Xianhua Zai
Biographic Data
| ID | 6103483 |
|---|---|
| NAME | Xianhua Zai |
| GIVEN NAMES | Xianhua |
| FAMILY NAME | Zai |
| SIGNATURE | ZAI X |
| AFFILIATIONS | University of Helsinki |
| ORCID | 0000-0001-7585-6071 |
| VERIFIED | Yes |
| TOTAL WORKS | 8 |
| TOTAL CITATIONS | 10 |
| WORKS AS AUTHOR | 8 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2020 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 2 |
Formal long-term care expansions and their ripple effects on family care, health, and work
Populations worldwide are aging, intensifying the challenge of meeting long-term care (LTC) needs. While formal LTC programs aim to address this demand, less is known about how they interact with informal caregiving and affect caregiver health and labor outcomes. This paper exploits the staggered expansion of Medicaid Home and Community-Based Services (HCBS) waivers across U.S. states to examine these effects. Using data from 1998 to 2018 with ap…
Evaluating the impact of long-term care insurance reform on health-related quality of life and inequality among older adults in China
Less is known about whether and to what extent Long-Term Care Insurance (LTCI) promotes the Health-Related Quality of Life (HRQoL) of older individuals, a vital health outcome for healthy aging. This study utilizes longitudinal data from CHARLS and employs the widely-used EQ-5D-3L method to measure HRQoL. Using the LTCI pilot-which has been implemented in a staggered manner since 2012-as a quasi-experiment, we apply a difference-in-differences ap…
Assessing the impact of public insurance on healthcare utilization and mortality
We investigate the effects of a significant health insurance expansion in rural China known as the New Cooperative Medical Scheme (NCMS). Our analysis is based on a nationwide dataset spanning from 2004 to 2011. We find that the NCMS effectively increases healthcare utilization, particularly inpatient admissions, and reduces the incidence for infectious diseases. In addition to the increased healthcare utilization, the reduction in the incidence …
Beyond the brink
This paper examines the long-standing and severe public health crisis, the opioid epidemic in the United States, which has been worsening since the mid-1990s. In contrast to previous research, it investigates the broader impacts of this epidemic, particularly on family members and healthcare systems. Using a comprehensive dataset spanning from 1998 to 2010, the study analyzes opioid use at the three-digit ZIP code level, utilizing data from the D…
Evaluating the health outcomes of aging in place
The Medicaid Aging Waiver program (MAW) subsidizes the cost of long-term care (LTC) at home or in communities to satisfy older people's increasing desire to age in place. The MAW program might be health improving for older people by allowing them to age at home. However, less quality and quantity of home-based care comparing to nursing home care could offset some of the potential benefits. I use policy expenditure across states over time linked w…
The Unseen Shift
These findings highlight the program's potential to reshape caregiving dynamics, suggesting the need for policies that balance promoting private insurance uptake with the implications for family caregiving roles. Policymakers should consider both the economic benefits and the social shifts induced by such programs in the long-term care landscape
Are the grandparents alright? The health consequences of grandparental childcare provision
This paper examines the causal effect of childcare provision on grandparents’ health in the United States. We use the sex ratio among older adults’ children as an instrument for grandparental childcare provision. Our instrument exploits that parents of daughters transition to grandparenthood earlier and invest more in their grandchildren than parents of sons. We estimate 2SLS regressions using data from the Health and Retirement Study. The result…
Valuing primary schools in urban China
Valuing primary schools in urban China
Are the grandparents alright? The health consequences of grandparental childcare provision
This paper examines the causal effect of childcare provision on grandparents’ health in the United States. We use the sex ratio among older adults’ children as an instrument for grandparental childcare provision. Our instrument exploits that parents of daughters transition to grandparenthood earlier and invest more in their grandchildren than parents of sons. We estimate 2SLS regressions using data from the Health and Retirement Study. The result…
Valuing primary schools in urban China
Assessing the impact of public insurance on healthcare utilization and mortality
We investigate the effects of a significant health insurance expansion in rural China known as the New Cooperative Medical Scheme (NCMS). Our analysis is based on a nationwide dataset spanning from 2004 to 2011. We find that the NCMS effectively increases healthcare utilization, particularly inpatient admissions, and reduces the incidence for infectious diseases. In addition to the increased healthcare utilization, the reduction in the incidence …
Beyond the brink
This paper examines the long-standing and severe public health crisis, the opioid epidemic in the United States, which has been worsening since the mid-1990s. In contrast to previous research, it investigates the broader impacts of this epidemic, particularly on family members and healthcare systems. Using a comprehensive dataset spanning from 1998 to 2010, the study analyzes opioid use at the three-digit ZIP code level, utilizing data from the D…
Evaluating the health outcomes of aging in place
The Medicaid Aging Waiver program (MAW) subsidizes the cost of long-term care (LTC) at home or in communities to satisfy older people's increasing desire to age in place. The MAW program might be health improving for older people by allowing them to age at home. However, less quality and quantity of home-based care comparing to nursing home care could offset some of the potential benefits. I use policy expenditure across states over time linked w…
The Unseen Shift
These findings highlight the program's potential to reshape caregiving dynamics, suggesting the need for policies that balance promoting private insurance uptake with the implications for family caregiving roles. Policymakers should consider both the economic benefits and the social shifts induced by such programs in the long-term care landscape
Are the grandparents alright? The health consequences of grandparental childcare provision
This paper examines the causal effect of childcare provision on grandparents’ health in the United States. We use the sex ratio among older adults’ children as an instrument for grandparental childcare provision. Our instrument exploits that parents of daughters transition to grandparenthood earlier and invest more in their grandchildren than parents of sons. We estimate 2SLS regressions using data from the Health and Retirement Study. The result…
Evaluating the impact of long-term care insurance reform on health-related quality of life and inequality among older adults in China
Less is known about whether and to what extent Long-Term Care Insurance (LTCI) promotes the Health-Related Quality of Life (HRQoL) of older individuals, a vital health outcome for healthy aging. This study utilizes longitudinal data from CHARLS and employs the widely-used EQ-5D-3L method to measure HRQoL. Using the LTCI pilot-which has been implemented in a staggered manner since 2012-as a quasi-experiment, we apply a difference-in-differences ap…
Formal long-term care expansions and their ripple effects on family care, health, and work
Populations worldwide are aging, intensifying the challenge of meeting long-term care (LTC) needs. While formal LTC programs aim to address this demand, less is known about how they interact with informal caregiving and affect caregiver health and labor outcomes. This paper exploits the staggered expansion of Medicaid Home and Community-Based Services (HCBS) waivers across U.S. states to examine these effects. Using data from 1998 to 2018 with ap…
Medicine (6 works) · Economics (5 works) · Nursing (5 works) · Demographic economics (4 works) · Economic growth (4 works) · Gerontology (4 works) · Health care (4 works) · Intergenerational Family Dynamics and Caregiving (4 works) · Actuarial science (3 works) · Business (3 works)