Implications of changes in households and living arrangements for future home-based care needs and costs for disabled elders in China
Open accessAbstract
OBJECTIVES: To better understand future home-based care needs and costs for disabled elders in China. METHOD: To further develop and apply the ProFamy extended cohort-component method and the most recent census and survey data. RESULTS: (a) Chinese disabled elders and the annual growth rate of the percentage of national gross domestic product (GDP) devoted to home-based care costs for disabled elders will increase much more rapidly than the growth of total elderly population; (b) home-based care needs and costs for disabled oldest-old aged 80+ will increase much faster than that for disabled young-old aged 65-79 after 2030; (c) disabled unmarried elders living alone and their home-based care costs increase substantially faster than those disabled unmarried elders living with children; (d) percent of rural disabled oldest-old will be substantially higher than that of rural population after 2030; (e) sensitivity analyses show that possible changes in mortality and elderly disability status are the major direct factors affecting home-based care needs and costs; (f) caregivers resources under the universal two-child policy will be substantially better than that under the rigorous fertility policy unchanged. DISCUSSION: We discuss policy recommendations concerning pathways to healthy aging with relatively reduced care costs, including reductions of the prevalence of disability, gender equality, the universal two-child policy and resources of caregivers, encouragements of rural-to-urban family migration and elder's residential proximity to their adult children, and remarriages of not-married elders.
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Three-generation living arrangements decrease home-based care expenditures for disabled elderly.
“They also decrease home-based care expenditures for disabled elderly.99”
From The effects of China’s universal two-child policy (2016) · cites this paper as [99]
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Self-citation
- Authors
- Zeng, Y., Chen, H., Wang, Z., & Land, K. C.
- Affiliations
- Duke University (US)
- Venue
- Journal of Aging and Health
- Publisher
- SAGE Publications
- Published
- 2014-09-10
- Volume
- 27
- Issue
- 3
- Pages
- 519-550
- ISSN
- 0898-2643 (ISSN-L)
- 1552-6887
- PMC
- PMC5099123
- OpenAlex
- W2109481800
- Cited by
- 39
- References
- 37
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 13 · 2023: 2 · 2022: 3 · 2021: 3 · 2020: 1 · 2019: 2 · 2018: 2 · 2017: 2 · 2016: 3 · 2013: 1
- FWCI
- 3.02
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Aging and Health (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Aging (R01AG023627, P30AG034424)
- Topics
- Health Sciences › Health Professions › General Health Professions › Aging, Elder Care, and Social Issues
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Social Sciences › Sociology and Political Science › Intergenerational Family Dynamics and Caregiving
- Keywords
- home care, older adults with disabilities, care costs, living arrangements, oldest old, rural-urban migration, two-child policy, caregiver resources, fertility policy, disability prevalence, gender equality, remarriage, healthy aging, China
- MeSH terms
- Aged, Aged, 80 and over, China, Family Characteristics, Female, Forecasting, Persons with Disabilities, Disabled Persons, Health Services Needs and Demand, Home Care Services, Humans, Male, Residence Characteristics, Cohort Studies, Health Care Costs
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