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Regional institutional quality and territorial equity in LTC provision LTC提供中的区域制度质量和地区公平
IF 2.2 3区 经济学 Q2 DEMOGRAPHY Pub Date : 2023-10-01 DOI: 10.1016/j.jeoa.2023.100477
Anna Marenzi , Dino Rizzi , Michele Zanette , Francesca Zantomio

We show how regional governments affect the appropriate – in terms of territorial equity – assignment of a national LTC benefit. We analyse the case of Italy, featuring a three-layers setting, where eligibility criteria are defined by the central government (which bears the fiscal cost of transfers), but the assignment decision is taken by regional medical commissions, while applications are activated by individual potential beneficiaries. Combining administrative and survey data, and accounting for regional variation in eligibility prevalence, we document large territorial disparities in need-adjusted benefit assignment. We investigate the determinants of such disparities both in terms of individuals’ differential propensity to claim, and of regional discretionary behaviour, as shaped by the underlying quality of regional institutions. While several data limitations recommend caution, the empirical results suggest – in line with our conceptual framework – that regional discretion plays a role in LTC provision: in more detail, lower regional institutional quality appears related to more opportunistic benefit adjudication decisions.

我们展示了地区政府如何在领土公平方面影响国家长期护理福利的适当分配。我们分析了意大利的情况,其特点是三层设置,其中资格标准由中央政府(承担转移的财政成本)确定,但分配决定由地区医疗委员会做出,而申请由个人潜在受益人启动。结合行政和调查数据,并考虑到资格流行率的地区差异,我们记录了需求调整福利分配方面的巨大地区差异。我们调查了这种差异的决定因素,包括个人的不同索赔倾向,以及由地区机构的基本质量决定的地区自由裁量行为。虽然一些数据限制建议谨慎,但实证结果表明,与我们的概念框架一致,区域自由裁量权在LTC条款中发挥着作用:更详细地说,较低的区域制度质量似乎与更多的机会主义利益裁决决定有关。
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引用次数: 0
Mortality differentials, the racial and ethnic retirement wealth gap, and the COVID-19 Pandemic 死亡率差异、种族和民族退休财富差距以及新冠肺炎大流行
IF 2.2 3区 经济学 Q2 DEMOGRAPHY Pub Date : 2023-10-01 DOI: 10.1016/j.jeoa.2023.100478
Edward N. Wolff

Using the Survey of Consumer Finances, I find that the Black/white gap in standard net worth widened from 1989 to 2019 but narrowed between Hispanics and (non-Hispanic) whites. When the definition of wealth is expanded to incorporate Social Security and defined benefit pension wealth (both the discounted sum of future benefits) to create augmented wealth, the wealth gap is sharply reduced, especially for median wealth. The Black/white and Hispanic/white disparity in Social Security wealth lessened considerably over 1989–2019. In contrast, the Black/white ratio of mean augmented wealth showed no change, though the ratio of median augmented wealth progressed. The Hispanic/white ratio of both mean and median augmented wealth advanced as well. The COVID-19 Pandemic struck in 2020 and hit the minority community much harder than whites in terms of mortality rates. Besides claiming over a million lives overall, it lopped off 4.7 percent of Social Security wealth among whites, 11.5 percent among Blacks, and 13.1 percent among Hispanics. As a result, while mean augmented wealth dipped only 1.2 percent among whites, it fell 6.7 percent among Black households and 7.3 percent among Hispanics. The effect was even stronger on median values – declines of a 2.6, 9.3 and 12.1 percent, respectively.

通过消费者金融调查,我发现从1989年到2019年,黑人/白人的标准净值差距扩大了,但西班牙裔和(非西班牙籍)白人之间的差距缩小了。当财富的定义扩大到包括社会保障和固定福利养老金财富(两者都是未来福利的贴现总和)以创造增加的财富时,财富差距就会急剧缩小,尤其是对中等财富而言。1989年至2019年期间,黑人/白人和西班牙裔/白人在社会保障财富方面的差距显著缩小。相比之下,平均增加财富的黑人/白人比率没有变化,尽管增加财富中值的比率有所上升。西班牙裔/白人的平均财富和中位财富增长率也有所上升。新冠肺炎大流行于2020年爆发,就死亡率而言,对少数族裔社区的打击要比白人严重得多。除了夺走100多万人的生命外,它还削减了白人4.7%、黑人11.5%和西班牙裔13.1%的社会保障财富。因此,虽然白人的平均财富增长率仅下降了1.2%,但黑人家庭和西班牙裔家庭的平均财富增加率分别下降了6.7%和7.3%。对中值的影响更大,分别下降了2.6%、9.3%和12.1%。
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引用次数: 0
The impact of famine experience on middle-aged and elderly individuals’ food consumption: Evidence from China 饥荒经历对中老年人食物消费的影响——来自中国的证据
IF 2.2 3区 经济学 Q2 DEMOGRAPHY Pub Date : 2023-10-01 DOI: 10.1016/j.jeoa.2023.100472
Feifan Fang , Yinyu Zhao , Zemiao Xi , Xinru Han , Yuchun Zhu

People’s behaviors are influenced by past experiences. Against the background of the famine that occurred in China from 1959 to 1961 and based on China Health and Nutrition Survey (CHNS) data from 2004 to 2011, we take advantage of both temporal and geographic variations in famine intensity to explore the long-term effects of famine experience on food consumption and examine the heterogeneous effecs across age cohorts by constructing a continuous difference-in-differences (DID) estimator. We find that famine experience affects people’s food consumption behavior in the long term. Compared with the group that did not experience the famine, the consumption of staple foods increased while the consumption of meat and vegetables decreased for the group with famine experience, and this effect was heterogeneous across age cohorts and was most significant for the group that experienced famine in their 30 s. The effect of famine experience on food consumption was significantly heterogeneous across regions, household sizes, and income groups. The findings of this paper contribute to a better understanding of the long-term effects of famine experience on food consumption and provide a basis for improving the dietary quality of older adults.

人们的行为受到过去经历的影响。以1959~1961年中国发生饥荒为背景,以2004~2011年中国健康与营养调查数据为基础,我们利用饥荒强度的时间和地理变化来探索饥荒经历对食物消费的长期影响,并通过构建差异中的连续差分(DID)估计器来检验不同年龄组的异质性影响。我们发现饥荒经历会长期影响人们的食物消费行为。与没有经历饥荒的组相比,有饥荒经历的组的主食消费量增加,而肉类和蔬菜消费量减少,这种影响在不同年龄组中是异质的,在30多岁经历饥荒的群体中最为显著。饥荒经历对粮食消费的影响在不同地区、家庭规模和收入群体之间存在显著的异质性。本文的研究结果有助于更好地理解饥荒经历对食物消费的长期影响,并为提高老年人的饮食质量提供基础。
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引用次数: 0
Does human capital compensate for population decline? 人力资本能补偿人口减少吗?
IF 2.2 3区 经济学 Q2 DEMOGRAPHY Pub Date : 2023-10-01 DOI: 10.1016/j.jeoa.2023.100469
M. Siskova , M. Kuhn , K. Prettner , A. Prskawetz

Fertility rates have been falling persistently over the past 50 years in most rich countries. Simultaneously, the trend of outward migration from poorer to richer countries has been steady. These two forces contributed to population aging, and – in an increasing number of countries – even to population decline. In this paper, we quantify the effect of decreasing fertility on the aggregate human capital stock. In doing so we take into account that parents with fewer children may raise investments in their children’s education and health. We find that the human capital impact of declining fertility is partly compensated through such responses when including the full set of countries in our regressions. For the subset of countries that experience population decline, the compensatory effect is weaker and, in many specifications, even insignificant.

过去50年来,大多数富裕国家的生育率一直在持续下降。与此同时,从较贫穷国家向较富裕国家向外移徙的趋势是稳定的。这两种力量导致了人口老龄化,在越来越多的国家甚至导致了人口下降。在本文中,我们量化了生育率下降对总人力资本存量的影响。在这样做的时候,我们考虑到孩子较少的父母可能会增加对孩子教育和健康的投资。我们发现,当将所有国家纳入我们的回归时,生育率下降对人力资本的影响通过这种反应得到了部分补偿。对于经历人口下降的国家子集来说,补偿效应较弱,在许多情况下甚至微不足道。
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引用次数: 1
A distributive analysis using Peru’s National Transfer Accounts 使用秘鲁国家转移账户的分布分析
IF 2.2 3区 经济学 Q2 DEMOGRAPHY Pub Date : 2023-10-01 DOI: 10.1016/j.jeoa.2023.100480
Javier Olivera

National Transfer Accounts (NTAs) provide insights into the effects of ageing on various forms of intergenerational transfers. When these accounts are disaggregated by socioeconomic status (SES) and calculated for at least two different time periods, they offer a powerful tool for understanding changes in economic inequality across age groups and over time. This paper illustrates the application of some standard distributional analysis tools using NTAs, specifically focusing on the case of Peru for 2007 and 2019. The main findings suggest that younger individuals have been the relative “winners” from Peru’s sustained economic growth over the past two decades. Additionally, the equalizing power of tertiary education has increased during this period, i.e., a greater prevalence of tertiary education reduces inequality. However, a concerning observation is the deterioration of living conditions among older and less educated individuals.

国民转移账户(NTAs)提供了老龄化对各种形式的代际转移的影响的见解。当这些账户按社会经济地位(SES)分类并计算至少两个不同时期时,它们为理解不同年龄组和不同时期的经济不平等变化提供了一个强大的工具。本文阐述了使用nta的一些标准分布分析工具的应用,特别关注2007年和2019年秘鲁的情况。研究的主要发现表明,在秘鲁过去20年持续的经济增长中,年轻人一直是相对的“赢家”。此外,高等教育的平等力量在此期间有所增加,即高等教育的更大普及减少了不平等。然而,一个令人关切的观察是老年人和受教育程度较低的人的生活条件恶化。
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引用次数: 0
Spending trajectories after age 65 variation by initial wealth 65岁后按初始财富变化的支出轨迹
IF 2.2 3区 经济学 Q2 DEMOGRAPHY Pub Date : 2023-10-01 DOI: 10.1016/j.jeoa.2023.100468
Michael D. Hurd, Susann Rohwedder

There has been extensive research on the importance of saving for retirement and on tools to support the accumulation of retirement wealth. Much less attention has been paid to the decumulation phase, that is, the spending down of wealth following retirement. Understanding the decumulation phase requires information about the spending patterns of older households and how those patterns evolve with age. This study uses comprehensive longitudinal data on total household spending from a survey that is representative of the older U.S. population to estimate the trajectories of spending after age 65. Based on data spanning the period 2005–2019, real spending declined for both single and coupled households after age 65 at annual rates of about 1.7 percent and 2.4 percent, respectively. Stratification by wealth holdings observed at or closely following age 65 showed sizeable variation in spending levels by wealth quartile, but little variation in rates of change in spending. The fact that spending declines broadly, including among those in the highest wealth quartile, suggests that the decline may not be related to economic position. This view is supported by an analysis of budget shares which show increases with age in the budget share for gifts and donations which suggests that economic position on average does not deteriorate with age, even as spending declines.

人们对退休储蓄的重要性以及支持退休财富积累的工具进行了广泛的研究。人们对递减阶段的关注要少得多,也就是说,退休后财富的减少。了解递减阶段需要了解老年家庭的支出模式以及这些模式如何随着年龄的增长而演变。这项研究使用了一项代表美国老年人口的调查中关于家庭总支出的综合纵向数据来估计65岁后的支出轨迹。根据2005-2019年期间的数据,65岁后单身家庭和已婚家庭的实际支出分别以1.7%和2.4%的年增长率下降。在65岁或紧随65岁之后观察到的财富持有分层显示,按财富四分位数划分的支出水平变化很大,但支出变化率变化不大。支出普遍下降,包括财富最高四分之一人群的支出,这表明支出下降可能与经济状况无关。这一观点得到了预算份额分析的支持,该分析显示,礼物和捐款的预算份额随着年龄的增长而增加,这表明即使支出下降,平均经济状况也不会随着年龄的增加而恶化。
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引用次数: 0
Instrumental variable estimates of the burden of parental caregiving 父母照料负担的工具变量估计
IF 2.2 3区 经济学 Q2 DEMOGRAPHY Pub Date : 2023-10-01 DOI: 10.1016/j.jeoa.2023.100467
Peter Eibich

This study examines the impact of informal care provision for older parents on carer’s health and labour market outcomes in England. I evaluate the validity of previously used instrumental variables for care provision. The results suggest that concerns about the validity of these instruments can be partly mitigated by considering variation in the timing rather than the incidence of informal care provision. Effects of informal care provision on health are positive for men and mostly insignificant for women. Informal care provision leads to a reduction in working hours for women, but does not affect labour force participation or labour income.

这项研究考察了为老年父母提供非正式护理对英国护理人员健康和劳动力市场结果的影响。我评估了以前用于护理提供的工具变量的有效性。研究结果表明,通过考虑非正规护理提供的时间而非发生率的变化,可以部分缓解对这些文书有效性的担忧。提供非正式护理对男性健康的影响是积极的,对女性的影响大多微不足道。提供非正式护理可减少妇女的工作时间,但不影响劳动力参与或劳动收入。
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引用次数: 0
The displacement effect of compulsory pension savings on private savings. Evidence from the Netherlands, using pension funds supervisory data 强制性养老金储蓄对私人储蓄的替代效应。荷兰使用养老基金监管数据提供的证据
IF 2.2 3区 经济学 Q2 DEMOGRAPHY Pub Date : 2023-10-01 DOI: 10.1016/j.jeoa.2023.100473
Mauro Mastrogiacomo , Rik Dillingh , Yue Li

We show heterogenous displacement effects of mandatory occupational pension savings on private household wealth for different groups. Richer households in particular show larger displacements. This contributes to explaining why empirical studies often come with different estimates of this effect. We study the case of the Netherlands, where wage employed and self-employed workers are differently exposed to compulsory pension savings, and the institutional setting provides exogenous variation in pension wealth that can be used as instrument in the analysis. We use rich administrative data on (pension) wealth and income combined for the first time to supervisory data of pension funds. Our results show a displacement effect of −37% for wage employed and of −61% to −77% for self-employed people. The higher displacement effect we find for the self-employed might be explained by the fact that self-employed workers are arguably more aware of their pension accrual, or lack thereof, because there is no employer who organizes and (partly) pays this for them.

我们展示了不同群体强制性职业养老金储蓄对私人家庭财富的异质性转移效应。富裕家庭的流离失所情况尤其严重。这有助于解释为什么实证研究往往对这种影响有不同的估计。我们研究了荷兰的情况,在荷兰,有工资的就业者和自营职业者有不同的强制性养老金储蓄,而制度环境提供了养老金财富的外生变化,可以作为分析的工具。我们首次将丰富的(养老金)财富和收入管理数据结合起来,用于养老基金的监管数据。我们的研究结果显示,工资型就业者的位移效应为-37%,自营职业者的位移影响为-61%-77%。我们发现自营职业者的流离失所效应更高,这可能是因为自营职业者可以说更清楚自己的养老金应计情况,或者说没有,因为没有雇主为他们组织并(部分)支付养老金。
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引用次数: 0
The replacement rate that maintains income satisfaction through retirement: The question of income-dependence 通过退休维持收入满意度的替代率:收入依赖性问题
IF 2.2 3区 经济学 Q2 DEMOGRAPHY Pub Date : 2023-10-01 DOI: 10.1016/j.jeoa.2023.100471
Julian Schmied

Benchmark replacement rates are commonly used to set up saving plans or to assess retirement preparedness. An open question is whether high earners need the same replacement rate as low earners. In this paper, I apply the GAESE framework, an approach known from the equivalence scale literature, to assess how the replacement rate that maintains income satisfaction through retirement relates to income levels. Using longitudinal data from the German Socio-Economic Panel, and applying fixed-effects ordered logit models, I find that the benchmark replacement rate decreases with income. For singles, this finding is consistent across many modifications of the approach, whereas for couples the finding is sensitive to the composition of the retiree household, i.e. whether or not the retiree’s partner is still employed.

基准更替率通常用于制定储蓄计划或评估退休准备情况。一个悬而未决的问题是,高收入者是否需要与低收入者相同的替代率。在本文中,我应用了GAESE框架,这是一种从等价量表文献中已知的方法,来评估通过退休维持收入满意度的替代率与收入水平的关系。使用德国社会经济小组的纵向数据,并应用固定效应有序logit模型,我发现基准替代率随着收入的增加而下降。对于单身人士来说,这一发现在方法的许多修改中都是一致的,而对于夫妇来说,这项发现对退休人员家庭的组成很敏感,即退休人员的伴侣是否仍在工作。
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引用次数: 0
Healthy ageing trends in England between 2002 to 2018: Improving but slowing and unequal 2002年至2018年英格兰健康老龄化趋势:改善但放缓且不平等
IF 2.2 3区 经济学 Q2 DEMOGRAPHY Pub Date : 2023-10-01 DOI: 10.1016/j.jeoa.2023.100470
Jonathan Old , Andrew Scott

Growing life expectancy and a rising proportion of older people make the issue of whether cohorts are ageing better a key individual, social and economic issue. Using data from the English Longitudinal Study of Ageing we characterise how frailty develops with age, how this differs across demographic groups, whether more recent cohorts are ageing better and what the key areas of focus for health policy should be. We find cohort effects such that frailty at each age has been decreasing over time but that this trend shows modest signs of slowing and is less pronounced for those with lower wealth. Improvements across cohorts reflect improvements in ADLs, cognitive function, and mobility but limited progress in reducing the incidence of diseases such as cancer, cardiovascular disease, etc. We find mobility and ADLs the main driver of average differences across regions but cross-regional differences are driven more by within than between group inequality.

预期寿命的增长和老年人比例的上升使群体是否更好地老龄化成为一个关键的个人、社会和经济问题。利用英国老龄化纵向研究的数据,我们描述了虚弱是如何随着年龄的增长而发展的,不同人口群体之间的差异如何,最近的人群是否衰老得更好,以及卫生政策的重点领域应该是什么。我们发现,随着时间的推移,每个年龄段的虚弱程度都在下降,但这一趋势显示出适度的放缓迹象,对那些财富较低的人来说不那么明显。不同人群的改善反映了日常生活能力、认知功能和行动能力的改善,但在降低癌症、心血管疾病等疾病的发病率方面进展有限。我们发现,行动能力和日常生活能力是各地区平均差异的主要驱动力,但跨地区差异更多地是由内部而非群体之间的不平等驱动的。
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引用次数: 0
期刊
Journal of the Economics of Ageing
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