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Multidimensional Poverty and Disability of Older Adults in China: Will Long-Term Care Insurance Make a Difference?

Author

Listed:
  • Kairan Zhang

    (Northwest University of Political Science and Law)

  • Yujia Liu

    (Renmin University of China)

  • Hongwei Hu

    (Renmin University of China)

Abstract

Using data from the China Health and Retirement Longitudinal Study (CHARLS), we assessed the degree of poverty and disability among the elderly by a multidimensional indicator system and estimated the effects of disability on the incidence, depth, and duration of poverty, as well as Long-term Care Insurance (LTCI)’s effectiveness on poverty alleviating. Our results revealed that there was a significant correlation between the degree of disability and multidimensional poverty; with increasing levels of disability, there was a corresponding increase in probability from non-poor to poor status, severity, and duration of multidimensional poverty. As a protective policy for elderly individuals with disabilities, LTCI did not reduce the degree of disability of the disabled elderly while significantly contributing to the substantive care services enjoyed by them and also was not effective in eradicating multidimensional poverty suffered by disabled elderly due to the combination of its crowding-out effect on intergenerational economic support and family care, and its limited ability to improve objective health. The findings have significant implications in poverty governance, health management, and improvement of life quality among older adults, as well as in the advancement of LTCI for policymakers and practitioners.

Suggested Citation

  • Kairan Zhang & Yujia Liu & Hongwei Hu, 2024. "Multidimensional Poverty and Disability of Older Adults in China: Will Long-Term Care Insurance Make a Difference?," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 19(6), pages 3439-3462, December.
  • Handle: RePEc:spr:ariqol:v:19:y:2024:i:6:d:10.1007_s11482-024-10387-w
    DOI: 10.1007/s11482-024-10387-w
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    References listed on IDEAS

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    1. Siu Ming Chan & Hung Wong, 2020. "Impact of Income, Deprivation and Social Exclusion on Subjective Poverty: A Structural Equation Model of Multidimensional Poverty in Hong Kong," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 152(3), pages 971-990, December.
    2. Lei, Xiaoyan & Bai, Chen & Hong, Jingpeng & Liu, Hong, 2022. "Long-term care insurance and the well-being of older adults and their families: Evidence from China," Social Science & Medicine, Elsevier, vol. 296(C).
    3. Yeo, Rebecca & Moore, Karen, 2003. "Including Disabled People in Poverty Reduction Work: "Nothing About Us, Without Us"," World Development, Elsevier, vol. 31(3), pages 571-590, March.
    4. Jiantuo Yu, 2013. "Multidimensional Poverty in China: Findings Based on the CHNS," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 112(2), pages 315-336, June.
    5. Kaushal, Neeraj, 2014. "How Public Pension affects Elderly Labor Supply and Well-being: Evidence from India," World Development, Elsevier, vol. 56(C), pages 214-225.
    6. Coe, Norma B. & Goda, Gopi Shah & Van Houtven, Courtney Harold, 2023. "Family spillovers and long-term care insurance," Journal of Health Economics, Elsevier, vol. 90(C).
    7. repec:qeh:ophiwp:ophiwp000 is not listed on IDEAS
    8. Jeffrey R. Brown & Amy Finkelstein, 2011. "Insuring Long-Term Care in the United States," Journal of Economic Perspectives, American Economic Association, vol. 25(4), pages 119-142, Fall.
    9. Liu, Hong & Ma, Jinqiu & Zhao, Liqiu, 2023. "Public long-term care insurance and consumption of elderly households: Evidence from China," Journal of Health Economics, Elsevier, vol. 90(C).
    10. Alkire, Sabina & Foster, James, 2011. "Counting and multidimensional poverty measurement," Journal of Public Economics, Elsevier, vol. 95(7), pages 476-487.
    11. Qun Wang & Lu Shu & Xiaojun Lu, 2023. "Dynamics of multidimensional poverty and its determinants among the middle-aged and older adults in China," Humanities and Social Sciences Communications, Palgrave Macmillan, vol. 10(1), pages 1-9, December.
    12. Sabina Alkire, 2007. "The Missing Dimensions of Poverty Data: Introduction to the Special Issue," Oxford Development Studies, Taylor & Francis Journals, vol. 35(4), pages 347-359.
    13. W. Yeung & Zhenhua Xu, 2012. "Economic Stress, Quality of Life, and Mortality for the Oldest-Old in China," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 108(1), pages 131-152, August.
    14. Inhoe Ku & Wonjin Lee & Seoyun Lee, 2021. "Declining Family Support, Changing Income Sources, and Older People Poverty: Lessons from South Korea," Population and Development Review, The Population Council, Inc., vol. 47(4), pages 965-996, December.
    15. Sabina Alkire & Yingfeng Fang, 2019. "Dynamics of Multidimensional Poverty and Uni-dimensional Income Poverty: An Evidence of Stability Analysis from China," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 142(1), pages 25-64, February.
    16. Yalu Zhang & Qin Gao & Fuhua Zhai & Paul Anand, 2023. "Income and Health in Predicting Older Adults’ Social Capabilities in China: The Mediating Role of Social Engagement," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 165(1), pages 163-180, January.
    17. David Roodman, 2011. "Fitting fully observed recursive mixed-process models with cmp," Stata Journal, StataCorp LLC, vol. 11(2), pages 159-206, June.
    18. repec:qeh:ophiwp:ophiwp038 is not listed on IDEAS
    19. Frank‐Borge Wietzke, 2020. "Poverty, Inequality, and Fertility: The Contribution of Demographic Change to Global Poverty Reduction," Population and Development Review, The Population Council, Inc., vol. 46(1), pages 65-99, March.
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