{"title":"Do Community-Based Elder Care Services Prevent Falls and Improve Physical Functioning? Evidence from China.","authors":"Yang Zhao, Beomsoo Kim","doi":"10.1080/08959420.2026.2730384","DOIUrl":"https://doi.org/10.1080/08959420.2026.2730384","url":null,"abstract":"<p><p>Falls are a major global public health concern, especially among older adults, with risk escalating sharply with age. In response, China implemented the Community-based Elder Care Services (CECS) pilot program (2016-2020), one of the first large-scale fall prevention interventions implemented at the national level in an upper-middle-income country. This study evaluates the effects of CECS on fall incidence, fall-related medical treatment, and physical functioning (ADL) using a Difference-in-Differences estimation strategy with nationally representative data from the China Health and Retirement Longitudinal Study (2011-2020). Results show that CECS significantly reduced fall incidence by 20.3%, fall-related medical treatment by 23.9%, and mild disability by 26.8%. The program is especially effective for adults aged 60-75. Economic analysis confirms cost-effectiveness, with projected benefits ($34.4-45.2 billion) exceeding total investment ($32 billion), and the program demonstrates greater efficiency in improving physical function compared to direct cash transfers for older adults. This study provides valuable policy insights and establishes CECS as a replicable model for other countries experiencing rapid population aging.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-19"},"PeriodicalIF":1.8,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Language Services for Older Adults in China: Evidence from Administrative Enterprise Registration Data and Policy Implications.","authors":"Lifei Wang, Wenjin Yan","doi":"10.1080/08959420.2026.2729018","DOIUrl":"https://doi.org/10.1080/08959420.2026.2729018","url":null,"abstract":"<p><p>Population aging and digital-by-default public service delivery make communication access a policy determinant of equitable aging. In China, dialect diversity, sensory decline, and low digital literacy can prevent older adults from understanding information and navigating health and social services. Yet the provider ecosystem that could deliver language support and age-friendly communication technologies remains poorly measured. This study maps the supply-side dynamics of China's Language Services for Older Adults (LSOA) industry - enterprises offering language-based interventions and communication-access technologies addressing older adults' cognitive, sensory, and social-communication needs. Using nationwide administrative enterprise registration records (1990-2023) from the National Enterprise Credit Information Publicity System, 429,017 LSOA-relevant enterprises were identified through a reproducible keyword pipeline and expert-validated classification. The sector shows a four-phase trajectory, with rapid expansion in the 2010s and a post-2020 shift toward consolidation. In 2023 the market was estimated at RMB 163.5 billion and was dominated by small providers, with marked regional disparities and weaker coverage in central and western regions. Policy responses should prioritize enforceable service and accessibility standards, competency-based workforce training, and targeted fiscal and procurement instruments to scale inclusive technologies and reduce later-life linguistic digital inequities.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-16"},"PeriodicalIF":1.8,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Advance Directive Completion Among Older Southeast Asian Americans: The Case of Vietnamese and Filipino Populations.","authors":"Kaipeng Wang, Anao Zhang, Bei Wu","doi":"10.1080/08959420.2026.2729025","DOIUrl":"10.1080/08959420.2026.2729025","url":null,"abstract":"<p><p>The Southeast Asian American population aged 55 or above remains understudied in research on advance directives (AD), despite their importance for end-of-life decision-making and quality of care. This study examined factors associated with AD completion among older Vietnamese and Filipino Americans, guided by Andersen's Health Service Use Model. Using a cross-sectional survey among 192 Vietnamese Americans and 140 Filipino Americans aged 55 or above, this study found that older age was significantly associated with higher odds of AD completion, whereas greater family conflict and lower income were associated with lower odds of AD completion. Acculturation was positively associated with AD completion among Filipino Americans, whereas a favorable AD attitude was positively associated with AD completion among Vietnamese Americans. These findings underscore the importance of addressing economic barriers and family conflict in AD completion. By recognizing different patterns of acculturation, AD attitude, and AD completion between the two ethnic groups, the findings highlight the importance of acknowledging heterogeneity within Asian Americans to develop culturally tailored approaches to promote advance care planning effectively.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-19"},"PeriodicalIF":1.8,"publicationDate":"2026-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148898051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"When Grandparents Step Back: Fertility Intentions and Policy Implications in the Context of Delayed Retirement in China.","authors":"He Chen, Qifeng Ma","doi":"10.1080/08959420.2026.2729019","DOIUrl":"https://doi.org/10.1080/08959420.2026.2729019","url":null,"abstract":"<p><p>As countries implement delayed retirement policies to address population aging, reduced availability of grandparental childcare emerges as an unintended consequence that may further depress fertility intentions. This study examines whether household income improvement and formal childcare provision can mitigate the fertility-suppressing effects of diminished grandparental care. Using factorial survey experiments embedded in a national Chinese survey, fertility intentions were assessed under randomized scenarios. Results show grandparental care absence reduced second- and third-birth intentions by 9.82 and 3.97% points, respectively. Annual household income increases and formal childcare availability had the potential to offset these declines. Individuals with higher socioeconomic status required larger improvement in household income to achieve similar fertility intention levels, while affordable, high-quality formal childcare consistently benefited all subgroups. These findings provide novel experimental evidence that integrating delayed retirement reforms with targeted childcare support and sufficient economic incentives may help preserve fertility intentions.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-18"},"PeriodicalIF":1.8,"publicationDate":"2026-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How Reading Literature and Simulated Aging Sway Young Adults' Attitudes and Behaviors Toward Caring for Older People.","authors":"Ka Po Wong, Pei-Lee Teh","doi":"10.1080/08959420.2026.2712645","DOIUrl":"https://doi.org/10.1080/08959420.2026.2712645","url":null,"abstract":"<p><p>As populations age globally, fostering empathy and positive attitudes toward older adults among younger generations becomes increasingly important. This study evaluates two interventions - aging simulation suits and reading literature (reading and comprehending scenarios related to older adults) - to foster empathy, positive attitudes, charitable behavioral intentions, and caring intentions toward older adults among young people. Using a randomized experimental design, eligible participants were assigned to four groups: waitlist control, reading literature, aging simulation, and a combined intervention, completing pre- and post-intervention questionnaires. The results indicated that intervention groups showed statistically significant improvements in attitudes toward caring for older adults, trait empathy, charitable behavioral intentions, and caring behavioral intentions compared to the control group. Notably, the combined intervention group using both aging simulation suits and reading literature achieved the highest adjusted mean values for trait empathy (AMV: 4.042, 95% CI: 3.946-4.138, <i>p</i> < .05) and caring behavioral intentions (AMV: 6.083, 95% CI: 5.916-6.250, <i>p</i> < .05), followed by the group using aging simulation suits alone. The simulation suit group showed the most consistent improvements across all measures, with medium effect sizes (Cohen's d ranging from 0.39 to 0.61). These findings suggest that integrating aging simulation with reading literature approaches effectively fosters empathy and promotes positive caregiving behaviors, paving the way for age-inclusive societies and improved care quality for the aging population.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-23"},"PeriodicalIF":1.8,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148680432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Financial Profiles of South Korean Widows: The Roles of State, Market, and Family.","authors":"Dahye Kim, Jeremy Lim-Soh, Christine A Mair","doi":"10.1080/08959420.2026.2702890","DOIUrl":"https://doi.org/10.1080/08959420.2026.2702890","url":null,"abstract":"<p><p>Widowhood is a well-documented risk factor for old-age poverty, yet the roles of state, market, and family in shaping women's economic vulnerability during widowhood remain underexplored. Drawing on a life course perspective on economic disadvantage, this study examined widows' financial profiles and their implications for well-being. Using data from the Korean Longitudinal Study of Aging (2006-2022), we conducted Latent Class Analysis on 11 indicators of personal finances, property, family transfers, and welfare benefits for 650 middle-aged and older widowed women and examined associations between these profiles and socio-demographic characteristics and subjective well-being. Five profiles emerged. Three groups - \"Elite retirees\" (3%), \"Non-working with diverse support\" (30%), and \"Working with diverse support\" (14%) - were characterized by family wealth and stable resources. In contrast, the largest group, \"Financially unstable\" (37%), lacked clear sources of support, was often excluded from social assistance and noncontributory pensions, and reported the poorest well-being. Another vulnerable group, \"Dependent on child and Basic Pension\" (17%) relied mainly on intergenerational support and the noncontributory Basic Pension and consisted of older respondents with the second poorest well-being. These findings point to the need for more generous pensions and less restrictive asset tests in social assistance programs to reduce economic vulnerability among disadvantaged widows.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-20"},"PeriodicalIF":1.8,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148594124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Spatial Correlation Between Neighborhood Characteristics and Home and Community-Based Services (HCBS) Availability in Virginia.","authors":"Seon Kim","doi":"10.1080/08959420.2026.2677292","DOIUrl":"https://doi.org/10.1080/08959420.2026.2677292","url":null,"abstract":"<p><p>Home and Community-Based Services (HCBS) support the better health and well-being of older adults, but there are significant disparities in their availability across regions. HCBS availability can be influenced by neighborhood characteristics such as socio-economic status, demographics, and rurality. This study investigates the spatial correlation between neighborhood characteristics and HCBS availability in Virginia. Data from the National Neighborhood Data Archive (NaNDA) and Senior Navigator were used for the analysis. Results indicate a positive correlation between population density and HCBS availability in most areas. However, Southside Virginia suffered from lower HCBS availability despite a significantly older adult population. Findings suggest that policymakers consider the spatial distribution of HCBS and neighborhood characteristics in resource allocation decisions.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-20"},"PeriodicalIF":2.1,"publicationDate":"2026-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148212956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Relationship of Volunteering to the Psychological Well-Being of Older Adults in a Community-Based Setting: A Three-Wave Longitudinal Study in Hong Kong.","authors":"Nicholas K Man, Sun-Wah Chan, Jun Chen","doi":"10.1080/08959420.2026.2680901","DOIUrl":"https://doi.org/10.1080/08959420.2026.2680901","url":null,"abstract":"<p><p>Rapid population aging in Hong Kong heightens risks of social isolation and purposelessness among older adults. The Community Care Team (CCT) program, launched by the government in 2023, recruits and trains volunteers for grassroots care activities with the aim of strengthening community resilience, i.e. the collective capacity to mobilize resources, sustain social support, and respond to challenges such as emergencies or social crises. This three-wave longitudinal study examined the effects of volunteering in the CCT program on psychological well-being in adults aged 55-79 (67 volunteers, 108 controls). Assessments at baseline, 3 months, and 8 months measured psychological well-being, prosocialness, self-efficacy, meaning in life, resilience, and loneliness. Volunteers demonstrated significant improvements compared to controls. Meaning in life mediated the prosocialness- psychological-well-being relationship, with a chained pathway via self- efficacy. Moderation showed stronger benefits for those with lower resilience or higher loneliness. Findings support expanding CCT-like programs to enhance mental health and sustainable eldercare.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-16"},"PeriodicalIF":2.1,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148206615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Health Benefits for Middle-Aged and Older Adults Attributed to the Reduction of Air Pollution Rather Than Climate Factors Under China's Clean Air Act.","authors":"Kai Hu, Jinmeng Li, Qingqing He","doi":"10.1080/08959420.2026.2673827","DOIUrl":"https://doi.org/10.1080/08959420.2026.2673827","url":null,"abstract":"<p><p>Environmental policies are associated with a reduction in air pollution and climate risks, yet their benefits to public health remain unclear. This study detects changes in air pollution, climate, and health outcomes after implementing the Clean Air Act (CAA) in China in the period from 2000 to 2020, using data from the China Health and Retirement Longitudinal Study (2011-2020) linked with remotely sensed PM<sub>2.5</sub> and O<sub>3</sub> concentration datasets, temperature records, and CO<sub>2</sub> emissions among 22,561 adults aged 45 years and over. The difference-in-difference (DID) approach was used to identify the effects of the CAA on health outcomes, and the growth curve modeling (GCM) was used to examine the longitudinal relationship between air pollution, climate change, and health outcomes. The results show that while climate conditions were partially linked to poorer health status, health advantages of the CAA were mostly attributable to PM<sub>2.5</sub> reduction rather than climate mitigation. Further analyses, interacting air pollution with extreme temperatures, indicate that air pollution would exacerbate detrimental health effects of climate change. This study highlights the importance of public health initiatives and recommends that air pollution and climate change be prioritized jointly in environmental strategies.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-21"},"PeriodicalIF":2.1,"publicationDate":"2026-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148165022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Aging without Shelter: Lived Consequences of Homelessness Among Older Adults in Tehran, Iran.","authors":"Vahid Rashedi, Shiva Parvaei, Maryam Mollaei","doi":"10.1080/08959420.2026.2680894","DOIUrl":"https://doi.org/10.1080/08959420.2026.2680894","url":null,"abstract":"<p><p>Homelessness among older adults is a growing yet under-researched public-health and social-welfare concern in Iran. This study examined the perceived consequences of homelessness among 27 older adults (aged 60 years or older) residing in shelters in Tehran. Thematic analysis identified five interconnected domains: physical health decline and unmet chronic-care needs; profound mental-health burden characterized by hopelessness; social exclusion and loss of social roles; dependence on insecure survival economies; and structural exclusion due to loss of identity documents. Homelessness in later life represents multidimensional deprivation that accelerates aging, undermines dignity, and limits access to social entitlements.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-24"},"PeriodicalIF":2.1,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148151504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}