More Than Health: Long-Term Care Insurance Reshaping Family Support in Aging China

China's rapidly aging population has strained traditional family-based elder care, leading to the introduction of Long-Term Care Insurance (LTCI) as a government-supported solution. Using data from the China Health and Retirement Longitudinal Study (CHARLS) and employing Difference-in-Differences (DID) and Triple-Difference (DDD) methodologies, this study explores LTCI's impact on intergenerational financial transfers within households. The findings demonstrate that LTCI significantly increases financial support from elderly parents to adult children by reducing elder care-related economic burdens. This effect is notably stronger in low-income families, indicating LTCI's potential to alleviate economic pressures disproportionately experienced by disadvantaged households. By facilitating greater intergenerational financial support, LTCI not only enhances household economic resilience but also contributes to broader social stability and reduced inequality. These insights highlight LTCI's important role beyond health outcomes, emphasizing its strategic value in reshaping family economic dynamics and informing policymakers aiming to strengthen social equity in the context of an aging society.

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Publication Details

Journal
Journal of Aging & Social Policy
Published
2026-03-07
DOI
https://doi.org/10.1080/08959420.2026.2640862
Primary Topic
Intergenerational Family Dynamics and Caregiving
Type
article
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article

More Than Health: Long-Term Care Insurance Reshaping Family Support in Aging China

Mengdan Li, Longchao Liu
Journal of Aging & Social Policy
Intergenerational Family Dynamics and Caregiving
article

More Than Health: Long-Term Care Insurance Reshaping Family Support in Aging China

Mengdan Li, Longchao Liu
article en

Abstract

China's rapidly aging population has strained traditional family-based elder care, leading to the introduction of Long-Term Care Insurance (LTCI) as a government-supported solution. Using data from the China Health and Retirement Longitudinal Study (CHARLS) and employing Difference-in-Differences (DID) and Triple-Difference (DDD) methodologies, this study explores LTCI's impact on intergenerational financial transfers within households. The findings demonstrate that LTCI significantly increases financial support from elderly parents to adult children by reducing elder care-related economic burdens. This effect is notably stronger in low-income families, indicating LTCI's potential to alleviate economic pressures disproportionately experienced by disadvantaged households. By facilitating greater intergenerational financial support, LTCI not only enhances household economic resilience but also contributes to broader social stability and reduced inequality. These insights highlight LTCI's important role beyond health outcomes, emphasizing its strategic value in reshaping family economic dynamics and informing policymakers aiming to strengthen social equity in the context of an aging society.

Journal of Aging & Social Policy
Shandong University (CN), Ocean University of China (CN)
No poverty
Openalex Percentile: Top 37%
Intergenerational Family Dynamics and Caregiving
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More Than Health: Long-Term Care Insurance Reshaping Family Support in Aging China — Mengdan Li, Longchao Liu · Journal of Aging & Social Policy (2026) | TGRS Research Map | TGRS