A Study on the Relationship Between Regional Population Aging and Health Consumption: An Empirical Analysis Based on Provincial Panel Data

Authors

  • Zhuoyuan Chen Finance, Macroeconomics and Financial Markets, UNSW Business School and School of Economics, University of New South Wales, Sydney, New South Wales 2052, Australia

DOI:

https://doi.org/10.54097/3z9fqg14

Keywords:

Population Aging, Health Consumption, Provincial Panel Data, Social Security, Silver Economy

Abstract

As population aging continues to deepen in China, its impact on residents’ health consumption has become an important issue in public policy and health economics. Using a balanced panel dataset of 31 provincial-level administrative units in China’s mainland from 2012 to 2021, this study examines the relationship between regional population aging and residents’ health consumption under a two-way fixed-effects framework. All monetary variables are deflated to 2012-constant yuan using province-level CPI indices. The results show that population aging is significantly and positively associated with real per-capita health consumption. After controlling for economic development, urbanization, income, government health expenditure, and medical insurance coverage, a one-percentage-point increase in the share of the population aged 65 and above is associated with an increase of approximately 156.8 yuan in real per-capita health consumption. The result remains robust under alternative demographic measures, alternative dependent variables, and sub-sample estimation. The moderating effects of economic development and insurance coverage are not significant at the provincial level, while regional differences are evident, with the strongest association observed in the central region. These findings suggest that population aging should be incorporated into medium- and long-term health-resource planning, with greater attention given to regions facing faster aging and relatively constrained health-service capacity.

Downloads

Download data is not yet available.

References

[1] United Nations Population Fund. (2024). State of world population 2024: Interwoven lives, threads of hope: Ending inequalities in sexual and reproductive health and rights. UNFPA. DOI: https://doi.org/10.18356/9789213589526

[2] National Health Commission of the People’s Republic of China. (2022, October 26). 2021 bulletin on the development of national undertakings for the elderly. Chinese Government Website.

[3] Kim, D. H., Liu, P., & Lin, S. C. (2024). Population aging and saving: Evidence from China. Review of Development Economics, 28(4), 1494–1521. https://doi.org/10. 1111/ rode. 13111. DOI: https://doi.org/10.1111/rode.13111

[4] Shi, C. (2021). Economist Cheng Shi: Population aging affects household consumption. China Research Center on Aging.

[5] Zhang, Y., & Jin, X. T. (2010). Constraints on the consumption behavior of China’s elderly population. Academic Exchange, (10).

[6] Xi, C. X. (2025). Analysis of the influence of population aging on resident consumption. Statistics and Application, 14(06), 327–338. DOI: https://doi.org/10.12677/sa.2025.146171

[7] Gong, Z., Fang, J., & Hu, Y. (2026). Population aging, financial support, and household housing expenditure. Finance Research Letters, 87, 108991. https://doi.org/10.1016/j.frl.2025.108991. DOI: https://doi.org/10.1016/j.frl.2025.108991

[8] Tian, G., Jin, C., & Wu, W. (2024). Too old to spend? Understanding the consumption of the elderly in China. China Economic Review, 88, 102286. https://doi.org/ 10.1016/ j. chieco. 2024.102286. DOI: https://doi.org/10.1016/j.chieco.2024.102286

[9] Luo, S., Zhang, J., & Heffernan, M. (2024). Forecast of total health expenditure on China’s ageing population: A system dynamics model. BMC Health Services Research, 24(1), 1655. https://doi.org/10.1186/s12913-024-12113-6. DOI: https://doi.org/10.1186/s12913-024-12113-6

[10] Lopreite, M., & Zhu, Z. (2020). The effects of ageing population on health expenditure and economic growth in China: A Bayesian-VAR approach. Social Science & Medicine, 265, 113513. https://doi.org/10.1016/j.socscimed.2020.113513. DOI: https://doi.org/10.1016/j.socscimed.2020.113513

[11] Hu, B., & Wang, J. (2018). Unmet long-term care needs and depression: The double disadvantage of community-dwelling older people in rural China. Health & Social Care in the Community, 27(1), 126–138. https://doi.org/10. 1111/ hsc. 12630. DOI: https://doi.org/10.1111/hsc.12630

[12] Kim, S., Woo, S., Cui, Y., Yon, D. K., & Choi, M. (2024). Unmet community care needs among older adults in China: An observational study on influencing factors. BMC Geriatrics, 24(1), 719. https://doi.org/10.1186/s12877-024-05623-0. DOI: https://doi.org/10.1186/s12877-024-05318-1

[13] Dabphet, S. (2025). Japan’s aging society: Policy, lesson and the silver economy. PEOPLE: International Journal of Social Sciences, 312–326. DOI: https://doi.org/10.20319/icssh.2025.312326

[14] Jia, Y., Hu, M., Fu, H., & Yip, W. (2023). Provincial variations in catastrophic health expenditure and medical impoverishment in China: A nationwide population-based study. The Lancet Regional Health – Western Pacific, 31, 100633. https://doi.org/ 10. 1016/j.lanwpc.2023.100633. DOI: https://doi.org/10.1016/j.lanwpc.2022.100633

[15] Bai, C. E., & Wu, B. (2014). Health insurance and consumption: Evidence from China’s New Cooperative Medical Scheme. Journal of Comparative Economics, 42(2), 450–469. https://doi. org/ 10.1016/j.jce.2013.07.005. DOI: https://doi.org/10.1016/j.jce.2013.07.005

[16] Hu, L., & Glavin, Y. F. W. (2023). Integrating health and care for older people in China: What has been accomplished? What is next? International Journal of Integrated Care, 23(1), 16. https:// doi.org/10.5334/ijic.7598. DOI: https://doi.org/10.5334/ijic.7598

Downloads

Published

23-09-2026

Issue

Section

Articles