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Factors associated with long-term care planning among older adults

Priscilla M Quinn, University of Nebraska - Lincoln


The purpose of the present study was to identify factors associated with long-term care planning in an effort to assist individuals in preparing for their long term care needs. Long-term care can take many forms (e.g., community-based services, assisted living, institutionalization, etc.), but regardless of how long-term care is implemented, as the U.S. senior population continues to age, the future care needs of older adults are certain to escalate.^ The present study was designed to answer two research questions: (1) what distinguishes those who plan for long-term care versus those who do not; and (2) what distinguishes those who intend to pay for it themselves versus those who will rely on public support?^ Survey data were collected from a stratified random sample of adults age 60 and over (n=651) in a six-county, greater Omaha, Nebraska, and Council Bluffs, Iowa metropolitan areas. The telephone survey was conducted by The MSR Group, a survey research firm in Omaha, Nebraska, and contained a question regarding long-term care planning, along with demographic and background items that could potentially explain variation among older adults in planning behavior. Based on a review of the extant literature, eleven potential explanatory variables were included in the model: age, marital status, gender, education, religious affiliation, religious attendance, income, subjective rating of overall health, current functional ability (ADLs/IADLs), awareness of availability of long-term care insurance and caregiver availability.^ Data were analyzed using nested logistic regression models. Findings indicated that those most likely to have a plan for long-term care were female, unmarried, with higher income, and aware of the availability of long-term care insurance. Only income was associated with taking responsibility for one’s own long-term care.^

Subject Area

Sociology, Theory and Methods|Gerontology

Recommended Citation

Quinn, Priscilla M, "Factors associated with long-term care planning among older adults" (2009). ETD collection for University of Nebraska - Lincoln. AAI3388975.