ArticleFrontiers in public health2025
From caregiving burden to income transformation: intergenerational employment effects of long-term care insurance.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- The impact of smart city pilot policies on household consumption in households with older adults: mechanisms, heterogeneity, and inequality.BMC geriatrics · 2026Article
- Measuring financial risk protection in long-term care insurance among older adults: quasi-experimental evidence from China.BMC geriatrics · 2026Article
- Measuring and decomposing inequalities in intrinsic capacity among older adults in china: from an urban-rural divide perspective.Aging clinical and experimental research · 2025Article
- Activating health behaviors: how does digital infrastructure improve the physical health of middle-aged and older adults? Evidence from the 'Broadband China' pilot policy.Global health action · 2025Article
- Digital Pathways to Reducing Depression Among Aging Populations Through the "Broadband China" Pilot Program: Quasi-Natural Experiment.JMIR aging · 2025Article
- From security to spending: how China's long-term care insurance pilot drives urban household consumption.Frontiers in public health · 2025Article
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Authors and funding
3 authors.
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Abstract
Background: Long-term care insurance (LTCI) has been introduced in China to address the challenges posed by an aging population. This study examines its impact on the income of older adult households, using data from the China Health and Retirement Longitudinal Study (CHARLS) from 2011 to 2020. The analysis further explores heterogeneity and implications for income inequality. Methods: A Difference-in-Differences (DID) approach is employed, with 12 pilot cities as the treatment group and non-pilot cities as the control group. The analysis is based on 33,435 valid observations of individuals aged 60 and above. The main outcome variable is per capita household income, which has been deflated to 2011 constant prices using the Consumer Price Index (CPI). Demographic and regional characteristics are controlled for robustness. Results: LTCI significantly increases the income of older adult households, particularly in multi-child families and among younger older adult (under 75). Its impact is weaker in low- or no-child households and for those aged 75 and above. Additionally, LTCI contributes to reducing income inequality by enhancing income distribution among low-income older adult households. Discussion: The findings highlight the role of LTCI in improving economic security and narrowing income disparities among older adult households. To enhance its effectiveness, policy adjustments should account for family structure and age composition. These insights provide empirical support for optimizing LTCI to foster a more inclusive social security system.
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