Social care provision for older adults in China: Regional disparities and driving factors

In the context of rapid ageing, the scale and distribution of social care resources for older adults in China are undergoing significant changes. Based on the macroscopic samples of the National Statistical Yearbooks from 2011 to 2021, this study examines the regional disparities, dynamic evolution, and drivers of social care provision for older adults in China. The results reveal that while the overall level of social care provision for older adults has consistently improved, significant regional disparities persist. The most abundant social care resources have long been concentrated in the economically prosperous coastal regions. Although overall disparities have shown a fluctuating downward trend over time, the absolute gaps across certain economic regions continue to widen. Furthermore, this study identifies several driving factors behind senior social care provision, including regional economic conditions, government preferences for welfare fiscal expenditure, regional consumption patterns, and urbanisation rates. However, the increase in local financial autonomy has a negative impact on the provision of social care for older adults. The findings highlight the importance of developing a more scientific fiscal oversight mechanism, creating region-specific policies, and addressing the needs of older migrants to achieve the goal of equalising social care provision for older adults.