摘要：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.

关键词：Long-term care insurance (LTCI)s；pillover effects；gerontological social work；community-based practice

基金资助：National Natural Science Foundation of China (NSFC)（72304171）

文献来源：JOURNAL OF GERONTOLOGICAL SOCIAL WORK

WOS链接：https://webofscience.clarivate.cn/wos/alldb/full-record/WOS:001755042500001https://webofscience.clarivate.cn/wos/alldb/full-record/WOS:001755042500001