Publication Type

Master Thesis

Version

publishedVersion

Publication Date

5-2025

Abstract

This study investigates the causal impact of relocating from single-story to multistory buildings on the health outcomes of elderly residents in China. Using China’s Poverty Alleviation Relocation (PAR) program as an exogenous policy shock, we employ instrumental variable and difference-in-differences approaches to establish causality. Our analysis of data from the China Health and Retirement Longitudinal Study (2011-2018) reveals a nuanced relationship between vertical living and elderly health. While relocation to multi-story buildings is associated with deterioration in self-reported physical health status, it significantly improves mental health conditions and life satisfaction among elderly movers. We identify two key mechanisms driving these divergent outcomes: decreased physical activity following relocation, which explains reduced physical health satisfaction, and substantially improved housing facilities and infrastructure, which contribute to enhanced mental well-being. These findings highlight important trade-offs in residential relocation programs and pro- vide valuable insights for urban planning and public health policies targeting aging populations in rapidly urbanizing regions. Our research contributes to the literature by establishing causal relationships between housing structure transitions and multidimensional health outcomes for elderly residents, offering evidence-based recommendations for optimizing relocation initiatives to better serve vulnerable older populations.

Keywords

Multi-story building, Health status, Movement, Elderly people

Degree Awarded

Master of Philosophy in Econ

Discipline

Health Economics

Supervisor(s)

LI, Jing

First Page

1

Last Page

37

Publisher

Singapore Management University

City or Country

Singapore

Copyright Owner and License

Author

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