Journal of the Economics of Ageing最新文献

Governing for the Future? life expectancy and the politics of environmental investment 为未来而治理？预期寿命和环境投资的政治

IF 2 3区经济学

Journal of the Economics of Ageing Pub Date : 2026-06-01 Epub Date: 2026-02-02 DOI: 10.1016/j.jeoa.2026.100621

Vincenzo Alfano , Salvatore Capasso , Marcello Signorelli

{"title":"Governing for the Future? life expectancy and the politics of environmental investment","authors":"Vincenzo Alfano , Salvatore Capasso , Marcello Signorelli","doi":"10.1016/j.jeoa.2026.100621","DOIUrl":"10.1016/j.jeoa.2026.100621","url":null,"abstract":"<div><div>This article investigates whether the temporal orientation of political actors influences the allocation of public resources to environmental policy. We construct an original panel dataset covering Italy’s regions from 2000 to 2021, linking demographic information on both executives and legislative assemblies to disaggregated data on public expenditure. Using fractional response models, we estimate the effect of policymakers’ life expectancy-adjusted age on the share of environmental spending across current, capital, and total expenditure. Our results show that regions with legislative bodies with longer remaining life spans allocate a significantly smaller share to environmental policy, while the temporal horizon of executives exerts a positive influence on capital investment in the environment. These findings are robust across specifications and highlight the institutional asymmetries in the intertemporal politics of public goods. The study contributes to the literature on demographic influences on public finance, emphasizing how internal heterogeneity in politicians’ time horizons affects intergenerational policy choices.</div></div>","PeriodicalId":45848,"journal":{"name":"Journal of the Economics of Ageing","volume":"34 ","pages":"Article 100621"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Diabetes management in an ageing society: The role of nursing support in primary care 老龄化社会中的糖尿病管理：护理支持在初级保健中的作用

IF 2 3区经济学

Journal of the Economics of Ageing Pub Date : 2026-06-01 Epub Date: 2025-12-23 DOI: 10.1016/j.jeoa.2025.100617

Marta Giachello , Cristina Ugolini , Rossella Verzulli

{"title":"Diabetes management in an ageing society: The role of nursing support in primary care","authors":"Marta Giachello , Cristina Ugolini , Rossella Verzulli","doi":"10.1016/j.jeoa.2025.100617","DOIUrl":"10.1016/j.jeoa.2025.100617","url":null,"abstract":"<div><div>A growing share of the global population is affected by chronic conditions, prompting the development of various organizational models for chronic disease management. These models often emphasize the pivotal role of General Practitioners (GPs) and community health nurses in leading chronic care efforts.</div><div>Recognizing the significant burden of diabetes as a leading cause of disability and mortality, the Emilia-Romagna Region of Italy introduced clinical guidelines for diabetes management in 2010 to enhance the quality of care for patients with type 2 diabetes. This initiative enables GPs working within Community Health Homes to collaborate with Nursing Outpatient Clinics (NOCs) for more effective chronic disease management.</div><div>This study evaluates the impact of NOCs on key indicators of patient adherence with clinical guidelines. Using a balanced panel of administrative, individual-level data, we analyse the diabetic population over 65 years old within the largest Local Health Authority in Emilia-Romagna over a seven-year period (2010–2016). To assess the impact of NOCs on patient adherence, we employ alternative difference-in-differences approaches while accounting for heterogeneous treatment effects due to varying patient exposure periods.</div><div>Our findings indicate that patients enrolled with GPs who integrate NOCs into diabetes management exhibit significantly improved adherence to clinical guidelines. These results offer valuable insights for policymakers designing diabetes management programs that incorporate nursing support to enhance patient engagement and adherence.</div></div>","PeriodicalId":45848,"journal":{"name":"Journal of the Economics of Ageing","volume":"34 ","pages":"Article 100617"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145808528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The economic consequences of exiting self-employment in later life 在晚年退出自营职业的经济后果

IF 2 3区经济学

Journal of the Economics of Ageing Pub Date : 2026-06-01 Epub Date: 2026-05-25 DOI: 10.1016/j.jeoa.2026.100648

Jangyoun Lee, Taehee Oh

{"title":"The economic consequences of exiting self-employment in later life","authors":"Jangyoun Lee, Taehee Oh","doi":"10.1016/j.jeoa.2026.100648","DOIUrl":"10.1016/j.jeoa.2026.100648","url":null,"abstract":"<div><div>This study examines the post-exit labor-income and wealth dynamics associated with self-employment exit among older individuals approaching retirement, using longitudinal data from the Korean Longitudinal Study of Aging (2006–2022). The analysis shows that late-life transitions out of self-employment are associated with a significant and persistent reduction in labor income: earnings are 9.7% lower immediately after exit, relative to the pre-exit level, and remain 15.0% below that level six years later. Additional evidence suggests that this pattern partly reflects the loss of occupation-specific human capital. In contrast, the estimated effects on non-housing wealth are statistically insignificant in both the short and long term. Income losses are particularly pronounced among individuals aged 61 or older and those with higher educational attainment, whereas wealth declines are more evident among comparatively younger members of the older population and among the highly educated. These findings underscore the importance of incorporating post-exit income risks into models of late-life career choice and have policy implications for mitigating income disruptions among older self-employed individuals.</div></div>","PeriodicalId":45848,"journal":{"name":"Journal of the Economics of Ageing","volume":"34 ","pages":"Article 100648"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148184068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Paying into poverty? Out-of-pocket payments for home care and risk of catastrophic expenditures and poverty in Europe 为贫困买单？欧洲家庭护理的自付费用以及灾难性支出和贫困的风险

IF 2 3区经济学

Journal of the Economics of Ageing Pub Date : 2026-06-01 Epub Date: 2026-05-15 DOI: 10.1016/j.jeoa.2026.100647

Ricardo Rodrigues , Jonathan Cylus , Megumi Rosenberg , Sarah Barber

{"title":"Paying into poverty? Out-of-pocket payments for home care and risk of catastrophic expenditures and poverty in Europe","authors":"Ricardo Rodrigues , Jonathan Cylus , Megumi Rosenberg , Sarah Barber","doi":"10.1016/j.jeoa.2026.100647","DOIUrl":"10.1016/j.jeoa.2026.100647","url":null,"abstract":"<div><div>This paper estimates the headcount of catastrophic expenditures and impoverishment among users of home care aged 60 and older across 14 European countries and investigates which system-level characteristics mitigate the risk of financial hardship. We use a pooled sample of home care service users from the Survey on Health, Ageing and Retirement in Europe (SHARE), for waves 5 and 6, the latest waves for which data on out-of-pocket (OOP) payments are available. Information on system-level characteristics that influence OOP payments were gathered through literature search and expert interviews. Headcounts of catastrophic expenditures and impoverishment were estimated using the ‘capacity to pay’ method, supplemented by multivariate statistical analyses of individual and system-level characteristics associated with each outcome. Southern European countries have the highest headcount of catastrophic expenditures and impoverishment due to OOP payments for home care. Catastrophic expenditures are concentrated on the poorest in all countries analysed. Consumption smoothing using accumulated wealth can reduce the risk of catastrophic expenditure but would have more muted effects on the risk of impoverishment, due to limited wealth accumulation among individuals most at risk of poverty. Different system-level characteristics or policies have the potential to protect individuals against catastrophic payments and impoverishment. Caps on OOP payments, higher public expenditure on LTC and means tests are all associated with lower risk of catastrophic expenditures. Higher public expenditure on LTC and caps on OOP payments reduce the risk of impoverishment due to OOP payments, while means tests only affect poverty intensity.</div></div>","PeriodicalId":45848,"journal":{"name":"Journal of the Economics of Ageing","volume":"34 ","pages":"Article 100647"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148184067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Genetic risk for ADHD and later-life health and wellbeing: individual and spousal spillovers 多动症的遗传风险与晚年健康和幸福：个人和配偶的溢出效应

IF 2 3区经济学

Journal of the Economics of Ageing Pub Date : 2026-06-01 Epub Date: 2026-01-10 DOI: 10.1016/j.jeoa.2026.100619

Alessio Gaggero , Joan Gil , Dolores Jiménez-Rubio

{"title":"Genetic risk for ADHD and later-life health and wellbeing: individual and spousal spillovers","authors":"Alessio Gaggero , Joan Gil , Dolores Jiménez-Rubio","doi":"10.1016/j.jeoa.2026.100619","DOIUrl":"10.1016/j.jeoa.2026.100619","url":null,"abstract":"<div><div>The objective of this paper is twofold. First, we aim to provide evidence on the relationship between genetic predisposition to attention deficit hyperactivity disorder (ADHD) and later-life health outcomes. Additionally, we investigate cross-spousal spillovers on both physical and mental health associated with genetic risk for this condition. Leveraging rich data for individuals aged 50+ and their partners in England our findings indicate poorer general wellbeing, physical and mental health among older individuals with a higher genetic risk of experiencing ADHD. Moreover, these associations are substantially larger for older women and individuals who are unmarried, relatively less educated and less wealthy. Our results also show that male partner’s genetic risk for ADHD negatively affects the health of their female partners, whereas female genetic risk predisposition does not appear to affect the health of their male partners. Moreover, these adverse effects on women are stronger among those who are relatively less educated and live in relatively poorer households. Finally, we present a number of robustness tests which validate the reliability of our approach.</div></div>","PeriodicalId":45848,"journal":{"name":"Journal of the Economics of Ageing","volume":"34 ","pages":"Article 100619"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146037772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Introduction to the special issue: the economics of ageing and longevity 特刊导言：老龄化和长寿的经济学

IF 2 3区经济学

Journal of the Economics of Ageing Pub Date : 2026-06-01 Epub Date: 2026-04-06 DOI: 10.1016/j.jeoa.2026.100642

Julian Ashwin, David Canning, Johanna Wallenius

引用次数: 0

Corrigendum to “Trade-offs in long-term care for older people in an ageing society: A constrained portfolio choice experiment” [J. Econ. Ageing 32 (2025) 100599] “基于投资组合选择的老年人长期护理选择研究”[J]。经济学。老龄化32 (2025)100599]

IF 2 3区经济学

Journal of the Economics of Ageing Pub Date : 2026-06-01 Epub Date: 2026-04-20 DOI: 10.1016/j.jeoa.2026.100644

Sander Boxebeld , Niek Mouter , Job van Exel

引用次数: 0

Informal caregiving and labor supply at older ages: Heterogeneity by firm-size before age 60 非正式照顾和老年劳动力供给：60岁前公司规模的异质性

IF 2 3区经济学

Journal of the Economics of Ageing Pub Date : 2026-06-01 Epub Date: 2026-01-16 DOI: 10.1016/j.jeoa.2026.100618

Tomohiko Moriyama

引用次数: 0

Did seniors benefit from consumption and public transfers at the expense of youth? Evidence from National Transfer Accounts in Canada’s Provinces (1997–2017) 老年人是否以牺牲年轻人的利益为代价，从消费和公共转移中获益？来自加拿大各省国民转移支付账户的证据（1997-2017）

IF 2 3区经济学

Journal of the Economics of Ageing Pub Date : 2026-06-01 Epub Date: 2025-11-29 DOI: 10.1016/j.jeoa.2025.100609

Marcel Mérette , Julien Navaux

引用次数: 0

Grandparents in Blue? The Impact of Grandparenthood on Mental Health and Healthcare Utilization in China 穿蓝衣服的祖父母？祖父母身份对中国人心理健康和医疗保健利用的影响

IF 2 3区经济学

Journal of the Economics of Ageing Pub Date : 2026-06-01 Epub Date: 2026-01-26 DOI: 10.1016/j.jeoa.2026.100622

Zhuang Hao , Zhenhao Ning , Yi Zhang

{"title":"Grandparents in Blue? The Impact of Grandparenthood on Mental Health and Healthcare Utilization in China","authors":"Zhuang Hao , Zhenhao Ning , Yi Zhang","doi":"10.1016/j.jeoa.2026.100622","DOIUrl":"10.1016/j.jeoa.2026.100622","url":null,"abstract":"<div><div>Recent studies, especially those from developed countries, find little causal effect of grandparenthood on older individuals’ mental health. However, the results may differ in developing contexts, where grandparents often face unique challenges, such as insufficient formal childcare, inadequate pension support, a higher likelihood of remaining in the workforce, and significant healthcare copayment burdens. Using four waves of the China Health and Retirement Longitudinal Survey and a fixed-effects difference-in-differences approach, we find that becoming a grandparent adversely affects the mental health and self-rated health of older adults in China. The transition to grandparent also increases outpatient care utilization and out-of-pocket costs for outpatient services. Grandmothers and those with vulnerable socio-economic backgrounds are more susceptible to these negative health impacts and increased healthcare costs. Grandchild care emerges as a major channel through which these effects manifest, with grandparenthood leading to an average monthly increase of 83 h in grandchild care. Additionally, reduced working hours combined with an increased likelihood of retirement, poorer health behaviors, and strained relationships with children all contribute to explaining the main findings. Our findings highlight the overlooked health costs of grandparenting in developing countries. Expanding access to formal childcare may mitigate the negative health impacts on older caregivers and improve overall well-being among aging populations.</div></div>","PeriodicalId":45848,"journal":{"name":"Journal of the Economics of Ageing","volume":"34 ","pages":"Article 100622"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0