Social Capital, Long-Term Care Insurance, and Older Adults’ Mental Health: Policy Spillovers and Implications for Gerontological Social Work in China
发布日期：2026-05-08
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ABSTRACT:Using 2015 and 2018 China Health and Retirement Longitudinal Study data and a two-way fixed-effects difference-in-differences design, this study examines how China’s Long-Term Care Insurance (LTCI) affects the mental health of older adults who are not directly insured. Among 1,899 non-beneficiaries in pilot and non-pilot cities, LTCI improved health-related quality-of-life trajectories, with stronger spillovers for mental than physical health. Pilot-city residents reported greater vitality, social functioning, and fewer role-emotional limitations, suggesting mediation through structural, cognitive, and relational social capital. These findings highlight LTCI reforms as opportunities for gerontological social workers to strengthen community networks, outreach, and psychosocial support.
作者：Mengdan Li
来源：Journal of Gerontological Social Work ,03 May 2026
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