移民执法与美国老年人的机构化

Immigration enforcement and the institutionalization of elderly Americans

Journal of Health Economics · 2024
被引 4
人大 AABS 3

中文导读

利用美国2008至2014年各郡逐步实施“安全社区”移民执法项目,发现该政策使65岁以上老年人入住养老机构的概率提高0.26个百分点(6.8%),主要机制是家政服务市场供给冲击。

Abstract

This paper examines the relationship between immigration enforcement and institutionalization rates of the elderly. Exploiting the staggered implementation of the Secure Communities (SC) immigration enforcement program across U.S. counties from 2008 through 2014, we show that SC led to a 0.26 percentage points (6.8 percent) increase in the likelihood that Americans aged 65 and above live in an institution. Supportive of supply shocks in the household services market as a central mechanism, we find that the elderly who are most likely to purchase domestic worker services are also the most likely to move into nursing homes following the implementation of SC. Additionally, we find suggestive evidence of significant reductions in the work hours of housekeepers, personal care aides, and home health workers hinting at the critical role of negative supply shocks in occupations that facilitate aging in community.

移民执法老年人机构化家庭服务供给冲击社区养老替代