{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T13:58:07Z","timestamp":1787579887107,"version":"build-2736575974"},"reference-count":43,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T00:00:00Z","timestamp":1745884800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"Research Foundation of Huazhong University of Science and Technology","award":["No.3034404113"],"award-info":[{"award-number":["No.3034404113"]}]},{"name":"Research Foundation of Renmin University of China","award":["No.21XNA013"],"award-info":[{"award-number":["No.21XNA013"]}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["No.72104240"],"award-info":[{"award-number":["No.72104240"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Research Foundation of Huazhong University of Science and Technology","award":["No.3034404113"],"award-info":[{"award-number":["No.3034404113"]}]},{"name":"Research Foundation of Renmin University of China","award":["No.21XNA013"],"award-info":[{"award-number":["No.21XNA013"]}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["No.72104240"],"award-info":[{"award-number":["No.72104240"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,6,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The establishment of long-term care insurance (LTCI) has become one of the key measures adopted by countries worldwide to address growing care needs associated with population aging. While existing studies focus on LTCI\u2019s impact on medical expenditure and healthcare utilization, its effects on living arrangements of older adults, a core component of long-term care, remain underexplored in China. Living arrangements reflect both the well-being of older adults and their approaches to aging. This study examines the effects of China\u2019s LTCI pilots on living arrangements of older adults. Using three-wave panel data from the Chinese Longitudinal Healthy Longevity Survey, we analyzed the rollout of LTCI pilots across different cities from 2014 to 2021, employing a time-varying difference-in-differences approach. Our findings indicate that LTCI significantly increases the likelihood of older adults living alone or only with their spouse and decreases their preference for living with adult children. We provide two explanations for the observed effects: LTCI facilitates aging in place through the provision of home- and community-based services and enhances older adults\u2019 health by reducing the incidence of severe illnesses. The effects of LTCI are shaped by policy design, specifically reimbursement structures. These findings offer valuable insights for developing a universal LTCI system in China and other developing countries.<\/jats:p>","DOI":"10.1093\/heapol\/czaf027","type":"journal-article","created":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T07:33:31Z","timestamp":1745912011000},"page":"641-651","source":"Crossref","is-referenced-by-count":6,"title":["Assessing the role of long-term care insurance in shaping living arrangements of older adults: evidence from China"],"prefix":"10.1093","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-2315-5947","authenticated-orcid":false,"given":"Zhenyu","family":"Zhu","sequence":"first","affiliation":[{"name":"School of Sociology, Huazhong University of Science and Technology , 1037 Luoyu Road, Hongshan District, Wuhan 430074,","place":["China"]},{"name":"Elder Service Research Center, Huazhong University of Science and Technology , 1037 Luoyu Road, Hongshan District, Wuhan 430074,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chen","family":"Bai","sequence":"additional","affiliation":[{"name":"School of Labor and Human Resources, Renmin University of China , 59 Zhongguancun Street, Haidian District, Beijing 100872,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,4,29]]},"reference":[{"key":"2025061211064031500_R1","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1016\/j.jhealeco.2015.10.008","article-title":"Does home care for dependent elderly people improve their mental health?","volume":"45","author":"Barnay","year":"2016","journal-title":"J Health Econ"},{"key":"2025061211064031500_R2","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1111\/j.1539-6975.2009.01286.x","article-title":"The private market for long-term care insurance in the United States: a review of the evidence","volume":"76","author":"Brown","year":"2009","journal-title":"J Risk Insur"},{"key":"2025061211064031500_R3","doi-asserted-by":"publisher","first-page":"200","DOI":"10.1016\/j.jeconom.2020.12.001","article-title":"Difference-in-differences with multiple time periods","volume":"225","author":"Callaway","year":"2021","journal-title":"J of Econom"},{"key":"2025061211064031500_R4","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1377\/hlthaff.19.3.26","article-title":"Long-term care insurance comes to Japan","volume":"19","author":"Campbell","year":"2000","journal-title":"Health Aff"},{"key":"2025061211064031500_R5","doi-asserted-by":"publisher","first-page":"717","DOI":"10.1093\/heapol\/czac003","article-title":"The impacts of long-term care insurance on health care utilization and expenditure: evidence from China","volume":"37","author":"Chen","year":"2022","journal-title":"Health Policy and Plan"},{"key":"2025061211064031500_R6","doi-asserted-by":"publisher","first-page":"E6386","DOI":"10.1111\/hsc.14080","article-title":"Public long-term care insurance scheme and informal care use among community-dwelling older adults in China","volume":"30","author":"Chen","year":"2022","journal-title":"Health Soc Care Commun"},{"key":"2025061211064031500_R7","doi-asserted-by":"publisher","first-page":"122","DOI":"10.1016\/j.archger.2016.03.013","article-title":"The association between the utilization of long-term care services and mortality in elderly Koreans","volume":"65","author":"Choi","year":"2016","journal-title":"Arch Gerontol Geriatr"},{"key":"2025061211064031500_R8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhealeco.2023.102781","article-title":"Family spillovers and long-term care insurance","volume":"90","author":"Coe","year":"2023","journal-title":"J Health Econ"},{"key":"2025061211064031500_R9","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1016\/j.jhealeco.2018.01.002","article-title":"Does long-term care subsidization reduce hospital admissions and utilization?","volume":"58","author":"Costa-Font","year":"2018","journal-title":"J Health Econ"},{"key":"2025061211064031500_R10","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2020.113081","article-title":"Does long-term care insurance reduce hospital utilization and medical expenditures? 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