This study examines the evolving dynamics of socialization, re-familialization, individualization, and marketization of eldercare in post–Long-Term Care Insurance (LTCI) Japan. The analysis focuses on two dimensions: the allocation of primary caregiving roles within families and the utilization of institutional care services. Using data from the National Survey on Family in Japan (2003–2018), we analyzed dyads of elderly parents and parents-in-law requiring care, estimating logistic regression models for each survey year to compare changes in coefficients over time. The results revealed that, regarding primary caregiver roles, differences based on employment status have narrowed, while the association between parent–child relationship intimacy (measured by kinship type and knowledge of parental education as a proxy for relationship closeness) and caregiving responsibility has strengthened. With respect to institutional care, utilization was more likely when parent–child relationships were distant and less likely when the elderly parent had a surviving spouse. These findings indicate that family caregiving practices continue to undergo complex transformations under the LTCI system.
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