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China’s Families Now Care for More Elderly Than Children

China’s families now care for more elderly than children, hinting at a looming shift in pensions, healthcare and the silver economy.

Source: bbc.co.uk2 min read

In brief

Data released last week shows China’s elderly dependency ratio surpassed that of children for the first time, with 23% of the population aged 65+ compared to 22% of those under 14. The trend follows years of declining birth rates and the legacy of the one‑child policy, tightening the country’s workforce and stressing pension, healthcare and long‑term care systems. Officials warn the shift could curtail economic growth while opening opportunities in the silver economy. Analysts predict that the demographic swing will require a realignment of public spending from families to state‑run social security programs.


Elderly residents taste longevity noodles while volunteers accompany them
Elderly residents taste longevity noodles while volunteers accompany them at a community care centre during the Double Ninth Festival.

For the first time, Chinese families are supporting more elderly people than children, the government announced after publishing new demographic statistics last week.

Official figures released by the National Bureau of Statistics show the dependent elderly population rose to 23% of the working‑age cohort, surpassing the 22% share held by children aged 14 or younger.

The shift signals a deeper demographic transition that could strain China’s pension, healthcare and long‑term care systems, and could also shift economic growth patterns, analysts warn.

Since the one‑child policy was lifted in 2015, the state has urged couples to marry and have more children, but birth rates remain at historic lows. In 2025, only about 213 million children were under 14, whereas the 65+ age group numbered more than 223 million, representing nearly 16% of the population.

To mitigate the financial pressure on families, Beijing allocated more than 53 million elderly people with senior citizen allowances and subsidies by the end of 2025. The policy is part of the five‑year economic blueprint released earlier this year.

"It reflects a long‑term trend rather than a short‑term perturbation," said Professor Stuart Gietel‑Basten of the Hong Kong University of Science and Technology. He added that the reliance on a simple dependency ratio can obscure the actual agency of older citizens and neglect recent advances in healthcare.

Meanwhile, the silver economy is poised for growth. With higher incomes and greater purchasing power, older generations from the 1950s to the 1970s represent a lucrative market for goods and services tailored for senior consumers.

Mu Zheng of the National University of Singapore cautioned that the demographic swing could limit growth potential and erode people’s spending power.

See also: China’s birth rate hits record low as population continues to shrink | Condom tax and cheaper childcare: China’s plan to boost birth rates


A woman in a golden vest holds a baby during a sunrise walk
Birth rates in China have been falling for years now.

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