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Rural-Urban Migration and the Health of Left-Behind Older Adults
Tess Stafford1, Xiaoyun Zhang2, Katja Hanewald3
1School of Economics, UNSW Sydney, Sydney, Australia.
Health Economics
|July 25, 2026
Summary
Rural-urban migration in China negatively impacts the health of older adults left behind. This study examines the effects of migration on physical, cognitive, and emotional well-being in rural communities.
Area of Science:
- Sociology
- Gerontology
- Public Health
Background:
- China faces significant rural-urban migration and population aging.
- The "sent-down youth" program created lasting rural-urban social ties.
- Understanding migration's impact on rural elders is crucial.
Purpose of the Study:
- To investigate the causal effect of rural-urban migration on the well-being of older adults remaining in rural China.
- To analyze the impact on physical, cognitive, and emotional health outcomes.
Main Methods:
- Utilized the "sent-down youth" program to establish exogenous variation in migration rates.
- Employed an instrumental variables framework to identify causal effects.
- Focused on older adults residing in rural communities.
Main Results:
- Rural-urban migration was found to negatively affect the health of older adults remaining in rural areas.
- Detrimental effects were observed across physical, cognitive, and emotional health domains.
Conclusions:
- Rural-urban migration exacerbates health challenges for the elderly population left in rural China.
- Policy interventions may be needed to mitigate negative health consequences for this demographic.
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