One-Child Policy: the Economic Choices and Consequences Faced by Pregnant Women. Social Science & Medicine. 2001;52(5):745-61.

Feng W, Mason A. Demographic Dividend and Prospects for Economic Development in China. United Nations Expert Group on Social and Economic Implications of Changing Population Age Structure, UN/POP/PD/2005/5, 2005.

Feng XL, Guo S, Yang Q, Xu L, Zhu J, Guo Y. Regional Disparities in Child Mortality within China 1996-2004: Epidemiological Profile and Health Care Coverage. Environmental Health and Preventive Medicine. 2011;16(4):209-16.

Feng Z, Zhan HJ, Feng X, Liu C, Sun M, Mor V. An Industry in the Making: the Emergence Of Institutional Elder Care in Urban China. J Am Geriatr Soc. 2011;59(4):738-44.

Festini F, de Martino M. Twenty Five Years of the One Child Family Policy in China. Journal of Epidemiology and Community Health. 2004;58(5):358-60.

Flaherty JH, Liu ML, Ding L, Ding BR, Ding QF, Li X, et al. China: the Aging Giant. Journal of the American Geriatrics Society. 2007;55(8):1295-300. doi: 10.1111/j.1532-5415.2007.01273.x. PubMed PMID: WOS:000248544400020.

Hardee K, Xie ZM, Gu BC. Family Planning and Women's Lives in Rural China. International Family Planning Perspectives. 2004;30(2):68-76.

Hesketh T, Lu L, Xing ZW. The Effect of China's One-Child Family Policy After 25 Years. New England Journal of Medicine. 2005;353(11):1171-6.

Hesketh T, Zhou X, Wang Y. The End of the One-Child Policy: Lasting Implications for China. JAMA. 2015;314(24):2619-20

Hesketh T, Zhu WX. Health in China - the One Child Family Policy: the Good, the Bad, and the Ugly. British Medical Journal. 1997;314(7095):1685-7.

Ji CY, Cheng TO. Epidemic Increase in Overweight and Obesity in Chinese Children from 1985 to 2005. International Journal of Cardiology. 2009;132(1):1-10.

Ji CY. The Prevalence of Childhood Overweight/Obesity and the Epidemic Changes in 1985-2000 for Chinese School-Age Children and Adolescents. Obesity Reviews. 2008;9 Suppl 1:78-81.

Kane P, Ching YC. China's One Child Family Policy. British Medical Journal 1999;319: 992.

King M. China's Infamous One-Child Policy. Lancet. 2005;365(9455):215-6.

Leng SX, Tian X, Liu X, Lazarus G, Bellantoni M, Greenough W, et al. An International Model for Geriatrics Program Development in China: The Johns Hopkins-Peking Union Medical College Experience. J Am Geriatr Soc. 2010;58(7):1376-81.

Liu J, Diamond J. China's Environment in A Globalizing World. Nature. 2005;435(7046):1179-86.

Nie J-B. Non-Medical Sex-Selective Abortion in China: Ethical and Public Policy Issues in the Context of 40 Million Missing Females. British Medical Bulletin. 2011;98(1):7-20. doi: 10.1093/bmb/ldr015. PubMed PMID: WOS:000291546000002.

Poston DL Jr. Son Preference and Fertility in China. Journal Of Biosocial Science 2002;34(3): 333-347.

Poston DL Jr, Gu B, Liu PP, McDaniel T. Son Preference and the Sex Ratio at Birth in China: A Provincial Level Analysis. Social Biology 1997;44(1-2): 55-76.

Potts M. China's One Child Policy. British Medical Journal. 2006;333(7564):361-2.

Short SE, Zhang FY. Use of Maternal Health Services in Rural China. Population Studies-A Journal Of Demography. 2004;58(1):3-19.

Short SE, Zhang FY. Looking Locally at China's One-Child Policy. Studies in Family Planning 1998: 373-387.

Silverstein M, Cong Z, Li S. Intergenerational Transfers and Living Arrangements of Older People in Rural China: Consequences for Psychological Well-Being. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 2006;61(5): S256-S266.

The Economist. China’s Population, Only and Lonely. 2011. Available from: http://www.economist.com/node/18988926.

The Lancet. The End of the One-Child Policy in China? Lancet. 2011;377(9770):968.

UNICEF. China: Statistics ND [April 26, 2012]. Available from: http://www.unicef.org/infobycountry/china_statistics.html.

USAID. Strengthening Family Planning Policies and Programs in Developing Countries: An Advocacy Toolkit. 2005. Available at: http://pdf.usaid.gov/pdf_docs/Pnadh039.pdf

Wan HW, Yu F, Kolanowski A. Caring for Aging Chinese: Lessons Learned from the United States. Journal of Transcultural Nursing. 2008;19(2):114-20.

Wang Z, Zhai F, He Y, Hu Y. Trends and Prevalence of Malnutrition among Children Under Five Year-Old in Chinese Rural of Different Classes. Journal of Hygiene Research. 2007;36(1):82-5.

World Bank. 2016. http://data.worldbank.org/indicator/SP.DYN.TFRT.IN

Wu ZC, Viisainen K, Hemminki E. Determinants of High Sex Ratio among Newborns: A Cohort Study from Rural Anhui Province, China. Reproductive Health Matters. 2006;14(27):172-80.

Yang JH. China's One-Child Policy and Overweight Children in the 1990s. Social Science and Medicine. 2007;64(10):2043-57.

Zhong H. The Impact of Population Aging on Income Inequality in Developing Countries: Evidence from Rural China. China Economic Review. 2011;22(1):98-107.

Zhou L, He G, Zhang J, Xie R, Walker M, Wen SW. Risk Factors of Obesity in Preschool Children in an Urban Area in China. European Journal of Pediatrics. 2011;170(11):1401-6.

Zhu WX, Lu L, Hesketh T. China's Excess Males, Sex Selective Abortion, and One Child Policy: Analysis of Data From 2005 National Intercensus Survey. British Medical Journal. 2009;338.

Zhu WX. The One Child Family Policy - The Government Hopes that There Will Be A Shift towards the "Small Family Culture". Archives of Disease in Childhood. 2003;88(6):463-4.

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Опубликован

2016-09-01

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Review