Li Sicheng, Zhang Liangwen, Fang Ya
State Key Laboratory of Molecular Vaccine and Molecular Diagnostics, School of Public Health, Xiamen University, Xiamen, China.
Key Laboratory of Health Technology Assessment of Fujian Province, School of Public Health, Xiamen University, Xiamen, China.
J Aging Soc Policy. 2025;37(3):359-374. doi: 10.1080/08959420.2024.2384178. Epub 2024 Oct 18.
In China, and many other developed nations, public long-term care insurance (LTCI) is a commonly adopted approach to meet long-term care needs, but its impact on the burden of family caregivers remains uncertain. This study investigated whether a parent having LTCI alleviates the caregiver burden for the adult child caregiver. Data derived from the 2011, 2013, and 2018 China Health and Retirement Longitudinal Study ( = 4595 adult child caregivers). Guided by the stress-appraisal model, Difference-in-Difference (DID) methods were used to investigate the spillover effects of LTCI on caregiver stressors and burden. The results show that having public LTCI in place in a location is associated with reduced caregiver burden among adult child caregivers through its effects on secondary stressors (wealth, health, and sleep problems) and hours of caregiving. Findings suggest that the LTCI is an effective form of social support for aiding family caregivers and alleviating their burden.
在中国以及许多其他发达国家，公共长期护理保险（LTCI）是满足长期护理需求的一种普遍采用的方式，但其对家庭照料者负担的影响仍不确定。本研究调查了父母拥有长期护理保险是否能减轻成年子女照料者的照料负担。数据来源于2011年、2013年和2018年中国健康与养老追踪调查（n = 4595名成年子女照料者）。以压力评估模型为指导，采用双重差分（DID）方法研究长期护理保险对照料者压力源和负担的溢出效应。结果表明，当地实施公共长期护理保险与成年子女照料者照料负担减轻有关，这是通过其对继发性压力源（财富、健康和睡眠问题）以及照料时长的影响实现的。研究结果表明，长期护理保险是帮助家庭照料者并减轻其负担的一种有效社会支持形式。
