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The impact of city size and basic eldercare services on the disability risk of older adults: empirical evidence from 122 cities in China

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  • Huan Liu

    (Soochow University)

Abstract

Based on the follow-up survey data of two phases of the China Health and Retirement Longitudinal Study, this study empirically examines the impact of city size and basic eldercare services on older adults’ disability risk, as well as their synergy, using a panel-ordered logit model, stepwise analysis method, and Karlson–Holm–Breen method. We discuss their potential transmission mechanism and find that city size and basic eldercare services have a significant positive effect on older adults’ activities of daily living. Together, city size and basic eldercare services play a regulating role; however, the urban sprawl index significantly reduces the role of city size and basic eldercare services in mitigating disability risks and shows significant group heterogeneity in terms of age, registered residence, and income. City size and basic eldercare services act as transmission mechanisms through the resource, social participation, and income effects of medical and health services. Their contribution to the cumulative medium effect of city size, number of eldercare service institutions, eldercare beds, and eldercare beds per thousand people reached 53.90%, 61.39%, 66.66%, and 15.27%, respectively. The findings confirm that city size and basic eldercare services have an important impact on older adults’ disability risk. They also help reduce older adults’ disability risk through joint efforts. However, with the gradual increase in urban sprawl, the impact of city size and basic eldercare services has weakened significantly. Graphical abstract

Suggested Citation

  • Huan Liu, 2025. "The impact of city size and basic eldercare services on the disability risk of older adults: empirical evidence from 122 cities in China," Environment, Development and Sustainability: A Multidisciplinary Approach to the Theory and Practice of Sustainable Development, Springer, vol. 27(8), pages 19491-19515, August.
    • Handle: RePEc:spr:endesu:v:27:y:2025:i:8:d:10.1007_s10668-024-04735-x
    DOI: 10.1007/s10668-024-04735-x
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    1. Stöckel, Jannis & Bom, Judith, 2022. "Revisiting longer-term health effects of informal caregiving: Evidence from the UK," The Journal of the Economics of Ageing, Elsevier, vol. 21(C).
    2. Jorge De La Roca & Diego Puga, 2017. "Learning by Working in Big Cities," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 84(1), pages 106-142.
    3. Abbas, Jawad & Wang, Lisu & Ben Belgacem, Samira & Pawar, Puja Sunil & Najam, Hina & Abbas, Jaffar, 2023. "Investment in renewable energy and electricity output: Role of green finance, environmental tax, and geopolitical risk: Empirical evidence from China," Energy, Elsevier, vol. 269(C).
    4. Kim, Hoolda & Mitra, Sophie, 2022. "The Economic and Health Effects of Long-Term Care Insurance: New Evidence from Korea," The Journal of the Economics of Ageing, Elsevier, vol. 23(C).
    5. Shah, Syed Ale Raza & Zhang, Qianxiao & Abbas, Jaffar & Tang, Hui & Al-Sulaiti, Khalid Ibrahim, 2023. "Waste management, quality of life and natural resources utilization matter for renewable electricity generation: The main and moderate role of environmental policy," Utilities Policy, Elsevier, vol. 82(C).
    6. Levantesi, Susanna & Menzietti, Massimiliano, 2012. "Managing longevity and disability risks in life annuities with long term care," Insurance: Mathematics and Economics, Elsevier, vol. 50(3), pages 391-401.
    7. Touseef Hussain & Jaffar Abbas & Zou Wei & Mohammad Nurunnabi, 2019. "The Effect of Sustainable Urban Planning and Slum Disamenity on The Value of Neighboring Residential Property: Application of The Hedonic Pricing Model in Rent Price Appraisal," Sustainability, MDPI, vol. 11(4), pages 1-20, February.
    8. Chen, Binkai & Liu, Dan & Lu, Ming, 2018. "City size, migration and urban inequality in China," China Economic Review, Elsevier, vol. 51(C), pages 42-58.
    9. Shah, Syed Ale Raza & Zhang, Qianxiao & Abbas, Jaffar & Balsalobre-Lorente, Daniel & Pilař, Ladislav, 2023. "Technology, Urbanization and Natural Gas Supply Matter for Carbon Neutrality: A New Evidence of Environmental Sustainability under the Prism of COP26," Resources Policy, Elsevier, vol. 82(C).
    10. Chen, Jie & Zhou, Qian, 2017. "City size and urban labor productivity in China: New evidence from spatial city-level panel data analysis," Economic Systems, Elsevier, vol. 41(2), pages 165-178.
    11. Balsalobre-Lorente, Daniel & Abbas, Jaffar & He, Chang & Pilař, Ladislav & Shah, Syed Ale Raza, 2023. "Tourism, urbanization and natural resources rents matter for environmental sustainability: The leading role of AI and ICT on sustainable development goals in the digital era," Resources Policy, Elsevier, vol. 82(C).
    Full references (including those not matched with items on IDEAS)

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