Current Status of Old Housing for Low-Income Elderly Households in Seoul and Green Remodeling Support Plan: Economic Analysis Considering the Social Cost of Green Remodeling

In this study, the economic feasibility of green remodeling (GR), which could improve the health, safety, and energy of elderly households considering social cost, was analyzed. As a result, the net present value of GR was ‘−10,267 USD (49.7%)’, which was found to be uneconomical compared to the total construction cost (20,981 USD, 100%) despite benefits of energy saving, carbon reduction, and air pollutant reduction. Based on this result, in order to expand GR for low-income elderly households, who cannot afford to perform GR, a GR support measure linked to the currently implemented energy conversion and old-age housing support policies was proposed. It allows the government to perform GR for low-income elderly households with 1/4 of the total construction cost. This result could revitalize GR to reduce greenhouse gas and contribute to housing stability for low-income elderly households who are vulnerable to COVID-19 and climate change.

Impact of the rise of solo living and an ageing population on residential energy consumption in South Korea

Demographic changes have a profound impact on residential energy consumption. The number of single-person households is rapidly increasing around the world and the percentages of elderly individuals in the populations of almost all countries are expanding. The objective of our research was to analyze how single-person households and elderly households impact residential energy intensity, defined as annual residential energy consumption per capita per unit of finished area of the household’s house, and how those impacts interact with each other using South Korea as a case study. Our findings suggest that the rise of solo living and an ageing population have overlapping effects on energy consumption and threaten future improvements in residential energy intensity. Specifically, an increase of single-person households results in a decline in energy intensity regardless of whether the household is elderly or non-elderly and the effect of an increase in elderly households on energy intensity depends on whether the household is single- or multiple-person. Given the similar average size of finished area for single-person households, the difference in per unit energy consumption between elderly versus non-elderly households likely comes from behavioral differences such as a greater use of energy-intensive appliances by non-elderly households than elderly households. However, for multiple-person households, the effect of such behavioral differences seems to be dominated by the effect of a house’s shared amenities. The common space and energy-consuming amenities of a house are shared by more individuals in non-elderly households, leading to more intensive energy consumption by non-elderly multiple-person households than by elderly multiple-person households.

Measurement and determinants of catastrophic health expenditure among elderly households in China using longitudinal data from the CHARLS

Background Catastrophic health expenditure (CHE) among the Chinese elderly warrants attention. However, the incidence, intensity and determinants of CHE have not been fully investigated. This study explores the incidence, intensity and determinants of CHE among elderly Chinese citizens, i.e., those aged 60 years or older. Methods Data were obtained from three waves of the China Health and Retirement Longitudinal Study (CHARLS): 2011, 2013 and 2015. The cut-off points used in this study for CHE were 10% of the total expenditures and 40% of non-food expenditure. Under the guidance of Andersen’s model of health services utilization, this study used logistic regression analysis to explore the determinants of CHE. Results The incidence of CHE defined as more than 40% of non-food expenditure rose over the study period, 2011–2015, from 20.86% (95% CI: 19.35 to 22.37%) to 31.00% (95% CI: 29.28 to 32.72%). The intensity of CHE also increased. The overshoot (O) based on non-food expenditure rose from 3.12% (95% CI: 2.71 to 3.53%) to 8.75% (95% CI: 8.14 to 9.36%), while the mean positive overshoot (MPO) rose from 14.96% (95% CI: 12.99 to 16.92%) to 28.23% (95% CI: 26.26 to 30.19%). Thus, the problem of CEH was even more serious in 2015 than in 2011. Logistic regression revealed that households were more likely to face CHE if they had a spouse as a household member, reported an inpatient event in the last year, reported an outpatient visit in the last month, were disabled, were members of a poor expenditure quartile, lived in the middle and western zones or resided in an urban area. In contrast, CEH was not significantly affected by respondents being older than 75 years or having a chronic health condition, by household size or by insurance type. Conclusions Key policy recommendations include the gradual improvement of medical assistance and the expansion of the use of health insurance to reduce household liability for health expenditures.