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Effects of Changes in Household Structure and Living Arrangements on Future Home-Based Care Costs for Disabled Elders in the United States

In: Household and Living Arrangement Projections

Author

Listed:
  • Yi Zeng

    (Duke University, Center for Study of Aging and Human Development Medical School
    Peking University, National School of Development Center for Healthy Aging and Development Studies)

  • Kenneth C. Land

    (Duke University, Department of Sociology and Center for Population Health and Aging Population Research Institute)

  • Danan Gu

    (United Nations, Population Division)

  • Zhenglian Wang

    (Duke University, Center for Population Health and Aging Population Research Institute
    Household and Consumption Forecasting, Inc.)

Abstract

In this chapter, we projected numbers of activities-of-daily-living disabled elderly and yearly payments and workdays of home-based care for them by age, gender, race, and living arrangements from 2010 to 2050 for the United States (with low, medium, and high scenarios). The chapter focused on how changes in household structure and living arrangements may affect future home-based care costs for disabled elders based on census micro datasets, the National Long Term Care Survey data and the ProFamy extended cohort-component method. The results showed a remarkable acceleration in numbers of disabled elderly aged 65+ after 2020 with a much faster increase in disabled oldest-old aged 80+, such that after 2030 they outnumber the disabled young-old aged 65–79. Increases in yearly workdays and payments of home-based care for disabled elders will dramatically accelerate after 2020, especially for the disabled oldest-old. We also discussed similarities and differentials across racial groups and genders and the policy implications of future trends in home-based care needs and costs for disabled elderly.

Suggested Citation

  • Yi Zeng & Kenneth C. Land & Danan Gu & Zhenglian Wang, 2014. "Effects of Changes in Household Structure and Living Arrangements on Future Home-Based Care Costs for Disabled Elders in the United States," The Springer Series on Demographic Methods and Population Analysis, in: Household and Living Arrangement Projections, edition 127, chapter 0, pages 167-188, Springer.
    • Handle: RePEc:spr:ssdmcp:978-90-481-8906-9_10
    DOI: 10.1007/978-90-481-8906-9_10
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