Economy & Policy

China's Elderly Outnumber Its Children for the First Time

China's elderly dependency ratio hit 23% last year, overtaking children at 22% for the first time. With 223 million people over 65, pension and healthcare spending is set to climb.

By Nathan Brooks

3 min read

China's families are now supporting more old people than kids
China's families are now supporting more old people than kidsChulho Choi / unsplash

What's News

  • China's elderly dependency ratio reached 23% in the latest data, overtaking children at 22% for the first time.
  • More than 223 million people in China are aged 65 and above — nearly 16% of the population — versus about 213 million children under 15.
  • Over 53 million elderly people were receiving senior citizen allowances and subsidies by the end of 2025.
  • The one-child policy, in force from 1980 to 2015, is estimated by Beijing to have prevented about 400 million births.
  • Support for older people was included in China's five-year economic blueprint announced earlier this year.

By Nathan Brooks

China's families are now supporting more elderly people than children for the first time, according to official government data. The ratio of dependent people aged 65 and over to the working-age population rose to 23% last year, overtaking the ratio for children, which stood at 22%.

The figures, released in the past week by China's National Bureau of Statistics, put hard numbers on a milestone economists have watched for years. There are now more than 223 million people in China aged 65 and above — nearly 16% of the total population — against about 213 million children aged 14 and under.

No official commentary accompanied the statistics. But Chinese state-controlled outlet Global Times wrote that the nation's "entry into a moderately ageing society" reflects a mix of factors, including the "size of past birth cohorts" and longer life expectancy.

What does this change for China's economy?

Plenty, according to the analysts weighing in. Professor Stuart Gietel-Basten of The Hong Kong University of Science and Technology called the shift "symbolic," and said it suggests more public spending will move from families and schools toward pensions and healthcare.

Mu Zheng, a sociology lecturer at the National University of Singapore, went further. She said the demographic shift could limit China's economic growth and people's spending power — a direct challenge to the country's ambitions.

For businesses, the Global Times flagged the flip side: opportunities in the so-called silver economy that caters to older consumers. It noted that many people entering old age now — those born between the 1950s and the 1970s — generally have higher incomes, stronger purchasing power and better health than previous generations.

How did China get here?

The numbers carry the long shadow of the one-child policy, in place from 1980 to the end of 2015. Beijing estimates the strategy prevented roughly 400 million births, though that figure has been contested.

The policy played a key role in shrinking the population, Mu said, and it means fewer younger people now support a growing number of elderly relatives. Rapid urbanisation compounded the effect.

Beijing has eased restrictions on family size, but it has struggled to persuade couples to have more children, with birth rates hitting historic lows. Mu pointed to changing gender roles, rising living costs and higher education levels as pressures on fertility.

The government has also leaned the other way — urging younger generations to marry and couples to have more children.

Where the money is going

Support for the elderly has already become a growing line in Chinese government spending. More than 53 million elderly people were receiving senior citizen allowances and subsidies by the end of 2025, according to official figures.

Beijing also folded further support for older people into its five-year economic blueprint announced earlier this year. The dependency numbers suggest that budget drift is structural, not cyclical.

Global Times quoted one researcher describing the crossover as something bigger: "It reflects a historical trend in demographic development rather than a short-term phenomenon."

A caveat on the metric itself

The dependency ratio is widely used to measure ageing populations, but some experts question whether it captures the full picture. Gietel-Basten said the statistics risk "taking agency away" from older people, many of whom he says have been misrepresented as dependants. He added that the measure also fails to account for improvements in healthcare.

For investors and executives watching the world's second-largest economy, the practical question is where consumer and state demand rotates next. If the analysts are right, the answer is pensions, healthcare and long-term care — at the expense of classrooms and family-oriented spending.

Original: data.stats.gov.cn

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News editor covering regulation, policy and their impact on entrepreneurship, startups and venture funding at Business Bearings.

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