{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T01:58:26Z","timestamp":1785463106123,"version":"3.56.0"},"reference-count":21,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T00:00:00Z","timestamp":1774310400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T00:00:00Z","timestamp":1774310400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100031234","name":"Michigan Medicine, University of Michigan","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100031234","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009444","name":"AARP Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009444","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["K99AG073473"],"award-info":[{"award-number":["K99AG073473"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R00AG073473"],"award-info":[{"award-number":["R00AG073473"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000738","name":"U.S. Department of Veterans Affairs","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000738","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007217","name":"Health Services Research and Development","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007217","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Rising 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\u2010term care). With growing public desire for government support, it is important to explore older Americans (age\u2009\u2265\u200950) views, especially by caregiver status.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants and Setting<\/jats:title>\n                    <jats:p>\n                      Data were collected from the February\u2013March 2024 wave of the University of Michigan National Poll on Healthy Aging (NPHA), a nationally representative survey of community\u2010dwelling U.S. adults age\u2009\u2265\u200950 (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20093216).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a cross\u2010sectional 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\u2010term care, and (3) concerns about long\u2010term care costs. The key predictor was whether the respondent was a caregiver of an adult \u2265 age 65.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Opinions 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,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01). Most older Americans were somewhat or very concerned about quality long\u2010term care access (80%) and costs (88%), and caregivers were more likely to be concerned about both access (\n                      <jats:italic>b<\/jats:italic>\n                      \u2009=\u20091.73,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and costs (\n                      <jats:italic>b<\/jats:italic>\n                      \u2009=\u20091.44,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01) than noncaregivers.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Most older Americans are concerned about access to long\u2010term care and costs, yet remain divided on who primarily should pay for caregiving costs. Caregivers are both more concerned about long\u2010term 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\u2010quality long\u2010term care, and financial supports for caregivers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.70385","type":"journal-article","created":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T04:50:46Z","timestamp":1774414246000},"page":"2050-2058","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Older Americans' Attitudes Toward Caregiving Cost Responsibility and Long\u2010Term Care Access and Costs by Caregiver Status"],"prefix":"10.1111","volume":"74","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5040-7576","authenticated-orcid":false,"given":"Sarah E.","family":"Patterson","sequence":"first","affiliation":[{"name":"Institute for Social Research University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-0175-2190","authenticated-orcid":false,"given":"John","family":"Biziorek","sequence":"additional","affiliation":[{"name":"School of Medicine University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4133-6825","authenticated-orcid":false,"given":"Adriana","family":"Reyes","sequence":"additional","affiliation":[{"name":"Brooks School of Public Policy Cornell University  Ithaca New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erica","family":"Solway","sequence":"additional","affiliation":[{"name":"Institute for Healthcare Policy and Innovation University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Kirch","sequence":"additional","affiliation":[{"name":"Institute for Healthcare Policy and Innovation University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dianne C.","family":"Singer","sequence":"additional","affiliation":[{"name":"Institute for Healthcare Policy and Innovation University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sydney N.","family":"Strunk","sequence":"additional","affiliation":[{"name":"Institute for Healthcare Policy and Innovation University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6269-5707","authenticated-orcid":false,"given":"Jeffrey T.","family":"Kullgren","sequence":"additional","affiliation":[{"name":"Institute for Healthcare Policy and Innovation University of Michigan  Ann Arbor Michigan USA"},{"name":"Center for Clinical Management Research, VA Ann Arbor Healthcare System  Ann Arbor Michigan USA"},{"name":"Departments of Internal Medicine and Health Management and Policy, Schools of Medicine and Public Health University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1083-8299","authenticated-orcid":false,"given":"J. Scott","family":"Roberts","sequence":"additional","affiliation":[{"name":"Institute for Healthcare Policy and Innovation University of Michigan  Ann Arbor Michigan USA"},{"name":"Department of Health Behavior and Health Equity, School of Public Health University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,24]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600\u20100560.2002.56.x"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/gbx147"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2024.00978"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2009.0535"},{"key":"e_1_2_10_6_1","unstructured":"R. W.Johnson \u201cWhat Is the Lifetime Risk of Needing and Receiving Long\u2010Term Services and Supports?\u201dASPE Issue Brief (2019) https:\/\/aspe.hhs.gov\/reports\/what\u2010lifetime\u2010risk\u2010needing\u2010receiving\u2010long\u2010term\u2010services\u2010supports\u20100."},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev\u2010publhealth\u2010071823\u2010113604"},{"key":"e_1_2_10_8_1","doi-asserted-by":"crossref","unstructured":"L.SkufcaandC.Rainville \u201cCaregiving Out\u2010of\u2010Pocket Costs Study 2021 \u201d(Washington DC AARP Research: 2021) https:\/\/doi.org\/10.26419\/res.00473.001.","DOI":"10.26419\/res.00473.001"},{"key":"e_1_2_10_9_1","unstructured":"S.Stearns \u201cHow Long Does the Average Person Need Long\u2010Term Care?\u201d(Northwestern Mutual: 2024) https:\/\/www.northwesternmutual.com\/life\u2010and\u2010money\/how\u2010long\u2010does\u2010the\u2010average\u2010person\u2010need\u2010long\u2010term\u2010care\/."},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.18779"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532\u20105415.1990.tb03478.x"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.19088"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/23780231231225574"},{"key":"e_1_2_10_14_1","unstructured":"S.Stripp \u201cSupport for Greater Government Role in Health Care for Older Adult\u2014The Long\u2010Term Care Poll \u201dhttps:\/\/www.longtermcarepoll.org\/project\/support\u2010for\u2010greater\u2010government\u2010role\u2010in\u2010health\u2010care\u2010for\u2010older\u2010adults\/."},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamahealthforum.2025.1204"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chbr.2022.100206"},{"key":"e_1_2_10_17_1","unstructured":"National Opinion Research Center \u201cGeneral Social Survey \u201d(2024) http:\/\/www3.norc.org\/Gss+website\/."},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.NAJ.0000336406.45248.4c"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033\u20102909.129.6.946"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gny137"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41514\u2010024\u201000136\u20106"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2014.0556"}],"container-title":["Journal of the American Geriatrics Society"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.70385","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jgs.70385","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.70385","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T01:11:00Z","timestamp":1785460260000},"score":1,"resource":{"primary":{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/10.1111\/jgs.70385"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,24]]},"references-count":21,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1111\/jgs.70385"],"URL":"https:\/\/doi.org\/10.1111\/jgs.70385","archive":["Portico"],"relation":{},"ISSN":["0002-8614","1532-5415"],"issn-type":[{"value":"0002-8614","type":"print"},{"value":"1532-5415","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,24]]},"assertion":[{"value":"2025-12-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-24","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}