LU study finds as many as 14% eligible Hong Kong older adults do not claim cash welfare subsidies

25 May 2021

A recent survey conducted by Lingnan University (LU) and the Education University of Hong Kong (EdUHK) finds that 11 to 14 per cent of older adults eligible for the current three cash welfare subsidies do not claim them, mainly because of the complexity of application procedures, high transaction costs and perceived stigma. The research team suggests the Government should reduce administrative burdens, and re-brand welfare subsidies for older adults.

 

The survey was conducted between January and September 2020 by a LU and EdUHK research team which examined the rate of non take-up of three means-tested welfare schemes: Old-age Comprehensive Social Security Assistance (Old-age CSSA), Higher Old Age Living Allowance (Higher OALA) and Normal Old Age Living Allowance (Normal OALA).

 

A total of 3,299 Hong Kongers aged 65 and above were randomly selected for face-to-face interviews: those eligible for Old-age CSSA (1,094), those eligible for Higher OALA but ineligible for Old-age CSSA (1,106), and those eligible for Normal OALA but not for Higher OALA (1,099).

 

Results showed that between 11 and 14 per cent of Hong Kong’s older adults who meet all eligibility requirements for the three welfare programmes’ full cash payments do not claim them. (Table 1)

 

The most common reason why the elderly do not claim government subsidies for Old-age CSSA and Higher OALA is the high perceived transaction costs, i.e. the time and effort spent in the claiming process itself, filling in forms, documentation, etc. Respondents who perceive the application procedure as complex, the benefits to be insufficient, and who were concerned about information costs, i.e. the time and effort needed to find information about the benefits, are likely not to claim. Participants perceiving personal stigma or stigmatisation by the public in receiving benefits are also likely not to claim. (Figures 1 and 2).

 

Among those eligible who had not claimed Normal OALA, transaction costs were again the strongest predictor of non take-up. In contrast, the perceived insufficiency of the benefit, information costs, personal stigma, and stigmatisation by the public were not significantly associated with the decision to apply for Normal OALA (Figure 3).

 

Eligible participants with chronic illnesses were less likely to claim all three types of welfare programmes’ full cash payments.

 

Prof Stefan Kühner, Associate Professor of Department of Sociology and Social Policy of LU, said that if the HKSAR Government wishes to maximise the take-up rates of welfare subsidies for Hong Kong’s older adults so as to reduce poverty in old age, it should adopt policies and measures to simplify the administrative procedures of the existing cash benefit programmes. For example, auto-enrollment without having to make a new application, simpler forms, online information and application systems with phone interviews and mailing verification documents may help. “For psychological cost,” he said, “the Government should rebrand welfare subsidies for older adults to minimise the perceived stigma and improve the public image of these programmes. It should also review the amount of benefits and asset limits, and raise awareness among eligibility caseworkers in the Social Welfare Department. ”

 

 

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Table 1. Welfare take-up and non take-up rates of study participants

 

N

%

95% Confidence Interval

Participants eligible for Old-age CSSA

1,094

 

 

Take-up

950

86.8%

(84.7%, 89.0%)

Non take-up

144

13.2%

 

Participants eligible for Higher OALA, but not Old-age CSSA

1,106

 

 

Take-up

991

89.2%

(87.7%, 91.5%)

Non take-up

115

10.8%

 

Participants eligible for Normal OALA, but not Higher OALA

1,099

 

 

Take-up

947

86.2%

(84.0%, 88.4%)

Non take-up

152

13.8%

 

 

Figure 1. Odds ratios and confidence intervals of non take-up of Old-age CSSA

Figure 1

Dependent variable: 0=take-up; 1=non-take-up. ADL = Activities of Daily Living, Significance levels: * p < 0.05, ** p < 0.01, *** p < 0.001.

                                                                                                      

 

Figure 2. Odds ratios and confidence intervals of non take-up of Higher OALA

Figure 2

Dependent variable: 0=take-up; 1=non-take-up. ADL = Activities of Daily Living, Significance levels: * p < 0.05, ** p < 0.01, *** p < 0.001.

 

 

 

Figure 3. Odds ratios and confidence intervals of non take-up of Normal OALA

Figure 3

Dependent variable: 0=take-up; 1=non-take-up. ADL = Activities of Daily Living, Significance levels: * p < 0.05, ** p < 0.01, *** p < 0.001.