The Well-Being of Rural Elderly Surrounding Chinese Megacities: A Case Study of Xi'an, Shaanxi

Chinese rural elderly care services face challenges such as low levels of pensions and social security, as well as high proportions of the elderly living alone and those who are incapacitated and lack assistance. The rural elderly surrounding megacities have been more significantly impacted by urbanization (with relatives moving away to the megacities for jobs) than in other areas, so the well-being of this particular group deserves even more attention. However, existing major studies in China are mainly limited to those in need in specific regions, and there is little research on the well-being of special age groups. To fill the research gap, this study constructs an indicator system for the well-being assessment with five dimensions and explores the well-being of the rural elderly surrounding Xi'an and its obstacles using questionnaire data. The results indicate that (1) the well-being index of the rural elderly surrounding Xi'an in each dimension, in descending order, are medical health, spiritual fulfillment (the pursuit of the spiritual world of the elderly and their desire for a better life), quality of life, social relationships, and economic income status; (2) the comprehensive well-being of the rural elderly varies considerably in the northern counties and districts of Xi'an, and is relatively low in the south; and (3) spiritual fulfillment and medical health are the main obstacles to the improvement of well-being of the rural elderly surrounding Xi'an. Based on these findings, corresponding policy implications are proposed on the five dimensions of well-being, such as improving the rural social old-age insurance and medical insurance systems, providing old-age support for the families of the rural elderly, establishing a model of village old-age care, and promoting the rural habitation renovation, to provide guarantees for the improvement of the well-being of the rural elderly surrounding megacities.