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CHINA demography
Population:  1,313,973,713   Age structure: 0-14:  21%  15-64:  71%  65+:  8%  Population growth rate:  0.6%  Birth rate:  13 ‰   Death rate:  7 ‰   Sex ratio:   under 15 years:  118 male/100 female Infant mortality rate: total:  23 ‰   male:  21 ‰  female:  26 ‰   Life expectancy at birth:   total population:  73 years male:  71 years  female:  75 years Total fertility rate:  1.7 children born/woman DEMOGRAPHIC DATA 2006
 
POPULATION  DENSITY
POPULATION  DENSITY
"Later,  Longer,  Fewer " 中华人民共和国 Zhōnghuá Rénmín Gònghéguó  People’s Republic of China POPULATION  POLICIES
During Mao Zedong's rule the population policy of China was “the more people, the stronger we are”, leading to overpopulation and a series of famines. When Deng Xiaoping took power in 1978, his new policies focused on strengthening China's economy, and he saw overpopulation as a block to economic development.  ,[object Object],POPULATION POLICIES
1 Late marriage  – men were encouraged to marry no earlier than 28 years old (25 in rural areas) and women no earlier than 25 years old (23 in rural areas). 2 Longer spacing between births  – couples were encouraged to allow at least a four-year gap after the first child before having another baby. 3 Fewer children  – it was suggested that urban families should be limited to two children, and rural families to three children. In the 1970s the Chinese government had issued three policies to reduce the birth rate: 1970 POPULATION POLICY
In 1979 the authorities tightened their control and limited households to only one child.  The goal of this policy was to limit China’s population to 1.2 billion by the year 2000. 1979 POPULATION POLICY – THE ONE CHILD POLICY
2002 POPULATION POLICY
Article 8  The State gives rewards to organisations and individuals that have scored outstanding achievements in the population programme and family planning.  POPULATION and FAMILY PLANNING LAW Article 18  The State maintains its current policy for reproduction, encouraging late marriage and childbearing and advocating one child per couple. Article 19  Family planning shall be practised chiefly by means of contraception. Article 22  Discrimination against,  maltreatment and abandonment of baby girls are prohibited.
Article 23  The State rewards couples who practise family planning.  POPULATION and FAMILY PLANNING LAW Article 27  The State shall issue to a couple who volunteer to have only one child in their lifetime a “Certificate of Honour for Single-Child Parents”. Couples who are issued the said certificate shall enjoy rewards. Article 35  Use of ultrasonography or other techniques to identify foetal gender for non-medical purposes is strictly prohibited.  Sex-selective pregnancy termination for  non-medical purposes is strictly prohibited.
Article 41  Citizens who give birth to babies not in compliance with the provisions of Article 18 of this Law  shall pay a social maintenance fee prescribed by law. POPULATION and FAMILY PLANNING LAW Article 47  This Law shall go into effect as of September 1, 2002.  中华人民共和国 Zhōnghuá Rénmín Gònghéguó  People’s Republic of China
2002 POPULATION POLICY MARRIAGE LAW  OF THE PEOPLE’S REPUBLIC  OF CHINA
Article 6   In order to get married, the man shall not be younger than 22 years old and the woman shall not be younger than 20. Late marriage and late child birth shall  be encouraged. Article 16   Both husband and wife shall be under the obligation of following the policy of birth control. MARRIAGE LAW
LATER  Delayed marriage and delayed child bearing LONGER  Longer spacing between births FEWER  Fewer children – ideally one child per couple "Later,  Longer,  Fewer " The  Planned Birth  policy of the government of the People's Republic of China is known as the  One-child Policy
ONE CHILD POLICY – TWO CHILD REALITY There are no sanctions for couples who have  multiple births.
Wealthy couples are apparently increasingly turning to fertility medicines to have multiple births, due to the lack of penalties against couples who have more than one child in their first birth.  ONE CHILD POLICY – TWO CHILD REALITY
[object Object],ONE CHILD POLICY – TWO CHILD REALITY The People's Republic of China (PRC) officially recognizes 56 distinct ethnic groups, the largest of which are Han Chinese, who make up about 92% of the total population.  Han, the majority ethnic group, in traditional costume
[object Object],[object Object],[object Object],ONE CHILD POLICY – TWO CHILD REALITY
Children born outside of China Some parents manage to be outside the country or in Hong Kong, Macau, or Taiwan when giving birth to their child. Those children do not count in the one-child policy, even if they are technically a natural born Chinese citizen through parentage.  ONE CHILD POLICY –  TWO CHILD REALITY HONG KONG TAIWAN MACAU
ONE CHILD POLICY – TWO CHILD REALITY In addition to the exceptions  permitted by law some  couples simply pay a fine,  or "social maintenance fee"  to have more children.  2 As a result the overall fertility rate is closer to two children per family than to one child per family. Notice explaining the collection of the social maintenance fee (family planning fine) at Danshan, Sichuan.
POPULATION GROWTH 1961 - 2003
 
POPULATION PYRAMID 1950 to 2050 In 1950 the population structure of China was typical of an ELDC.
POPULATION PYRAMID 2005 While the number of children was increasing rapidly between 1950 and about 1970, it is now declining significantly, due to China's one-child family planning programme.
POPULATION PYRAMID 2050? In the next few decades, China will experience population ageing - as can be seen by the shrinking base of the population pyramid and the increasing numbers of people age 50 and above.
The population pyramid of a country will change through time as it develops. If  a country starts to improve health care and diet, and reduce infant mortality  by investing in post natal care strategies and a nationwide vaccination programme for infant diseases then people will live longer and the pyramid will become wider through the age groups China POPULATION PYRAMIDS – FEATURES of ELDCs If population rises too quickly because life expectancy is improving and there are more potential child bearing females then the government might try to introduce some form of family planning programme allowing couples to have greater control over the number of children they have. In Chinas case they were even stricter with the introduction of the one child policy This is shown up in an indent in the youngest age groups The solid shapes show what the pyramid used to look like and brings out the widening of the pyramid The higher life expectancy and high birth rate means a higher dependant population Working Age population
POPULATION STRUCTURE
1964 1982  2000 POPULATION STRUCTURE
 
FATHER, MOTHER and I
FAMILY PLANNING PROPAGANDA
FAMILY PLANNING  PROPAGANDA ‘ Modern mother’ statue, Shanghai
FAMILY PLANNING PROPAGANDA
FAMILY PLANNING PROPAGANDA
FAMILY PLANNING PROPAGANDA
FAMILY PLANNING PROPAGANDA
FAMILY PLANNING PROPAGANDA
FAMILY PLANNING PROPAGANDA
FAMILY PLANNING PROPAGANDA
FAMILY PLANNING PROPAGANDA
FAMILY PLANNING PROPAGANDA
FAMILY PLANNING PROPAGANDA
“ Everyone is responsible for the success of the One-Child Policy” FAMILY PLANNING PROPAGANDA
“ Have one child, one only and raise him wisely for the good of society.” FAMILY PLANNING PROPAGANDA
“ Seriously control the population growth,  work hard to make the birth rate stable” FAMILY PLANNING PROPAGANDA
“ Husbands have the responsibility for family planning” FAMILY PLANNING PROPAGANDA
“ If you have an extra birth it will be a bitter and difficult struggle” FAMILY PLANNING PROPAGANDA
Financial rewards FAMILY PLANNING PROPAGANDA
“ PRC family planning – don’t abandon girls” FAMILY PLANNING PROPAGANDA
Family planning regulations in Chengdu FAMILY PLANNING REGULATIONS
Policy to supplement incomes of parents  who have only one child. FAMILY PLANNING REGULATIONS
Family planning ‘fines’ posted on a  village noticeboard in Danshan, Sichuan. FAMILY PLANNING REGULATIONS
FAMILY PLANNING REGULATIONS List of women who have given birth recently and whether or not the birth was outside the plan, Danshan, Sichuan.  There were 18 births within the birth plan and one outside the birth planning rules. A second child was born to one woman, but was allowed by regulations. Many peasant families are allowed to have a second child if there first child is a girl or is a handicapped boy.
Family planning clinic FAMILY PLANNING
SUCCESSES and FAILURES The government's goal is one child per family, with exceptions in rural areas and for ethnic minorities. Official government policy opposes forced abortion or sterilisation, but allegations of coercion continue as local officials strive to meet population targets. The one-child policy is criticised as violating basic human rights and China has been accused of meeting its population requirements through bribery, coercion, forced sterilisation, forced abortion, and infanticide, with most reports coming from rural areas. A report in 2001 showed that a quota of 20,000 forced abortions had been set in the province of Guandong due to the reported disregard of the one-child policy.
China's population of 1.3 billion  is said to be 300 million smaller  than it would likely have been  without the enactment of this  policy.  The fertility rate has fallen to  1.6 births per woman (2.1 is  the replacement level rate). SUCCESSES and FAILURES Total fertility rate The average number of children a woman would have   Niger  7.9 India  2.9 UK  1.8 China  1.6 Russia  1.2
The world’s two population billionaires, India and China, have national policies to cut population   growth. China’s policy   has been strictly enforced nationwide   and more effective than India’s in reducing fertility and slowing population growth.  SUCCESSES and FAILURES
2006 China Population:  1,313,973,713  2050  1,424,000,000 SUCCESSES and FAILURES 2006 India Population:  1,111,205,474  2050  1,807,000,000 China is expected to be overtaken by India as the world’s most populous country in the next 25 years.
SUCCESSES and FAILURES China has greatly decreased the number of ‘young dependents’ and so reduced expenditure.
SUCCESSES and FAILURES In 1950 44% of the population were under 20 but by 2005 this had been reduced to 30%, Morning exercises before school starts
SUCCESSES and  FAILURES In 1997, the World Health Organisation  issued a report claiming that "more than 50 million women were estimated to be 'missing' in China because of the institutionalised killing and neglect of girls due to Beijing's population control programme that limits parents to one child."
[object Object],[object Object],[object Object],[object Object],SUCCESSES and FAILURES 118 100 105 100 100 136 World China Hainan province male births  female births
This population pyramid presents the female minus the male population by age. In most age groups China has a larger male than female population - according to these raw census data. Particularly, in young age groups the "surplus" in male population is substantial. This well-known phenomenon of "missing girls" is due to the strong preference for male births in the Chinese and most other Asian societies. It is believed that only boys can later keep up the family tradition. Especially the farmers want to have at least one male child for taking over the family farm. SUCCESSES and FAILURES
The traditional attitude to girls is best described in the ancient "Book of Songs" (1000-700 B.C.): "When a son is born,  Let him sleep on the bed,  Clothe him with fine clothes,  And give him jade to play... When a daughter is born,  Let her sleep on the ground,  Wrap her in common wrappings,  And give broken tiles to play..." SUCCESSES and FAILURES “ Little Emperors”
Despite the not-yet wealthy family economy, the only child tends to have almost whatever he wants and whatever the parents can get.  The spoiled child thus acquires the nickname "little emperor.“ In later life there is often a lack of reality and responsibility because the child has been used to taking things for granted!
Now that most families have only one child, all the hopes for the future of are placed on his or her shoulders.  The parents' expectations of the child tend to be very high, and often unrealistic!
Most Chinese accept the state’s role in population control, but many disagree with the severe restrictions on the number of children they are allowed to have. The strong desire for sons is central to this resistance: Families who have had a daughter often want to try again for a son. Son preference has a long history in China and is tied to the social and economic roles of males in Chinese families. Family lineage is traced through males, and sons are responsible for caring for their parents in their old age. Marriage practices reflect these traditions. When daughters marry, they leave their birth families to join their husbands’ families.  In rural areas, few peasants have retirement  pensions, so aging parents depend on their  children for support. Because daughters have traditionally married out of the family, a couple  with no son may end up without financial and  personal support. Thus, regardless of their  acceptance of the state’s control of population growth, most Chinese citizens want at least one  son. Many couples would like a daughter as well.
SUCCESSES and FAILURES An investigation by The Telegraph has revealed that an estimated 50,000 girls and young women, some as young as eight, have been sold or abducted into human slavery in China. The trade is largely the result of the nation's "one child policy", which has led to a shortage of young women and millions of unmarried men. September 2002
SUCCESSES and FAILURES Missing children!
SUCCESSES and FAILURES the 1  2  4  problem As the one-child policy approaches the third generation, one adult child supports two parents and four grandparents.  This leaves the oldest and most vulnerable  generation with increased dependency  on retirement funds,  the state, or charity  for support.  4 grandparents 2 parents
SUCCESSES and FAILURES China has an ageing population and will have an increasing dependency ratio in the future. As a result of almost 30 years of the one child policy there is a lower ‘active population’, making it more difficult to support the ‘dependent population’.
Additional resources
China’s Population: New Trends and Challenges  China experienced dramatic declines in birth and death rates  over the past 50 years as the government implemented  revolutionary and controversial policies to improve health  and slow population growth. With 1.3 billion people, China  remains the world’s most populous country, but it has lower  fertility than the USA and many European countries. Fewer children, later marriage, and longer life expectancy have affected family structures and created new challenges. The growing proportion of elderly in China is beginning to strain both national and family resources. Lower fertility means that fewer children—and sometimes only one child—will be available to care for elderly family members. Movement toward a market economy and opening to international trade in the 1990s brought enormous economic growth, but also increased income and health inequalities, encouraged mass labour migration, and exacerbated environmental damage. The effects of these dramatic changes on China’s fertility, health, economy, and government in the 20th century will ripple through the society for the foreseeable future, and will be felt around the world.

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China population policies

  • 2. Population: 1,313,973,713 Age structure: 0-14: 21% 15-64: 71% 65+: 8% Population growth rate: 0.6% Birth rate: 13 ‰ Death rate: 7 ‰ Sex ratio: under 15 years: 118 male/100 female Infant mortality rate: total: 23 ‰ male: 21 ‰ female: 26 ‰ Life expectancy at birth: total population: 73 years male: 71 years female: 75 years Total fertility rate: 1.7 children born/woman DEMOGRAPHIC DATA 2006
  • 3.  
  • 6. "Later, Longer, Fewer " 中华人民共和国 Zhōnghuá Rénmín Gònghéguó People’s Republic of China POPULATION POLICIES
  • 7.
  • 8. 1 Late marriage – men were encouraged to marry no earlier than 28 years old (25 in rural areas) and women no earlier than 25 years old (23 in rural areas). 2 Longer spacing between births – couples were encouraged to allow at least a four-year gap after the first child before having another baby. 3 Fewer children – it was suggested that urban families should be limited to two children, and rural families to three children. In the 1970s the Chinese government had issued three policies to reduce the birth rate: 1970 POPULATION POLICY
  • 9. In 1979 the authorities tightened their control and limited households to only one child. The goal of this policy was to limit China’s population to 1.2 billion by the year 2000. 1979 POPULATION POLICY – THE ONE CHILD POLICY
  • 11. Article 8 The State gives rewards to organisations and individuals that have scored outstanding achievements in the population programme and family planning. POPULATION and FAMILY PLANNING LAW Article 18 The State maintains its current policy for reproduction, encouraging late marriage and childbearing and advocating one child per couple. Article 19 Family planning shall be practised chiefly by means of contraception. Article 22 Discrimination against, maltreatment and abandonment of baby girls are prohibited.
  • 12. Article 23 The State rewards couples who practise family planning. POPULATION and FAMILY PLANNING LAW Article 27 The State shall issue to a couple who volunteer to have only one child in their lifetime a “Certificate of Honour for Single-Child Parents”. Couples who are issued the said certificate shall enjoy rewards. Article 35 Use of ultrasonography or other techniques to identify foetal gender for non-medical purposes is strictly prohibited. Sex-selective pregnancy termination for non-medical purposes is strictly prohibited.
  • 13. Article 41 Citizens who give birth to babies not in compliance with the provisions of Article 18 of this Law shall pay a social maintenance fee prescribed by law. POPULATION and FAMILY PLANNING LAW Article 47 This Law shall go into effect as of September 1, 2002. 中华人民共和国 Zhōnghuá Rénmín Gònghéguó People’s Republic of China
  • 14. 2002 POPULATION POLICY MARRIAGE LAW OF THE PEOPLE’S REPUBLIC OF CHINA
  • 15. Article 6 In order to get married, the man shall not be younger than 22 years old and the woman shall not be younger than 20. Late marriage and late child birth shall be encouraged. Article 16 Both husband and wife shall be under the obligation of following the policy of birth control. MARRIAGE LAW
  • 16. LATER Delayed marriage and delayed child bearing LONGER Longer spacing between births FEWER Fewer children – ideally one child per couple "Later, Longer, Fewer " The Planned Birth policy of the government of the People's Republic of China is known as the One-child Policy
  • 17. ONE CHILD POLICY – TWO CHILD REALITY There are no sanctions for couples who have multiple births.
  • 18. Wealthy couples are apparently increasingly turning to fertility medicines to have multiple births, due to the lack of penalties against couples who have more than one child in their first birth. ONE CHILD POLICY – TWO CHILD REALITY
  • 19.
  • 20.
  • 21. Children born outside of China Some parents manage to be outside the country or in Hong Kong, Macau, or Taiwan when giving birth to their child. Those children do not count in the one-child policy, even if they are technically a natural born Chinese citizen through parentage. ONE CHILD POLICY – TWO CHILD REALITY HONG KONG TAIWAN MACAU
  • 22. ONE CHILD POLICY – TWO CHILD REALITY In addition to the exceptions permitted by law some couples simply pay a fine, or "social maintenance fee" to have more children. 2 As a result the overall fertility rate is closer to two children per family than to one child per family. Notice explaining the collection of the social maintenance fee (family planning fine) at Danshan, Sichuan.
  • 24.  
  • 25. POPULATION PYRAMID 1950 to 2050 In 1950 the population structure of China was typical of an ELDC.
  • 26. POPULATION PYRAMID 2005 While the number of children was increasing rapidly between 1950 and about 1970, it is now declining significantly, due to China's one-child family planning programme.
  • 27. POPULATION PYRAMID 2050? In the next few decades, China will experience population ageing - as can be seen by the shrinking base of the population pyramid and the increasing numbers of people age 50 and above.
  • 28. The population pyramid of a country will change through time as it develops. If a country starts to improve health care and diet, and reduce infant mortality by investing in post natal care strategies and a nationwide vaccination programme for infant diseases then people will live longer and the pyramid will become wider through the age groups China POPULATION PYRAMIDS – FEATURES of ELDCs If population rises too quickly because life expectancy is improving and there are more potential child bearing females then the government might try to introduce some form of family planning programme allowing couples to have greater control over the number of children they have. In Chinas case they were even stricter with the introduction of the one child policy This is shown up in an indent in the youngest age groups The solid shapes show what the pyramid used to look like and brings out the widening of the pyramid The higher life expectancy and high birth rate means a higher dependant population Working Age population
  • 30. 1964 1982 2000 POPULATION STRUCTURE
  • 31.  
  • 34. FAMILY PLANNING PROPAGANDA ‘ Modern mother’ statue, Shanghai
  • 45. “ Everyone is responsible for the success of the One-Child Policy” FAMILY PLANNING PROPAGANDA
  • 46. “ Have one child, one only and raise him wisely for the good of society.” FAMILY PLANNING PROPAGANDA
  • 47. “ Seriously control the population growth, work hard to make the birth rate stable” FAMILY PLANNING PROPAGANDA
  • 48. “ Husbands have the responsibility for family planning” FAMILY PLANNING PROPAGANDA
  • 49. “ If you have an extra birth it will be a bitter and difficult struggle” FAMILY PLANNING PROPAGANDA
  • 50. Financial rewards FAMILY PLANNING PROPAGANDA
  • 51. “ PRC family planning – don’t abandon girls” FAMILY PLANNING PROPAGANDA
  • 52. Family planning regulations in Chengdu FAMILY PLANNING REGULATIONS
  • 53. Policy to supplement incomes of parents who have only one child. FAMILY PLANNING REGULATIONS
  • 54. Family planning ‘fines’ posted on a village noticeboard in Danshan, Sichuan. FAMILY PLANNING REGULATIONS
  • 55. FAMILY PLANNING REGULATIONS List of women who have given birth recently and whether or not the birth was outside the plan, Danshan, Sichuan. There were 18 births within the birth plan and one outside the birth planning rules. A second child was born to one woman, but was allowed by regulations. Many peasant families are allowed to have a second child if there first child is a girl or is a handicapped boy.
  • 56. Family planning clinic FAMILY PLANNING
  • 57. SUCCESSES and FAILURES The government's goal is one child per family, with exceptions in rural areas and for ethnic minorities. Official government policy opposes forced abortion or sterilisation, but allegations of coercion continue as local officials strive to meet population targets. The one-child policy is criticised as violating basic human rights and China has been accused of meeting its population requirements through bribery, coercion, forced sterilisation, forced abortion, and infanticide, with most reports coming from rural areas. A report in 2001 showed that a quota of 20,000 forced abortions had been set in the province of Guandong due to the reported disregard of the one-child policy.
  • 58. China's population of 1.3 billion is said to be 300 million smaller than it would likely have been without the enactment of this policy. The fertility rate has fallen to 1.6 births per woman (2.1 is the replacement level rate). SUCCESSES and FAILURES Total fertility rate The average number of children a woman would have Niger 7.9 India 2.9 UK 1.8 China 1.6 Russia 1.2
  • 59. The world’s two population billionaires, India and China, have national policies to cut population growth. China’s policy has been strictly enforced nationwide and more effective than India’s in reducing fertility and slowing population growth. SUCCESSES and FAILURES
  • 60. 2006 China Population: 1,313,973,713 2050 1,424,000,000 SUCCESSES and FAILURES 2006 India Population: 1,111,205,474 2050 1,807,000,000 China is expected to be overtaken by India as the world’s most populous country in the next 25 years.
  • 61. SUCCESSES and FAILURES China has greatly decreased the number of ‘young dependents’ and so reduced expenditure.
  • 62. SUCCESSES and FAILURES In 1950 44% of the population were under 20 but by 2005 this had been reduced to 30%, Morning exercises before school starts
  • 63. SUCCESSES and FAILURES In 1997, the World Health Organisation issued a report claiming that "more than 50 million women were estimated to be 'missing' in China because of the institutionalised killing and neglect of girls due to Beijing's population control programme that limits parents to one child."
  • 64.
  • 65. This population pyramid presents the female minus the male population by age. In most age groups China has a larger male than female population - according to these raw census data. Particularly, in young age groups the "surplus" in male population is substantial. This well-known phenomenon of "missing girls" is due to the strong preference for male births in the Chinese and most other Asian societies. It is believed that only boys can later keep up the family tradition. Especially the farmers want to have at least one male child for taking over the family farm. SUCCESSES and FAILURES
  • 66. The traditional attitude to girls is best described in the ancient "Book of Songs" (1000-700 B.C.): "When a son is born, Let him sleep on the bed, Clothe him with fine clothes, And give him jade to play... When a daughter is born, Let her sleep on the ground, Wrap her in common wrappings, And give broken tiles to play..." SUCCESSES and FAILURES “ Little Emperors”
  • 67. Despite the not-yet wealthy family economy, the only child tends to have almost whatever he wants and whatever the parents can get.  The spoiled child thus acquires the nickname "little emperor.“ In later life there is often a lack of reality and responsibility because the child has been used to taking things for granted!
  • 68. Now that most families have only one child, all the hopes for the future of are placed on his or her shoulders.  The parents' expectations of the child tend to be very high, and often unrealistic!
  • 69. Most Chinese accept the state’s role in population control, but many disagree with the severe restrictions on the number of children they are allowed to have. The strong desire for sons is central to this resistance: Families who have had a daughter often want to try again for a son. Son preference has a long history in China and is tied to the social and economic roles of males in Chinese families. Family lineage is traced through males, and sons are responsible for caring for their parents in their old age. Marriage practices reflect these traditions. When daughters marry, they leave their birth families to join their husbands’ families. In rural areas, few peasants have retirement pensions, so aging parents depend on their children for support. Because daughters have traditionally married out of the family, a couple with no son may end up without financial and personal support. Thus, regardless of their acceptance of the state’s control of population growth, most Chinese citizens want at least one son. Many couples would like a daughter as well.
  • 70. SUCCESSES and FAILURES An investigation by The Telegraph has revealed that an estimated 50,000 girls and young women, some as young as eight, have been sold or abducted into human slavery in China. The trade is largely the result of the nation's "one child policy", which has led to a shortage of young women and millions of unmarried men. September 2002
  • 71. SUCCESSES and FAILURES Missing children!
  • 72. SUCCESSES and FAILURES the 1 2 4 problem As the one-child policy approaches the third generation, one adult child supports two parents and four grandparents. This leaves the oldest and most vulnerable generation with increased dependency on retirement funds, the state, or charity for support. 4 grandparents 2 parents
  • 73. SUCCESSES and FAILURES China has an ageing population and will have an increasing dependency ratio in the future. As a result of almost 30 years of the one child policy there is a lower ‘active population’, making it more difficult to support the ‘dependent population’.
  • 75. China’s Population: New Trends and Challenges China experienced dramatic declines in birth and death rates over the past 50 years as the government implemented revolutionary and controversial policies to improve health and slow population growth. With 1.3 billion people, China remains the world’s most populous country, but it has lower fertility than the USA and many European countries. Fewer children, later marriage, and longer life expectancy have affected family structures and created new challenges. The growing proportion of elderly in China is beginning to strain both national and family resources. Lower fertility means that fewer children—and sometimes only one child—will be available to care for elderly family members. Movement toward a market economy and opening to international trade in the 1990s brought enormous economic growth, but also increased income and health inequalities, encouraged mass labour migration, and exacerbated environmental damage. The effects of these dramatic changes on China’s fertility, health, economy, and government in the 20th century will ripple through the society for the foreseeable future, and will be felt around the world.