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Who has benefited from nursing home expansion in Japan?: The effects of government supply-side intervention 谁从日本养老院的扩张中受益?:政府供给侧干预的效果
IF 2 3区 经济学 Q2 DEMOGRAPHY Pub Date : 2025-12-01 Epub Date: 2025-10-30 DOI: 10.1016/j.jeoa.2025.100604
Yoshinori Nishimura , Masato Oikawa
This study analyzes the relationship between the labor force participation of caregivers and the provision of informal in-home older adults care. In Japan, the national government regulates the market entry of nursing home suppliers, and accordingly intervenes in the supply side of the older adults care market. Using exogenous variations in this supply side intervention, our analysis finds that the Japanese policy of expanding nursing homes has increased the labor force participation of female workers with low opportunity costs in the labor market, but simultaneously reduced their provision of informal care. As the per capita expense of nursing home care is higher than the wage income of most non-regular female workers who tend to provide the bulk of informal in-home care, it is possible that the Japanese policy of expanding nursing home capacity has already reached its point of maximum effectiveness.
本研究分析照顾者劳动力参与与提供非正式居家照顾的关系。在日本,国家政府对养老院供应商的市场准入进行监管,从而对老年人护理市场的供给侧进行干预。在这种供给侧干预中使用外生变量,我们的分析发现,日本扩大养老院的政策增加了劳动力市场中低机会成本女性工人的劳动力参与,但同时减少了她们提供的非正式护理。由于养老院护理的人均费用高于大多数非正规女工的工资收入,而非正规女工往往提供大量的家庭护理,因此日本扩大养老院容量的政策可能已经达到了最大效果。
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引用次数: 0
The effect of aging on entrepreneurship and aggregate productivity 老龄化对企业家精神和总生产率的影响
IF 2 3区 经济学 Q2 DEMOGRAPHY Pub Date : 2025-12-01 Epub Date: 2025-11-07 DOI: 10.1016/j.jeoa.2025.100605
Takeo Hoshi , Naomi Kodama , Huiyu Li
Using firm-level data in Japan, this paper documents hump-shaped relationships between (1) the propensity to be entrepreneurs and individuals’ age, and (2) firm sales and sales per worker with entrepreneurs’ age. We examine these patterns using a general equilibrium model in which aging of the population affects total factor productivity (TFP) through selection into entrepreneurship. We use the model to project changes in output per capita as the population ages according to the official projections of the Japanese government. Over the next three decades, aging can lower TFP and hence output per capita through the selection of entrepreneurs, but the effect is quantitatively small.
本文利用日本企业层面的数据,证明了(1)创业倾向与个人年龄之间的驼峰关系,以及(2)企业销售额和员工人均销售额与企业家年龄之间的驼峰关系。我们使用一般均衡模型来检验这些模式,其中人口老龄化通过选择创业来影响全要素生产率(TFP)。我们根据日本政府的官方预测,使用该模型来预测随着人口老龄化人均产出的变化。在接下来的30年里,老龄化可以通过企业家的选择降低全要素生产率,从而降低人均产出,但这种影响在数量上很小。
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引用次数: 0
Free health check-ups and chronic disease care among older adults in China 中国老年人的免费健康检查和慢性病护理
IF 2 3区 经济学 Q2 DEMOGRAPHY Pub Date : 2025-12-01 Epub Date: 2025-11-14 DOI: 10.1016/j.jeoa.2025.100607
Zhiyong Huang , Fabrice Kämpfen
We evaluate the impact of a free health check-up program targeting older adults in China on the diagnosis and management of chronic diseases, focusing on hypertension and diabetes. Drawing on nine years of panel data from five waves of the China Health and Retirement Longitudinal Study (CHARLS), we use a fixed-effects instrumental variable (IV) strategy that leverages age-based eligibility (65+) for free check-ups to address endogeneity in health service uptake. Our findings show that eligibility for a check-up increases the probability of diabetes diagnosis by 8.3 percentage points (p = 0.042), with even stronger effects for women in rural areas (13.3 percentage points, p = 0.063). In contrast, we find no significant impact on hypertension diagnosis. Although the check-up policy improves diabetes detection, our causal estimates show no statistically significant effects on treatment, disease control, or provider recommendations. For hypertension, the policy raises lifestyle advice, but we estimate no precise impacts on clinical outcomes. These results suggest that while preventive screening can enhance disease detection among older adults, substantial gaps remain in the delivery of effective follow-up care and disease management. This has important implications for designing cost-effective chronic disease interventions in aging populations.
我们评估了针对中国老年人的免费健康检查项目对慢性病诊断和管理的影响,重点是高血压和糖尿病。利用中国健康与退休纵向研究(CHARLS)的五波9年面板数据,我们使用固定效应工具变量(IV)策略,利用基于年龄的免费检查资格(65岁以上)来解决卫生服务接受的内质性问题。我们的研究结果表明,接受检查的资格使糖尿病诊断的可能性增加8.3个百分点(p = 0.042),对农村妇女的影响更大(13.3个百分点,p = 0.063)。相反,我们发现对高血压的诊断没有显著影响。虽然检查政策提高了糖尿病的检出率,但我们的因果估计显示在治疗、疾病控制或医生推荐方面没有统计学上显著的影响。对于高血压,该政策提出了生活方式建议,但我们估计对临床结果没有确切的影响。这些结果表明,虽然预防性筛查可以提高老年人的疾病检测,但在提供有效的随访护理和疾病管理方面仍存在巨大差距。这对于设计具有成本效益的老龄人口慢性病干预措施具有重要意义。
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引用次数: 0
The effect of the increase in social security’s full retirement age on unemployment among older adults 提高社会保障的完全退休年龄对老年人失业的影响
IF 2 3区 经济学 Q2 DEMOGRAPHY Pub Date : 2025-12-01 Epub Date: 2025-08-17 DOI: 10.1016/j.jeoa.2025.100594
Halim Yoon
Social Security began to gradually raised the Full Retirement Age (FRA) from 65 to 67 in 2000. While previous research has shown that this reform increased employment and labor supply among older adults, its impact on unemployment among older workers is limited. As employment rises among older individuals, there is an increased risk of facing periods of unemployment at older ages. In addition, people may experience longer unemployment spells if they choose to stay unemployed strategically in order to collect Unemployment Insurance (UI) benefits and delay claiming Social Security. This study uses data from the Current Population Survey (CPS) to examine the effect of raising the FRA on unemployment among older men born between 1932 and 1940. The findings indicate a slight increase in unemployment among cohorts with higher FRAs. However, this increase does not translate into longer unemployment spells. Instead, unemployed individuals aged 62 to 65 in the treated cohorts are more likely to move from unemployment to employment, rather than remaining unemployed or retiring. Moreover, there is no strong evidence of strategic use of UI. The results suggest that individuals subject to greater penalties for early Social Security claiming experience higher unemployment as they stay longer in the labor market, rather than through any strategic effort to collect UI benefits.
2000年,社会保障开始逐步将完全退休年龄(FRA)从65岁提高到67岁。虽然先前的研究表明,这项改革增加了老年人的就业和劳动力供应,但它对老年工人失业的影响有限。随着老年人就业率的上升,老年人面临失业时期的风险也在增加。此外,如果人们选择策略性地保持失业状态,以领取失业保险(UI)福利,并推迟申领社会保障,他们可能会经历更长的失业期。这项研究使用了当前人口调查(CPS)的数据来检验提高联邦存款准备金率对1932年至1940年间出生的老年男性失业率的影响。研究结果表明,在fra较高的人群中,失业率略有上升。然而,这种增长并没有转化为更长的失业期。相反,在接受治疗的人群中,62岁至65岁的失业人员更有可能从失业转向就业,而不是继续失业或退休。此外,也没有强有力的证据表明用户界面是战略性使用的。结果表明,由于提前申请社会保障而受到更大惩罚的个人,在劳动力市场停留的时间越长,失业率就越高,而不是通过任何战略努力来领取失业救济金。
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引用次数: 0
Trade-offs in long-term care for older people in an ageing society: A constrained portfolio choice experiment 老龄化社会中老年人长期护理的权衡:一个受限的投资组合选择实验
IF 2 3区 经济学 Q2 DEMOGRAPHY Pub Date : 2025-12-01 Epub Date: 2025-10-10 DOI: 10.1016/j.jeoa.2025.100599
Sander Boxebeld , Niek Mouter , Job van Exel
Many countries face rapidly ageing populations, resulting in a rising demand for long-term care (LTC) for older people and an increased pressure on LTC systems. In responding to this development, governments face challenging trade-offs between different policy measures and their effects. To inform allocation decisions, this study elicited citizens’ policy preferences for LTC for older people in the Netherlands in 2040. We conducted a constrained portfolio choice experiment, in which 997 respondents composed a portfolio of their preferred policies, subject to a budget constraint, while being presented with the expected effects of their choices. Choices were analysed using a Multiple Discrete Continuous Extreme Value (MDCEV) choice model and a Latent Class Cluster Analysis (LCCA). The results suggest a preference for distributing resources towards multiple policies, including both nursing and social care, over investing heavily in one or two particularly. Also, most respondents chose portfolios constituting a substantial public expenditure increase, suggesting a widespread willingness to accept a tax increase to allow for this. Preferences were particularly heterogeneous with respect to expenditure levels and the adoption of supportive care technologies and compulsory social service for young adults. Policymakers may use these results to support the selection of a portfolio of LTC policies that aligns with public preferences.
许多国家面临人口迅速老龄化的问题,导致老年人对长期护理的需求不断增加,长期护理系统面临的压力也越来越大。在应对这一发展时,各国政府面临着在不同政策措施及其效果之间进行权衡的挑战。为了为分配决策提供信息,本研究得出了2040年荷兰公民对老年人LTC的政策偏好。我们进行了一个有约束的投资组合选择实验,其中997名受访者在预算约束下组成了他们偏好的投资组合,同时向他们展示了他们选择的预期效果。使用多重离散连续极值(MDCEV)选择模型和潜在类聚类分析(LCCA)分析选择。结果表明,人们更倾向于将资源分配给多种政策,包括护理和社会护理,而不是在一项或两项政策上进行大量投资。此外,大多数受访者选择了构成大量公共支出增加的投资组合,这表明人们普遍愿意接受增加税收以实现这一目标。在支出水平和采用支持性护理技术以及为年轻人提供强制性社会服务方面,偏好特别不一致。政策制定者可以利用这些结果来支持选择符合公众偏好的LTC政策组合。
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引用次数: 0
Driving human capital accumulation. The role of grandparents 推动人力资本积累。祖父母的角色
IF 2 3区 经济学 Q2 DEMOGRAPHY Pub Date : 2025-12-01 Epub Date: 2025-09-27 DOI: 10.1016/j.jeoa.2025.100598
Mauro Maria Baldi, Raffaella Coppier, Elisabetta Michetti
The role of grandparents in the education process of grandchildren is becoming increasingly important, especially in economies experiencing positive human capital growth rates over time. To investigate the main forces driving such a phenomenon and the effect on human capital accumulation and growth, in the present work we propose an overlapping generations model where the time spent by grandparents on grandchildren’s education is endogenously determined to maximize the expected utility associated with the trade-off between leisure time and grandchildren’s education. By combining analytical tools and numerical simulations, our model shows that the more time grandparents spend educating their grandchildren - quantity - and the more educated they are - quality -, the more education is transmitted from older to younger generations, who will have higher levels of human capital, which will generate higher economic growth. Such a mechanism repeats over time, generating virtuous paths that work as drivers of human capital and physical capital growth.
祖父母在孙辈教育过程中的作用正变得越来越重要,尤其是在人力资本长期正增长的经济体中。为了研究这一现象的主要驱动力及其对人力资本积累和增长的影响,本研究提出了一个代际重叠模型,其中祖父母在孙辈教育上花费的时间是内生决定的,以最大化与休闲时间和孙辈教育之间权衡相关的预期效用。通过结合分析工具和数值模拟,我们的模型表明,祖父母教育孙辈的时间越多(数量),孙辈受教育的程度越高(质量),老一辈向年轻一代传递的教育就越多,年轻一代将拥有更高水平的人力资本,从而产生更高的经济增长。这种机制会随着时间的推移而重复,产生良性路径,作为人力资本和物质资本增长的驱动力。
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引用次数: 0
When wealth hurts: Inheritances and the health of older Europeans 财富伤害:遗产和欧洲老年人的健康
IF 1.9 3区 经济学 Q2 DEMOGRAPHY Pub Date : 2025-12-01 Epub Date: 2025-06-17 DOI: 10.1016/j.jeoa.2025.100591
Ignacio Belloc , José Alberto Molina , Jorge Velilla
We study the impact of inheritances on physical and mental health outcomes, using a longitudinal, cross-country dataset covering 16 European countries over 2004–2017. The results show that the receipt of an inheritance is negatively associated with BMI and being obese among women. We also find evidence of an increase in the probability of experiencing depressive symptoms among women following an inheritance. When we account for individual heterogeneity, we find that the receipt of an inheritance increases the probability of being depressed by 2.3 percentage points among women. This finding is driven by unexpected inheritances and female heirs who are less educated, unmarried, unemployed, and living in Southern European countries. In addition, the receipt of an inheritance increases the probability of women engaging in vigorous and moderate physical activities by 2.6 and 2 percentage points, respectively.
我们研究了遗传对身心健康结果的影响,使用了2004-2017年覆盖16个欧洲国家的纵向跨国数据集。研究结果表明,在女性中,遗传与BMI和肥胖呈负相关。我们还发现有证据表明,女性在遗传后出现抑郁症状的可能性增加。当我们考虑到个体的异质性时,我们发现,在女性中,继承遗产会使抑郁的可能性增加2.3个百分点。这一发现是由意外继承和女性继承人推动的,这些继承人受教育程度较低,未婚,失业,生活在南欧国家。此外,继承遗产会使女性参加剧烈和适度体育活动的可能性分别增加2.6和2个百分点。
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引用次数: 0
Demographic change, firm costs, and digital transformation 人口变化、企业成本和数字化转型
IF 1.9 3区 经济学 Q2 DEMOGRAPHY Pub Date : 2025-12-01 Epub Date: 2025-06-22 DOI: 10.1016/j.jeoa.2025.100592
Gang Qiao , Ruipeng Tan
We investigate the impact of aging on enterprise digital transformation in China. We find that aging significantly inhibits the digitalization level of enterprises. Mechanism analysis shows that aging is unfavorable to the digital transformation of enterprises by raising their labor costs, such as reducing the skilled labor supply, increasing wages and the relative prices of skills, and raising job training expenditure. Heterogeneity analysis shows that the negative impact of aging is more significant for firms facing stronger financing constraints, non-SOE firms, smaller scale firms, labor-intensive firms, and in the manufacturing and high-tech industries.
我们研究了老龄化对中国企业数字化转型的影响。我们发现,老龄化显著抑制了企业的数字化水平。机制分析表明,老龄化通过提高企业的劳动力成本,如减少熟练劳动力供给、提高工资和技能相对价格、增加岗位培训支出等,不利于企业的数字化转型。异质性分析表明,老龄化对融资约束较强的企业、非国有企业、规模较小的企业、劳动密集型企业以及制造业和高新技术产业的负面影响更为显著。
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引用次数: 0
Understanding social norms for women toward the elderly: Evidence from Japan 理解女性对待老年人的社会规范:来自日本的证据
IF 2 3区 经济学 Q2 DEMOGRAPHY Pub Date : 2025-12-01 Epub Date: 2025-10-28 DOI: 10.1016/j.jeoa.2025.100603
Hiroyuki Motegi
This study examines social norms held by Japanese women regarding the elderly. Specifically, I conduct a regression analysis of attitudes toward social norms such as “Older parents should live with their children,” “Family members should care their elderly parents,” and “Financial support for the elderly should be provided by families rather than public institutions” in order to understand individual characteristics associated with holding these norms. I find the following: For example, more educated individuals have more progressive attitudes toward coresidence and informal care, but different attitudes toward financial support. Non-regular employees have the most progressive norms regarding the elderly among all employment statuses. Norms about the elderly are highly related to norms about gender and the division of gender roles. In addition, although family circumstances—such as parental education level and the status of one’s siblings—may influence an individual’s attitudes toward norms regarding the elderly, these attitudes are more likely to be shaped by the individual’s later life experiences, particularly their educational attainment and employment status.
本研究考察了日本女性对老年人的社会规范。具体来说,我对社会规范的态度进行了回归分析,例如“年长的父母应该和他们的孩子住在一起”,“家庭成员应该照顾他们年迈的父母”,“老年人的经济支持应该由家庭而不是公共机构提供”,以了解与持有这些规范相关的个人特征。我发现:例如,受教育程度越高的人对同居和非正式照顾的态度越进步,但对经济支持的态度不同。在所有雇佣状态中,非正式雇员对老年人的规范是最先进的。关于老年人的规范与性别规范和性别角色划分高度相关。此外,虽然家庭环境——比如父母的教育水平和兄弟姐妹的地位——可能会影响一个人对老年人规范的态度,但这些态度更有可能是由个人后来的生活经历塑造的,尤其是他们的教育程度和就业状况。
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引用次数: 0
Long-run patterns in the spousal correlation of lifespan 配偶寿命相关性的长期模式
IF 1.9 3区 经济学 Q2 DEMOGRAPHY Pub Date : 2025-12-01 Epub Date: 2025-06-19 DOI: 10.1016/j.jeoa.2025.100588
Jacob Hutchings , Adriana Lleras-Muney , Joshua Nicholls , Joseph Price , Sven E Wilson
Abundant research has demonstrated that substantial spousal concordance in health exists across multiple measures and populations and that the magnitude of this association is similar to spousal correlations in education and socioeconomic status. This strong spousal concordance in health results from both sorting in the marriage market and from behavioral and environmental risk factors shared by the couple. In this paper we test the hypothesis that the spousal correlation in lifespan–a summary measure of health–is similarly concordant. We create a new data set to investigate this hypothesis. We link about 15 million couples drawn from the US censuses of 1880–1940 to genealogical data available in family trees to obtain lifespan information for spouses. We document spousal correlations across time and compare spousal correlations in lifespan to opposite-gender sibling correlations in lifespan using a sample of 26 million opposite-gender sibling pairs. Surprisingly, and in contrast to what other health measures show, we find that the spousal lifespan correlation (0.063) is relatively small, though only a little smaller than the sibling correlation (0.076), which captures both genetic and early life environmental risk factors. However, we also find that the spousal correlation roughly doubles in size across cohorts (from around 0.05 for the 1880 birth cohort to 0.10 for the 1920 birth cohort). The fact that the spousal and sibling correlation track each other closely across cohorts suggests a growing importance of local risk factors that are shared by both spouses and siblings in determining lifespan, an interpretation that is also consistent with our other findings which suggest that the duration of marriage also increases spousal correlations. For the last decade, however, the growth in spousal correlation outpaces that of siblings, suggesting either increased assortative mating or an increase in the relative importance of couple-specific risk factors.
大量的研究表明,配偶在健康方面的一致性存在于多种测量和人群中,这种相关性的程度与配偶在教育和社会经济地位方面的相关性相似。配偶在健康方面的这种强烈一致性源于婚姻市场的分类以及夫妻共同的行为和环境风险因素。在这篇论文中,我们检验了一个假设,即配偶与寿命的相关性——一种健康的综合衡量标准——同样是一致的。我们创建了一个新的数据集来调查这个假设。我们将从1880-1940年美国人口普查中抽取的约1500万对夫妇与家谱中可用的家谱数据联系起来,以获得配偶的寿命信息。我们记录了配偶在不同时期的相关性,并使用2600万对异性兄弟姐妹的样本,将配偶在寿命上的相关性与异性兄弟姐妹在寿命上的相关性进行了比较。令人惊讶的是,与其他健康测量结果相比,我们发现配偶寿命的相关性(0.063)相对较小,尽管只比兄弟姐妹的相关性(0.076)小一点,兄弟姐妹的相关性涵盖了遗传和早期生活环境的风险因素。然而,我们也发现,配偶相关性在队列中大约翻了一番(从1880年出生队列的0.05左右到1920年出生队列的0.10)。配偶和兄弟姐妹之间的相关性在整个队列中密切跟踪,这一事实表明,配偶和兄弟姐妹在决定寿命方面共同拥有的当地风险因素越来越重要,这一解释也与我们的其他发现一致,这些发现表明,婚姻的持续时间也会增加配偶的相关性。然而,在过去十年中,配偶相关性的增长超过了兄弟姐妹的增长,这表明要么是选择性交配的增加,要么是夫妻特定风险因素的相对重要性的增加。
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引用次数: 0
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Journal of the Economics of Ageing
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