Evidence map›Paper›PMID 41877313›Full record

ArticleJournal of the American Geriatrics Society2026

Older Americans' Attitudes Toward Caregiving Cost Responsibility and Long-Term Care Access and Costs by Caregiver Status.

Sarah E Patterson, John Biziorek, Adriana Reyes, Erica Solway, Matthias Kirch, Dianne C Singer, Sydney N Strunk, Jeffrey T Kullgren, J Scott Roberts

Abstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Sarah E PattersonInstitute for Social Research, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0002-5040-7576
John BiziorekSchool of Medicine, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0009-0007-0175-2190
Adriana ReyesBrooks School of Public Policy, Cornell University, Ithaca, New York, USA.ORCID 0000-0002-4133-6825
Erica SolwayInstitute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, Michigan, USA.
Matthias KirchInstitute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, Michigan, USA.
Dianne C SingerInstitute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, Michigan, USA.
Sydney N StrunkInstitute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, Michigan, USA.
Jeffrey T KullgrenInstitute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0001-6269-5707
J Scott RobertsInstitute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0003-1083-8299

Funding

Caregiving, Complex Family and Kinship Ties, and Alzheimer's Disease and Related Dementias (ADRD)R00AG073473 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Sarah Elizabeth Patterson · 2024 to 2026
$742k
Caregiving, Complex Family and Kinship Ties, and Alzheimer's Disease and Related Dementias (ADRD)K99AG073473 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI PATTERSON, SARAH ELIZABETH · 2022 to 2023
$249k
AARP FoundationHealth Services Research and DevelopmentMichigan MedicineNIA NIH HHS K99 AG073473NIA NIH HHS K99AG073473NIA NIH HHS R00 AG073473NIA NIH HHS R00AG073473U.S. Department of Veterans AffairsVeterans Health Administration
6 · The paper itself

Abstract

backgroundRising numbers of older adults will intensify demand for unpaid care from family and friends (caregiving) and quality paid home, assisted living, or nursing home care (long-term care). With growing public desire for government support, it is important to explore older Americans (age ≥ 50) views, especially by caregiver status. PARTICIPANTS AND

settingData were collected from the February-March 2024 wave of the University of Michigan National Poll on Healthy Aging (NPHA), a nationally representative survey of community-dwelling U.S. adults age ≥ 50 (n = 3216).

methodsWe conducted a cross-sectional study using weighted regression models to examine older Americans' (1) views on who should primarily pay for caregiving (government, family/older adults, or others), (2) concerns about older adults in their community being able to access quality long-term care, and (3) concerns about long-term care costs. The key predictor was whether the respondent was a caregiver of an adult ≥ age 65.

resultsOpinions on who should primarily pay for caregiving were evenly split between government (45%) and older adults and their families (45%). Caregivers were less likely to favor older adults and their families bearing primary financial responsibility relative to the government (RRR 0.68, p < 0.01). Most older Americans were somewhat or very concerned about quality long-term care access (80%) and costs (88%), and caregivers were more likely to be concerned about both access (b = 1.73, p < 0.001) and costs (b = 1.44, p < 0.01) than noncaregivers.

conclusionsMost older Americans are concerned about access to long-term care and costs, yet remain divided on who primarily should pay for caregiving costs. Caregivers are both more concerned about long-term care access and more likely to support the government's primary responsibility for caregiving costs than noncaregivers. Policymakers should consider more options for access to affordable, high-quality long-term care, and financial supports for caregivers.

Indexed as

CaregiversHealth Services AccessibilityLong-Term CareAgedAged, 80 and overCross-Sectional StudiesFemaleHealth Care CostsHumansMaleMiddle AgedUnited Statesattitudescare costscaregivinglong‐term care

Identifiers

PMID41877313
PMCPMC13418664

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.