{"title":"Effect of Old Age Subsidy on the Mental Health of Older Chinese: Evidence from a Regression Discontinuity Design.","authors":"Peiyi Lu, Chihua Li","doi":"10.1080/08959420.2026.2653870","DOIUrl":"https://doi.org/10.1080/08959420.2026.2653870","url":null,"abstract":"<p><p>China's rapidly growing oldest-old population (aged ≥80) faces significant challenges in financial security. This study sought to quantitatively evaluate the effect of old age subsidy on the mental health of older Chinese. Data were from China Health and Retirement Longitudinal Study 2011-2020, including 27,940 respondents residing in the provinces with a universal old age subsidy policy. Eligibility was restricted to individuals aged ≥80. Fuzzy regression discontinuity analysis evaluated the effects of receiving the subsidy on three mental health outcomes (depressive symptoms, life satisfaction, and cognition). Results showed that individuals just above age 80 who received the subsidy had similar mental health scores compared to those just below age 80 who did not receive the subsidy. The treatment effect was null across all three mental health outcomes, with robust <i>p</i>-values >0.05 and 95% CIs that included zero. Findings remained consistent in subgroup analyses, after adjusting for covariates and comparing different algorithms. There is no strong evidence that old age subsidy significantly improved the mental health of older Chinese. This may be attributed to the study's statistical underpower, low benefit level, improper usage, highly restrictive age eligibility, decreasing impact of financial condition in older age, and other factors.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-19"},"PeriodicalIF":2.1,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595515","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":"Does Long-Term Care Insurance Drive Innovation? Empirical Evidence from China.","authors":"Ya Ding, Yue Li, Wei Feng","doi":"10.1080/08959420.2026.2654704","DOIUrl":"https://doi.org/10.1080/08959420.2026.2654704","url":null,"abstract":"<p><p>China's Long-Term Care Insurance (LTCI) pilot program was introduced to address the growing demand for care services amid rapid population aging. While existing studies have primarily focused on individual- and household-level outcomes, less is known about the policy's broader market-level effects. This study examines whether and to what extent the implementation of LTCI promotes innovation in the older adult care market. Using panel data on care-related patent applications from 2010 to 2021, we apply a staggered difference-in-differences (DID) approach to estimate the causal impact. The results indicate that LTCI significantly increases the number of care-related patent applications in pilot cities, particularly the number of invention patents, which reflect more substantive innovation. Robustness checks using placebo tests and a combined propensity score matching and difference-in-differences (PSM-DID) approach confirm the reliability of the findings. These results suggest that, beyond its welfare function, LTCI can generate positive externalities by stimulating innovation and fostering the development of the care market for older adults.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-18"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595574","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}
Ying Yang, Yi Fang, Wenzheng Zhang, Liangwen Zhang
{"title":"Generational Differences and Demand Preferences for Elder Care Services: A Longitudinal Study in China.","authors":"Ying Yang, Yi Fang, Wenzheng Zhang, Liangwen Zhang","doi":"10.1080/08959420.2026.2643645","DOIUrl":"10.1080/08959420.2026.2643645","url":null,"abstract":"<p><p>The evolving landscape of societal values, living habits, cognitive frameworks, and behavioral patterns across different generations shapes preferences for elder care services. This study explores generational diversities in elder care preferences among Chinese older adults. By utilizing Latent Class Analysis, four distinct types of elder care service demands were identified: Low Demand, Daily Convenience Service Demand, Social and Mental Health Care Demand, and High Demand. A multi-state Markov model was employed to construct a micro-simulation predicting the population size of older adults with varying care preferences in urban and rural areas from 2020 to 2040. Results indicate that living in rural areas and lacking a pension decreases the likelihood of moving from Low Demand to High Demand for elder care services. This study highlights the pivotal impact of generational and regional factors on elder care demand in China. Findings underscore the need to account for the growing demand for services, especially in social and mental health care, and tailored service provision.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-20"},"PeriodicalIF":2.1,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147533501","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}
Ramatsobane Flaviour Shogole, Magen Mhaka-Mutepfa, Pearl Refilwe Mogomotsi
{"title":"Exploring the Needs and Challenges of the Geriatric Population of Botswana (60+years Old): A Qualitative Study.","authors":"Ramatsobane Flaviour Shogole, Magen Mhaka-Mutepfa, Pearl Refilwe Mogomotsi","doi":"10.1080/08959420.2026.2613194","DOIUrl":"https://doi.org/10.1080/08959420.2026.2613194","url":null,"abstract":"<p><p>Older adults in LMICs face specific challenges related to aging, often overlooked due to poverty and underdevelopment. These challenges strain social policies and healthcare resources, particularly in poorer nations, where access to essential services is limited. This qualitative study explored the lived experiences of older adults in Botswana in the context of ecological theory. Specifically, it examined the role of technological factors, economic conditions, and social policies in shaping their needs and challenges. The snowballing technique was used to select 30 participants from four of Botswana's seven urban and rural districts. Older adults need smartphones to enable internet services and avoid some of the challenges. Despite their limited numbers, smartphones were found to aid in accessing services, particularly mobile banking, and maintaining relationships through regular communication. Thematic analysis identified poor pension point services, inadequate transportation, limited healthcare access, financial instability, and social exclusion as challenges experienced by the older population, some of which can be curbed by the availability of internet services. Community-based programs and targeted policies tailored to Botswana's context are needed to address the challenges indicated. LMICs must formulate ways to secure additional resources to fulfill the increased demands of the aging populace. Programs should also be implemented to enhance the quality of life for older adults.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-26"},"PeriodicalIF":2.1,"publicationDate":"2026-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515671","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":"Finland's Flexible Partial Pension - A Bridge to Full-Time Retirement, a Pathway Out of Paid Employment, or an Income Supplement?","authors":"Ilari Ilmakunnas, Susanna Sten-Gahmberg","doi":"10.1080/08959420.2026.2643643","DOIUrl":"https://doi.org/10.1080/08959420.2026.2643643","url":null,"abstract":"<p><p>Flexible partial retirement schemes are intended to give individuals the opportunity to reduce working hours before moving into full retirement, the expectation being that the reduced workload will contribute to postponed old-age retirement. Yet, there is limited research about whether and how flexible partial pensions are used to exit the labor force, as an income supplement, or as a way of bridging the transition into retirement through part-time employment. During the study period, individuals in Finland could take part of their accrued old-age pension after reaching age 61 regardless of their employment status. Using high-quality register data with monthly information on retirement and wage income, this study uses sequence analysis to analyze how previously employed individuals adjust their employment after taking up a partial old-age pension. Only around one in five continued to work at a reduced wage income level, indicating a reduction in working hours. Around one in six left paid employment just before or after pension take-up. Most individuals did not reduce their working hours when taking up the pension, contrary to the policy goal of the partial old-age pension.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-17"},"PeriodicalIF":2.1,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500154","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 Inclusion of Older Adults: Trends, Challenges, and Strategies for Digital Financial Inclusion of the Aging Population.","authors":"Peterson K Ozili","doi":"10.1080/08959420.2026.2643644","DOIUrl":"https://doi.org/10.1080/08959420.2026.2643644","url":null,"abstract":"<p><p>Financial inclusion entails ownership of a formal account, such as a bank account, fintech account, or mobile money account, which can be used to access basic financial services and to send or receive digital payments. This essay analyzes the global and regional trends in financial inclusion of the older population. A descriptive analysis of the World Bank Global Findex 2021 microdata for the older age group was conducted. The findings reveal that financial inclusion of older adults, in terms of formal account ownership of any type, is greater in high-income OECD countries (98%), North America (96%), and the Euro Area (99%). In contrast, financial inclusion of older adults is much lower in low-income countries (25%), Arab countries (44%), Sub-Saharan Africa (44%), and Middle Eastern and North African countries (57%). There is disproportionate progress in financial inclusion of older people across regions, particularly in the \"financial institution account\" and \"use of digital payments\" categories. This disparity calls for more coordinated effort to expand access to financial services for older adults and ensure that they have access to old age-appropriate credit, savings, payment, and insurance products that enable them to live a meaningful life even in old age. Notable challenges to financial inclusion of the aging population include low income, discrimination, and poor formal saving culture. However, policymakers can address these challenges by encouraging financial service providers to offer tailored financial products, provide financial education and awareness, introduce digital literacy programs, and increase the financial capability of older adults.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-21"},"PeriodicalIF":2.1,"publicationDate":"2026-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147481875","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}
Zuojuan Li, Yaoyue Li, Fan Zhang, Bo Wang, Chenyu Li
{"title":"Effects of Social Security and Intergenerational Support on Depression in Chinese Older Adults: The Mediating Role of Social Participation.","authors":"Zuojuan Li, Yaoyue Li, Fan Zhang, Bo Wang, Chenyu Li","doi":"10.1080/08959420.2026.2643646","DOIUrl":"https://doi.org/10.1080/08959420.2026.2643646","url":null,"abstract":"<p><p>Mental health disorders in the older population have emerged as growing health concerns along with ongoing population aging worldwide. While support provided by various agencies may play a role in combating mental health disorders such as depression, exploring the mediating role of social participation in the pathways linking different forms of support to depression could offer deeper insights. Using data from the China Health and Retirement Longitudinal Study (CHARLS), this study conducted structural equation modeling to investigate the impact of social security and intergenerational support on depression in older adults, as well as the mediating role of social participation. Heterogeneity by gender, education levels, and urban-rural locality were also explored. The results showed that: (1) Social security and intergenerational support were associated with lower levels of depression in older adults; (2) Social participation mediated the effect of social security and intergenerational support on older adults' depression; and (3) The effects of social security on depression were more pronounced among urban and better-educated older adults, while the effects of intergenerational support on depression were more evident among rural and less-educated older adults. Improving social security for the less advantaged could be a priority to tackle depression in older age.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-19"},"PeriodicalIF":2.1,"publicationDate":"2026-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147469680","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":"Disproportionate Experience of Material Hardships Among Washington State Home Care Aides: A Case for Boosting Wages and Building Savings.","authors":"Elizabeth Nguyen-Kearns, Doug Ahler","doi":"10.1080/08959420.2026.2627886","DOIUrl":"https://doi.org/10.1080/08959420.2026.2627886","url":null,"abstract":"<p><p>Home care aides (HCAs) are a financially vulnerable workforce vital to the United States healthcare system. Using data from the 2023 Financial Health Survey of Washington State HCAs - collected by a nonprofit that administers benefits and training to over 50,000 unionized caregivers - this study examines the prevalence of material hardships (such as food and housing insecurity) among HCAs and compares it to rates of hardship in the general population (using data from the Census Bureau's Survey of Income and Program Participation, or SIPP). To establish a potential cause of hardship among HCAs, this study investigates the relationship between caregiving income volatility and material hardship. Results indicate 75% of HCAs experience at least one material hardship, a rate significantly higher than found among Washingtonians with similar incomes. Income volatility appears to exacerbate these hardships, underscoring the need for solutions that address both wage increases and financial stability. Policy recommendations include raising wages and implementing emergency savings programs. These interventions have the potential not only to improve the economic well-being and job satisfaction of HCAs but also to enhance workforce retention and the quality of care provided to vulnerable populations. Addressing these inequities is essential for sustaining a growing and effective home care workforce.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-16"},"PeriodicalIF":2.1,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146229072","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 Association Between Digital Engagement and Unmet Healthcare Needs Among Older Korean Adults.","authors":"Jane Park, Jongmuk Oh, Jongnam Hwang","doi":"10.1080/08959420.2026.2632346","DOIUrl":"https://doi.org/10.1080/08959420.2026.2632346","url":null,"abstract":"<p><p>Information-seeking behavior has become more diversified with the proliferation of digital technologies. This study investigated the relationship between digital engagement in searching for information and experience of unmet healthcare needs among older adults in South Korea Data from the 2017 and 2020 National Survey of Older Koreans were used to examine the relationship between digital engagement and unmet healthcare needs across four dimensions of access, based on Levesque's model: approachability, acceptability, availability, and affordability. Older adults with no digital engagement were more likely to experience unmet healthcare needs overall, with the strongest association observed in the domain of acceptability, which relates to ability to accept and seek healthcare services. This suggests that enhancing digital engagement may help reduce unmet needs by strengthening trust and perceived relevance, key aspects of the acceptability domain. Policy interventions and educational programs should be developed to provide older adults with the essential digital skills they need to better engage with healthcare services.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-17"},"PeriodicalIF":2.1,"publicationDate":"2026-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146221506","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":"Not Over the Hill: Exploring the Digital Divide Among Vulnerable Older Adults in Thailand.","authors":"Katikar Tipayalai, Nattasit Chittavimongkhon, Panjapon Sattayanurak","doi":"10.1080/08959420.2026.2630920","DOIUrl":"https://doi.org/10.1080/08959420.2026.2630920","url":null,"abstract":"<p><p>In today's world, where digital transformation offers numerous benefits, its uneven distribution - often driven by socioeconomic and demographic factors - can exacerbate social inequalities. This study examines the digital divide among vulnerable older adults in Thailand by assessing digital competence defined as the practical, cognitive, and confidence-based skills required to access and use digital technologies, particularly in relation to government welfare services. Digital competence is evaluated across five domains: information literacy, communication, online safety, problem-solving, and confidence in online engagement. The findings reveal significant gaps in digital literacy, with limited device ownership and internet access identified as critical barriers. Logistic regression analysis indicates that income, education, and personal access to technology are significant predictors of digital competence. While the results are region-specific, they provide important insights into the challenges faced by older populations in similar socioeconomic contexts. The study underscores the urgent need for targeted interventions, such as digital skills training and increased access to affordable technology, to promote inclusion and enhance the quality of life for older adults. These efforts are crucial for reducing disparities and ensuring equitable participation in Thailand's increasingly digital society. Implementing policies and interventions that effectively address this divide is essential to fostering greater social and digital inclusion.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-30"},"PeriodicalIF":2.1,"publicationDate":"2026-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146221524","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}