时间标签：数据日期 2026-10-31 · 生成时间 2026-11-01 05:30（Asia/Shanghai）｜ 检索窗口 PubMed edat 2026/10/28–2026/10/31 ｜ 情报发生日期 2026-10-31
研究问题
However, demographic shifts and shrinking family sizes have weakened this traditional support system.；Evidence from China is also likely to shed light on potential outcomes in other middle-income countries with a similar cultural background or demographic challenges.；However, we observe limited changes in their mental health.
方法
CHARLS is a nationally representative panel survey of individuals aged 45 and older along with their spouses.；We used information from the survey question “Is your parent or parent-in-law (mother, father, mother-in-law, or father-in-law) still living?” to determine whether a parent was still alive.；Since LTCI eligibility requires care recipients to be 60 years or older, we include adult-child caregivers aged 40 and above and spousal caregivers aged 50 and above.；The age 40 cut-off for adult-child caregivers is needed because, although CHARLS officially surveys main respondents aged 45 and older, it does not apply the same restriction to their partners.
核心结论
The results indicate that LTCI leads to significant improvements in physical health for both groups.；By contrast, its effects on the CESD-10 depression score are limited, with the estimate for adult-child caregivers being the only one that is marginally significant at the 10% level.；Our hypothesis is that if the policy improved caregivers’ mental health by reducing caregiving burdens, it may also have reduced smoking and drinking and increased social participation. ‖ 结论：This highlights the need for long-term care policy design to account for heterogeneity in caregiving circumstances, particularly if the goal is to support not only physical health but also caregivers’ mental well-being.
局限
In addition, some studies, such as and , include controls for caregivers’ labour market status or the care recipient spouse’s ADL/IADL limitations.；Our heterogeneity analysis is consistent with this view.；The heterogeneity results also point to the importance of family resources and socioeconomic background.
对本项目的价值
★☆☆☆☆ 相关范围内，作为背景与横向对照收录。队列：CHARLS、China Health。
全文来源
PMC JATS 全文（正文 36,261 字符，已过标题/DOI 逐字归属校验）
原文题录
- 英文标题：Who benefits from long-term care insurance? Heterogeneous effects among spousal and adult-child caregivers in China.
- 期刊与标识：SSM Popul Health · PMID 42960236 · DOI 10.1016/j.ssmph.2026.101976
A 级证据分级：A 级（同行评议人体研究）
本文属人体研究证据，但需注意：观察性或小样本干预的结论不等于已证实临床获益；效应量与长期安全性仍需更大规模、更长随访的试验验证。
关于本文的文献来源：本站依据 IMA 知识库「五刊监控·深度文献卡片」撰写，依据已获取的期刊全文（方法、样本量与结论已回到原文核对）；未能获取全文的同批条目另行标注「摘要级」，全程未做任何数值推算补全。