Based on the complementary model of support use, we investigated older adults' preferences for short-term and long-term future care needs in a U.S. and a German sample (65+ years). A greater preference for the exclusive use of informal support and for mixed support (a combination of informal and formal support) was found with regard to short-term care needs whereas a greater preference for the exclusive use of formal support was reported for long-term care needs. German seniors were more likely than U.S. seniors to report a preference for informal support. U.S. seniors, however, were more likely than German seniors to prefer mixed support. Being male, and having more contact with relatives predicted stronger preferences for informal and mixed support. In addition, age, the number of adult children, previous receipt of support, education, and income were associated with preferences for future support.
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References
1.
AspinwallL., & TaylorS. (1997). A stitch in time: Self-regulation and proactive coping. Psychological Bulletin, 121, 417–436.
2.
BrodyE. M.JohnsonP. T., & FulcomerM. C. (1984). What should adult children do for elderly parents? Opinions and preferences of three generations of women. Journal of Gerontology, 39, 736–746.
3.
CantorM. H. (1979). Neighbors and friends: An overlooked resource in the informal support system. Research on Aging, 1, 434–463.
4.
CantorM. H. (1991). Family and community, changing roles in an aging society. The Gerontologist, 31, 337–346.
5.
ChapleskiE. E. (1989). Determinants of knowledge of services to the elderly: Are strong ties enabling or inhibiting. The Gerontologist, 29, 539–545.
6.
ChappellE. (1996). Die Bestimmung des Umfangs der Pflegebedürftigkeit nach dem Pflegeversicherungsgesetz im interdisziplinären Vergleich [Assessment of the level of care needs based on the long-term-care insurance]. Zeitschrift für Gerontologie und Geriatrie, 29, 418–425.
7.
ChappellN. L. (1985). Social support and the receipt of home care services. The Gerontologist, 25, 47–54.
8.
ChappellN. L., & BlanfordA. (1991). Informal and formal care: Exploring the complementarity. Ageing and Society, 2, 299–317.
9.
CoultonC.DunkleR. E.GoodeR., & MackintoshJ. (1982). Discharge planning and decision making. Health and Social Work, 7, 253–261.
10.
DaatlandS. O. (1990). What are families for? On family solidarity and preferences for help. Ageing and Society, 10, 1–5.
11.
DegenholtzH. B.KaneR. A.KaneR. L., & FinchM. D. (1999). Long-term care case managers' out-of-home placement decisions: An application of hierarchical logistic regression. Research on Aging, 21, 240–274.
12.
DonoJ. E.FalbeC. M.KailB. L.LitwakE.ShermanR. H., & SiegelD. (1979). Primary groups in old age: Structure and function. Research on Aging, 1, 403–433.
13.
EdelmanP., & HughesS. P. (1990). The impact of community care to the homebound elderly on provision of informal care. Journal of Gerontology, Social Sciences, 45, S574–584.
14.
GelfandD. E. (1988). Directions and trends in aging services: A German-American comparison. International Journal of Aging and Human Development, 27, 57–68.
15.
GelwicksL. E., & DwightM. B. (1982). Programming for alternative and future models. In ChellisR. D.SeagleJ. F., & SeagleB. M. (Eds.), Congregate housing for older people: A solution for the 1980s (pp. 69–87). Lexington, MA: Lexington Books.
16.
GolombokS., & FivushR. (1994). Gender development.New York: Cambridge University Press.
17.
GreeneV. L. (1983). Substitution between formally and informally provided care for the impaired elderly in the community. Medical Care, 21, 609–619.
18.
GrogerL. (1994). Decision as process: A conceptual model of Black elders' nursing home placement. Journal of Aging Studies, 8, 77–94.
19.
HamonR. R., & BliesznerR. (1990). Filial responsibility expectations among adult child-older parent peers. Journal of Gerontology, 45, P110–112.
20.
HobbsF. B., & DamonB. L. (1996). 65+ in the United States.Washington, D.C.: U.S. Government Printing Office.
21.
LawtonM. P., & BrodyE. M. (1969). Assessment of older people: Self-maintaining and instrumental activities of daily living. The Gerontologist, 9, 179–186.
22.
LitwakE. (1985). Helping the elderly: The complementary roles of informal networks and formal systems.New York: Guilford.
23.
MahoneyF. I., & BarthelD. W. (1965). Functional evaluation: The Barthel Index. Maryland Medical Journal, 14, 61–65.
24.
MaloneyS. K.FinnJ.BloomD., & AndresenJ. (1996). Personal decision making styles and long-term care choices. Health Care Financing Review, 18, 141–156.
25.
McAuleyW. J., & BliesznerR. (1985). Selection of long-term care arrangements by community residents. The Gerontologist, 25, 188–193.
26.
McCulloghL. B.WilsonN.TeasdaleT. A.KolpakchiA. L., & SkellyJ. R. (1993). Mapping personal, familial, and professional values in long-term care decisions. The Gerontologist, 33, 324–332.
27.
MolinariV., & Hartman-SteinP. (2000). Psychologists in long-term care: Overview of practice and public policy: Introduction to the special series. Clinical Psychology: Science and Practice, 7, 312–316.
28.
MontgomeryR. J. V. (1992). Gender differences in patterns of child-parent caregiving relationships. In DwyerJ. W. & CowardR. (Eds.), Gender, families, and elder care (pp. 65–83). Newbury Park, CA: Sage.
29.
PeekM. K.CowardR. T.PeekC. W. & LeeG. R. (1998). Are expectations for care related to the receipt of care? An analysis of parent care among disabled elders. Journal of Gerontology, Social Sciences, 53B, S127–136.
30.
PinquartM., & SörensenS. (2000). Entwicklung eines Fragebogens zur Vorbereitung von Senioren auf einen zukünftigen Hilfs- und Pflegebedarf (FVP): Skalenkonstruktion und teststatistische Überprüfung [Development of a questionnaire about preparation for future care needs: Scale construction and psychometric properties]. Diagnostica, 46, 130–139.
31.
PinquartM., & SörensenS. (in press). Advantages and disadvantages of planning ahead for future care needs: Views of Canadian, German, and U.S. women. Health Care for Women International.
32.
ReinardyJ. R. (1992). Decisional control in moving to a nursing home: Postadmission adjustment and well-being. The Gerontologist, 32, 96–103.
33.
SchneeklothU., & PotthoffP. (1994). Hilfe- und Pflegebedürftige in privaten Haushalten [Community-dwelling persons in need of support and care]. Stuttgart, Germany: Kohlhammer.
34.
SchwitzerK. P., & WinklerG. (1993). Alternreport 1992. Zur sozialen Lage und Lebensweise älterer Menschen in den neuen Bundesländern [Seniors' report 1992. Social situation and lifestyle of older adults in Eastern Germany]. Berlin, Germany: Morgenbuch.
35.
SeelbachW. C. (1977). Gender differences in expectations for filial responsibility. Gerontologist, 17, 421–425.
36.
ShellenbargerS. (1994, November 9). With elder care comes a professional and personal crisis. The Wall Street Journal, p. B1.
37.
SörensenS., & PinquartM. (2000). Vulnerability and access to resources as predictors of preparation for future care needs in the elderly. Journal of Aging and Health, 12, 275–300.
38.
SörensenS., & PinquartM. (2001). Developing a measure of older adults' preparation for future care needs. International Journal of Aging and Human Development, 53, 137–165.
39.
State of Utah Economics and Demographic Research (1998). Population projections by five year age groups [online]. Available: http://www.qget.state.ut.us.
40.
Statistisches Bundesamt (1999). Statistisches Jahrbuch für die Bundesrepublik Deutschland [Statistical Yearbook of Germany]. Stuttgart: Melzer-Poeschel.
41.
StollerE. P. (1982). Sources of support for the elderly during illness. Health and Social Work, 7, 111–122.
42.
StollerE. P., & PugliesiK. L. (1988). Informal networks of community based elderly. Research on Aging, 10, 499–516.
43.
StoneR.CafferataG. L., & SanglJ. (1987). Caregivers of the frail elderly: A national profile. The Gerontologist, 27, 616–626.
44.
U.S. Bureau of the Census (1999). Statistical abstract of the United States [online]. Available: http://www.census.gov.statab.
45.
van MeterM. K., & JohnsonP. (1985). Family decision making and long term care for the elderly: Part II: A review. Journal of Religion and Aging, 1, 59–72.
46.
WellsY., & OverR. (1994). Willingness to provide spousal care if needed in the future. Australian Journal of Marriage and Family, 15, 76–85.
47.
WielinkG.HuijsmanR., & McDonellJ. (1997). Preferences for care: A study of the elders living independently in the Netherlands. Research on Aging, 19, 194–218.
48.
WienerJ. M., & IllstonL. H. (1996). The financing and organization of health care for older Americans. In BinstockR. H. & GeorgeL. K. (Eds.), Handbook of aging and the social sciences (4th ed., pp. 427–445). San Diego, CA: Academic Press.
49.
WisterA. V. (1992). Residential attitudes and knowledge, use, and future use of home support agencies. Journal of Applied Gerontology, 11, 84–100.
50.
YuJ., & CooperH. (1983). A quantitative review of research design effects on response rates to questionnaires. Journal of Marketing Research, 20, 36–44.
51.
ZaritS. H., & PearlinL. I. (1993). Family caregiving: Integrating informal and formal systems for care. In ZaritS. H.PearlinL. I., & SchaieK. W. (Eds.), Caregiving systems: Informal and formal helpers (pp. 303–316). Hillsdale, NJ: Erlbaum.
