© Copyright 2021. The Associated Press and NORC May 2021 |
1
LONG-TERM CARE IN AMERICA:
AMERICANS WANT TO AGE AT HOME
In the wake of a pandemic that was especially
devastating for nursing homes, the vast majority
of Americans want to age at home and want
government action to help them do so, according
to a new study from The Associated Press-NORC
Center for Public Affairs Research.
Even as concerns about the safety of nursing
homes decline as more and more COVID-19
vaccines are administered, 88% of Americans
would prefer to receive any ongoing living
assistance they need as they age at home or with
loved ones.
1
Just 12% want to receive care in a
senior community or nursing home. With that
objective of aging in place in mind, more than 6 in
10 support a variety of policies that would
facilitate aging at home including a government-
administered long-term care insurance program,
similar to Medicare.
Overall, the public believes Medicare, health
insurance companies, and Medicaid should bear
a large responsibility for the costs of long-term
care. And with the Medicare trust fund at risk of
insolvency in the coming years, 89% think
shoring up the trust fund should be an important
priority for Congress and the Biden
administration. This is a priority on which both
Democrats and Republicans agree.
1
76% would prefer to receive this care in their own home and 11% would prefer a friend or family member’s home. Adding these categories
together, this rounds to a total of 88% of Americans who prefer one of these two options.
© 202
1 AP Photo/ Kathy Willens
Issue Brief
Three Things You Should Know
About The Long Term Care Poll on Aging at Home
Among Americans Adults:
1)
88% would prefer to receive any ongoing
living assistance they need as they age at
home or in a loved one’s home
2) 51% think Medicare should have a large
responsibility for paying for ongoing living
assistance, and 49% expect to rely on it to pay
for care they need as they age.
3) 53% have already received health care at
home during the pandemic through telehealth
LONG-TERM CARE IN AMERICA: AMERICANS WANT TO AGE AT HOME
© Copyright 2021. The Associated Press and NORC May 2021 |
2
Despite the impact of COVID-19 on older adults, few Americans are prepared for their own aging and
potential care needs. Although Medicare only covers limited ongoing living assistance services, the
program is cited as a key component of the long-term care financing plan for many Americans 49% of
those age 40 and older expect to rely on the program to pay for their long-term care needs. And a
majority of Americans age 40 and older have done little or no planning for their own care needs.
During the pandemic, many Americans have become accustomed to receiving health care at home:
53% say they have used live video, phone calls, text messages, or email to receive health care from a
doctor or other health care provider over the last year.
Thinking ahead to their personal situation as they age, many express concerns about being alone
without family and friends, having their social needs met, and health and safety issues at a retirement
community or nursing home. They also worry about a loved one needing care in a nursing home,
though those concerns have declined since last September.
The AP-NORC Center conducted this study with funding from The SCAN Foundation. The survey
includes 1,113 interviews with a nationally representative sample of Americans using the AmeriSpeak
Panel®, the probability-based panel of NORC at the University of Chicago. Interviews were conducted
between March 25-29, 2021 via web and phone in English. The margin of sampling error is +/- 3.7
percentage points.
Key findings from the study include:
Support is high for government action in helping Americans pay for long-term care: 60% favor a
government-administered long-term care insurance program similar to Medicare and 63% favor
government funding for program to allow people with low incomes to receive care at home.
Americans think health insurance companies (52%), Medicare (51%), and Medicaid (41%) should
have a large or very large responsibility to pay for ongoing living assistance. Just 35% think
individuals and 15% think families should be responsible.
51% think shoring up the Medicare trust fund should be a top priority for the Congress and the
Biden administration and another 38% think it is a lower but still important priority. Just 9% think
it is not an important priority or shouldn’t be done at all.
Reflecting their strong preference for receiving care in a home environment, common aging
concerns about aging include losing independence as they age (67%), being alone without family or
friends around them (60%), and having social needs met (57%). Many also worry about having to
leave their home and move into a nursing home (53%) and about experiencing health and safety
issues in a retirement community or nursing home (54%).
33% would be very or extremely concerned about a loved one needing a short-term stay in a
nursing home for rehabilitation, and 44% would be concerned about a long-term stay or permanent
residence in a nursing home. These concerns have declined since September 2020 (44% and 60%,
respectively).
Most Americans do not feel prepared for their own care needs: 69% say they have done little or no
planning and just 16% are confident they will have the financial resources they need to pay for
long-term care.
Few have discussed their preferences for ongoing living assistance with their doctor (11%) or family
and friends (31%). Even among those age 60 and older, rates are low (14% and 46% respectively).
LONG-TERM CARE IN AMERICA: AMERICANS WANT TO AGE AT HOME
© Copyright 2021. The Associated Press and NORC May 2021 |
3
AMERICANS STRONGLY PREFER TO AGE AT HOME.
The vast majority of Americans (88%) want to stay in their own home or the home of a loved one in the
event they need ongoing living assistance as they age. Receiving care at their own home is the
preferred option for 76%, and 11% would prefer a friend or family member’s home. Just 10% would
prefer a senior community, and 2% a nursing home.
This remains essentially unchanged from previous years. In 2020, 89% preferred to receive care at
home or with friends or family. In a 2016 survey of Americans age 40 and older, 81% said the same.
2
In 2021, younger Americans are more likely than older Americans to prefer a friend or family members
home, while older Americans want to age in place. The desire to age in their own home is consistent
across race and ethnicity, as well as urban, suburban, and rural environments.
2
https://www.longtermcarepoll.org/wp-content/uploads/2017/11/AP-NORC-Long-term-Care-2016_Trend_Topline.pdf
63
24
79
11
81
7
80
6
0
25
50
75
100
Your own home Friend or family member's home
18-29 30-44 45-59 60+
Older Americans want to receive care at home if they need it.
Percent of adults
APNORC.org
Question: If you could choose, what would be your first choice as to where you would receive assistance right now? / In the
event that you need ongoing living assistance someday, if you could choose, what would be your first choice as to where you
would receive that assistance?
Source: The AP-NORC Long Term Care Poll conducted March 25 - 29, 2021, with 1,113 adults age 18 and older nationwide
%
LONG-TERM CARE IN AMERICA: AMERICANS WANT TO AGE AT HOME
© Copyright 2021. The Associated Press and NORC May 2021 |
4
In addition to their own future needs, Americans remain skeptical about nursing home facilities for
both long and short term stays for loved ones. A third would be very or extremely concerned about a
loved one receiving care in a nursing home for a short-term stay for rehabilitation, and 44% say the
same about a long term stay or permanent residence.
Although Americans still express reservations about nursing homes, these concerns have decreased
since September 2020.
60
44
44
33
27
32
37
39
19
22
19
27
0 25 50 75 100
Sept
2020
March
2021
Sept
2020
March
2021
Extremely/very concerned Moderately concerned Not at all/only a little concerned
Americans are less concerned about family or friends in nursing homes than they
were in September 2020.
Percent of adults
APNORC.org
Question: If [another] aging family member or friend were to need ongoing living assistance during the COVID-19 outbreak, how
concerned would you be about having them receive the following types of care in a nursing home?
Source: The AP-NORC Long Term Care Polls conducted March 25 - 29, 2021, with 1,113 adults age 18 and older nationwide, and
August 27- September 14, 2020, with 1,893 adults age 18 and older nationwide
%
Short-term stays for rehabilitation before moving home
Long term or permanent residence
LONG-TERM CARE IN AMERICA: AMERICANS WANT TO AGE AT HOME
© Copyright 2021. The Associated Press and NORC May 2021 |
5
Older Americans are more concerned than younger Americans about both short and long-term stays
in nursing homes for their loved ones. Women are also more concerned than men.
49
40
54
46
40
33
37
29
41
37
26
28
30
34
29
30
34
35
39
38
41
38
42
33
19
26
15
23
25
28
21
32
18
25
31
36
0 25 50 75 100
Women
Men
60+
45-59
30-44
18-29
Women
Men
60+
45-59
30-44
18-29
Extremely/very concerned Moderately concerned Not at all/only a little concerned
Older adults and women are more concerned about family or friends in nursing
homes.
Percent of adults
APNORC.org
Question: If [another] aging family member or friend were to need ongoing living assistance during the COVID-19 outbreak, how
concerned would you be about having them receive the following types of care in a nursing home?
Source: The AP-NORC Long Term Care Poll conducted March 25 - 29, 2021, with 1,113 adults age 18 and older nationwide
%
Short-term stays for rehabilitation before moving home
Long term or permanent residence
LONG-TERM CARE IN AMERICA: AMERICANS WANT TO AGE AT HOME
© Copyright 2021. The Associated Press and NORC May 2021 |
6
Reflecting their strong preference to age in a home setting, the top worry on Americans’ minds when
asked about potential concerns as they grow older is losing their independence. Many are also worried
about being alone without family or friends around them, having to leave their home, and being a
burden on family.
23
25
28
30
30
33
33
36
39
24
32
26
23
32
27
26
30
27
52
42
44
45
37
39
40
33
32
0 25 50 75 100
Leaving your home for a
family member’s home
Having your social needs met
Health and safety issues in a
senior community or home
Leaving your home for a
nursing home
Not planning enough for care
Being alone without family
or friends
Being a burden on your family
Being able to pay for care
Losing your independence
A great deal/quite a bit A moderate amount Only a little/none at all
Americans' top concern about growing older is losing their independence.
Percent of adults
APNORC.org
Question: Thinking about your own personal situation as you get older, does each of the following cause you a great deal of
concern, quite a bit of concern, a moderate amount, only a little, or none at all?
Source: The AP-NORC Long Term Care Poll conducted March 25 - 29, 2021, with 1,113 adults age 18 and older nationwide
%
LONG-TERM CARE IN AMERICA: AMERICANS WANT TO AGE AT HOME
© Copyright 2021. The Associated Press and NORC May 2021 |
7
Older and younger Americans have different concerns about aging. For example, 35% of those age 40
and older are very concerned about having to leave their home and move into a nursing home,
compared to 22% of those age 18-39. And 33% of those age 40 and older are very worried about health
and safety issues in a retirement community, compared to 20% of younger adults. Older Americans,
however, are less worried about being alone without friends and family than younger Americans.
Forty-three percent of those age 40 and older are only a little or not at all concerned about being alone,
while 32% of those under age 40 are not concerned.
Adults with lower incomes are generally more concerned than wealthier Americans, particularly
about needing to leave home for care.
22
18
28
27
34
32
21
17
22
30
30
34
29
30
33
38
41
47
0 25 50 75 100
Having your social needs met
Leaving your home for a
family member’s home
Health and safety issues in a
senior community or home
Being alone without family
or friends
Being able to pay for care
Losing your independence
Under $50k $50-$100k $100k +
Lower income adults are more worried about aging than wealthier Americans.
Percent of adults who say a great deal or quite a bit of concern
APNORC.org
Question: Thinking about your own personal situation as you get older, does each of the following cause you a great deal of
concern, quite a bit of concern, a moderate amount, only a little, or none at all?
Source: The AP-NORC Long Term Care Poll conducted March 25 - 29, 2021, with 1,113 adults age 18 and older nationwide
%
LONG-TERM CARE IN AMERICA: AMERICANS WANT TO AGE AT HOME
© Copyright 2021. The Associated Press and NORC May 2021 |
8
MANY ARE USING TELEHEALTH TO RECEIVE CARE AT HOME DURING
THE PANDEMIC, BUT FEW ARE DISCUSSING THEIR PREFERENCES FOR
CARE AS THEY AGE.
Many Americans are already receiving some form of health care from home. Over the past year during
the pandemic, 53% of Americans received some form of virtual health care. Thirty-five percent spoke
on the phone with a health care provider, 33% communicated using live video, 18% used email, and 13%
used text messages. This has increased from 46% who already reported using telehealth for health
care in September 2020.
Although most Americans continue to access medical care during the pandemic, many report that the
health care system has not taken their preferences into consideration during the past year. Forty-five
percent feel that their preferences for care are only sometimes or never taken into account.
Thinking about their future needs for care, very few Americans have discussed their preferences
about ongoing living assistance. Thirty-one percent have done so with their friends and family, and
just 11% have with their doctor or other health care provider. Although older Americans are more likely
to have these conversations than young people, still just 46% of Americans age 60 and older have
expressed their aging preferences with family or friends and just 14% have done so with their health
care provider.
46
30
26
16
14
7
11
9
0 25 50 75 100
60+
45-59
30-44
18-29
Health care provider Friends and family
Older adults are more likely to have discussed care preferences.
Percent of adults who have discussed care preferences with:
APNORC.org
Question: Have you discussed your preferences for receiving ongoing living assistance with each of the following?
Source: The AP-NORC Long Term Care Poll conducted March 25 - 29, 2021, with 1,113 adults age 18 and older nationwide
%
LONG-TERM CARE IN AMERICA: AMERICANS WANT TO AGE AT HOME
© Copyright 2021. The Associated Press and NORC May 2021 |
9
RATES OF PLANNING FOR LONG-TERM CARE REMAIN LOW.
Twelve percent of Americans are providing ongoing living assistance to a friend or family member
right now, and 6% of Americans age 40 and older are currently receiving ongoing living assistance
themselves.
But few have done enough planning for their own care needs and many worry about their ability to
afford care in the future. And despite the impact of COVID-19 on older Americans, rates of planning
remain similar to 2020 and 2018.
12
10
14
23
18
17
64
72
69
0 25 50 75 100
2018
2020
2021
A great deal/quite a bit A moderate amount Only a little/none at all
Despite COVID-19 pandemic, few have planned for ongoing living assistance.
Percent of adults age 40+
APNORC.org
Questions: How much planning, if any, have you done for your own needs for ongoing living assistance?
Source: The AP-NORC Long Term Care Polls conducted March 25 - 29, 2021, with 1,113 adults age 18 and older nationwide,
August 27- September 14, 2020, with 1,893 adults age 18 and older nationwide, March 13 - April 5, 2018, with 1,945 adults age 18
and older nationwide
LONG-TERM CARE IN AMERICA: AMERICANS WANT TO AGE AT HOME
© Copyright 2021. The Associated Press and NORC May 2021 |
10
Since 2018, Americans have consistently felt unprepared financially for the costs of ongoing living
assistance. Only 16% are very or extremely confident they will have the financial resources they need
to pay for any care they need as they age, about the same level of confidence in 2020 (15%) and in 2018
(17%). Women are less likely than men to feel confident that they will have adequate financial
resources (12% vs. 20%).
Most Americans are at least moderately concerned about not having planned enough for care (62%) or
being unable to pay for needed care (66%). These rates are similar to 2020, when 64% reported concern
about not planning enough and 66% about being able to pay for it.
17
15
16
38
44
44
45
41
38
0 25 50 75 100
2018
2020
2021
Extremely/very confident Somewhat confident Not at all/not too confident
Most Americans lack confidence that they will have financial resources to pay for
care.
Percent of adults
APNORC.org
Questions: Thinking about your [current/possible] needs for ongoing living assistance, how confident are you that you will have
the financial resources to pay for any care you need as you get older?
Source: The AP-NORC Long Term Care Polls conducted March 25 - 29, 2021, with 1,113 adults age 18 and older nationwide,
August 27- September 14, 2020, with 1,893 adults age 18 and older nationwide, March 13 - April 5, 2018, with 1,945 adults age
18 and older nationwide
%
LONG-TERM CARE IN AMERICA: AMERICANS WANT TO AGE AT HOME
© Copyright 2021. The Associated Press and NORC May 2021 |
11
AMERICANS SUPPORT GOVERNMENT ACTION TO PAY FOR LONG-TERM
CARE INCLUDING WAYS TO HELP PEOPLE AGE AT HOME.
A majority of Americans support a number of government policies to help people prepare for the costs
of ongoing living assistance. Seventy percent favor the ability to get long term care coverage through
Medicare Advantage or a supplemental insurance plan. About 6 in 10 favor government funding for
programs to allow more people with low incomes to receive long term care at home; a government-
administered long-term care insurance program, similar to Medicare; or tax breaks for consumers who
purchase long-term care insurance.
60
61
63
70
28
30
26
24
10
8
10
5
0 25 50 75 100
Government-
administered long-
term care insurance
program
Tax breaks for
purchasing long-
term care insurance
Government
programs for low
income people to
receive care in their
homes
The ability to get
long-term care
coverage through a
supplemental
insurance plan
Favor Neither favor nor oppose Oppose
Most favor government policies to help pay for ongoing living assistance.
Percent of adults
APNORC.org
Question: To help Americans prepare for the costs of ongoing living assistance, would you favor, oppose, or neither favor nor
oppose each of the following?
Source: The AP-NORC Long Term Care Poll conducted March 25 - 29, 2021, with 1,113 adults age 18 and older nationwide
%
LONG-TERM CARE IN AMERICA: AMERICANS WANT TO AGE AT HOME
© Copyright 2021. The Associated Press and NORC May 2021 |
12
In 2018, slightly more favored a government administered plan or tax breaks for purchasing long-term
care insurance when 66% and 70% supported each policy, respectively.
In the current survey, a majority of both Republicans and Democrats support tax breaks for
purchasing long-term care insurance and the ability to get long-term care coverage through a
supplemental insurance plan. But while a large majority of Democrats favor long-term care insurance
and programs for low income people, there is less Republican support for either government plan.
Adults age 40 and older are more supportive than younger adults of a government-administered long-
term care insurance program (65% vs. 53%), tax breaks for consumers who purchase long-term care
insurance (66% vs. 52%), and the ability to purchase long-term care coverage through a supplemental
insurance plan (77% vs. 58%).
58
49
65
42
58
60
63
56
64
76
77
78
0 25 50 75 100
Tax breaks for
purchasing long-
term care insurance
Government
programs for low
income people to
receive care in their
homes
The ability to get
long-term care
coverage through a
supplemental
insurance plan
Government-
administered long-
term care insurance
program
Democrats Independents Republicans
Majorities of both parties favor some government policies to help Americans pay
for ongoing living assistance.
Percent of adults who favor
APNORC.org
Question: To help Americans prepare for the costs of ongoing living assistance, would you favor, oppose, or neither favor nor
oppose each of the following?
Source: The AP-NORC Long Term Care Poll conducted March 25 - 29, 2021, with 1,113 adults age 18 and older nationwide
%
LONG-TERM CARE IN AMERICA: AMERICANS WANT TO AGE AT HOME
© Copyright 2021. The Associated Press and NORC May 2021 |
13
AMERICANS THINK GOVERNMENT PROGRAMS AND INSURANCE
COMPANIES SHOULD COVER THE COSTS OF LONG-TERM CARE.
Americans believe the responsibility for long-term care costs should fall primarily on health insurance
companies and Medicare rather than individuals or families.
15
35
41
51
52
32
35
37
36
38
51
28
20
12
10
0 25 50 75 100
Families
Individuals
Medicaid
Medicare
Health insurance
companies
Very large/large responsibility Moderate responsibility Small/no responsibility at all
Health insurance companies and Medicare should be responsible for ongoing care.
Percent of adults
APNORC.org
Question: How much responsibility should each of the following have for paying for the costs of ongoing living assistance?
Source: The AP-NORC Long Term Care Poll conducted March 25 - 29, 2021, with 1,113 adults age 18 and older nationwide
%
LONG-TERM CARE IN AMERICA: AMERICANS WANT TO AGE AT HOME
© Copyright 2021. The Associated Press and NORC May 2021 |
14
Although there has been some variation over time, Americans consistently put the responsibility on
Medicare and insurance companies relative to individuals and their families.
22
34
36
45
50
15
29
47
56
59
15
35
41
51
52
0
25
50
75
100
Families Individuals Medicaid Medicare Health insurance
companies
2018 2020 2021
Americans consistently want health insurers and Medicare to shoulder costs for
ongoing living assistance.
Percent of adults who say very large or large responsibility
APNORC.org
Question: How much responsibility should each of the following have for paying for the costs of ongoing living assistance?
Source: The AP-NORC Long Term Care Polls conducted March 25 - 29, 2021, with 1,113 adults age 18 and older nationwide,
August 27- September 14, 2020, with 1,893 adults age 18 and older nationwide, March 13 - April 5, 2018, with 1,945 adults age
18 and older nationwide
%
LONG-TERM CARE IN AMERICA: AMERICANS WANT TO AGE AT HOME
© Copyright 2021. The Associated Press and NORC May 2021 |
15
Younger Americans are more likely to say families, Medicaid and health insurance companies should
be responsible for paying for care.
21
46
57
11
38
48
0
25
50
75
100
Families Medicaid Health insurance companies
18-39 40+
Younger Americans are more likely to say families, Medicaid, and insurance should
be responsible for paying for long-term care.
Percent of adults who say very large or large responsibility
APNORC.org
Question: How much responsibility should each of the following have for paying for the costs of ongoing living assistance?
Source: The AP-NORC Long Term Care Polls conducted March 25 - 29, 2021, with 1,113 adults age 18 and older nationwide,
August 27- September 14, 2020, with 1,893 adults age 18 and older nationwide, March 13 - April 5, 2018, with 1,945 adults age
18 and older nationwide
%
LONG-TERM CARE IN AMERICA: AMERICANS WANT TO AGE AT HOME
© Copyright 2021. The Associated Press and NORC May 2021 |
16
Few Republicans and Democrats think that families (13% and 15%) and individuals (36% and 34%)
should be responsible for paying for ongoing living assistance. And about half of each party say
Medicare (47% and 56%) and health insurance companies (47% and 55%) should be responsible.
However, 47% of Democrats say that Medicaid should be responsible, compared to just 32% of
Republicans.
Although Medicare does not cover many costs of long-term care, 49% of those 40 and older expect to
rely on it if they need care. Since 2018, the number of Americans expecting to rely on personal savings
has increased, while the number of those expecting to rely on Medicare has decreased.
49
48
47
27
26
25
17
15
55
37
51
19
27
29
18
19
0 25 50 75 100
Medicare
Your personal savings or investments
Social Security
Sources of future income other than Social
Security, a pension, or personal savings
A pension
Medicaid
A family member's ability to
provide care at no cost
Long-term care insurance
2021 2018
Americans expect to rely on Medicare, savings, and Social Security to pay for care
Percent of adults age 40 and older who say they will rely on the following completely/quite a bit
Questions: Thinking about your [current/possible] needs for ongoing living assistance, how much do you think you will rely on
each of the following sources to support any care you need as you get older?
Source: The AP-NORC Long Term Care Polls conducted March 25 - 29, 2021, with 1,113 adults age 18 and older nationwide,
March 13 - April 5, 2018, with 1,945 adults age 18 and older nationwide
APNORC.or
%
LONG-TERM CARE IN AMERICA: AMERICANS WANT TO AGE AT HOME
© Copyright 2021. The Associated Press and NORC May 2021 |
17
AMERICANS WANT THE GOVERNMENT TO SHORE UP THE MEDICARE
TRUST FUND.
With many Americans expecting to rely on Medicare to cover long-term care costs, 51% think shoring
up the Medicare trust fund should be a top priority for Congress and the Biden administration, and
another 38% say it is important but at lower priority. Both Democrats and Republicans strongly
support securing the Medicare trust fund, with about 9 in 10 saying it is an important priority.
Support for securing the Medicare trust fund varies by age though, with older Americans more likely
to view it as a priority. The most popular way to address shortfalls in the Medicare trust fund is tax
increases for wealthy individuals, followed by increasing the payroll tax and cuts in how much
Medicare pays pharmaceutical or insurance companies. Few support cutting benefits to current or
future Medicare beneficiaries or cutting payments to hospitals, doctors, and other services.
Although Democrats and Republicans are unified in their support for securing the Medicare trust fund,
they differ on which measures should be taken to stabilize it. Support for tax increases on the wealthy
is high for both parties, but Democrats are more supportive. Democrats are also more supportive of
increasing the payroll tax. Cuts to how much Medicare pays insurance companies, pharmaceutical
companies, and doctors have modest support from both parties, while few from either party support
cuts to current or future Medicare beneficiaries.
11
12
29
41
34
32
50
11
12
31
45
39
57
78
12
12
28
40
36
43
62
0 25 50 75 100
Cuts to benefits provided to current
Medicare beneficiaries
Cuts to benefits that would be provided to
future Medicare beneficiaries
Cuts in how much Medicare pays to hospitals, doctors,
and other services providers
Cuts in how much Medicare pays to pharmaceutical
companies for prescription drugs
Cuts in how much Medicare pays to
insurance companies
An increase in the Medicare payroll tax that is paid
by both employees and employers
A tax increase for wealthy individuals
making over $250,000 per year
Overall Democrats Republicans
Most Americans support tax increases to secure Medicare trust fund
Percent of adults who say they favor each measure
Questions: To stabilize the Medicare trust fund, would you favor, oppose, or neither favor nor oppose each of the following?
Source: The AP-NORC Long Term Care Poll conducted March 25 - 29, 2021, with 1,113 adults age 18 and older nationwide
APNORC.org
%
LONG-TERM CARE IN AMERICA: AMERICANS WANT TO AGE AT HOME
© Copyright 2021. The Associated Press and NORC May 2021 |
18
STUDY METHODOLOGY
This study, funded by The SCAN Foundation, was conducted by The Associated Press-NORC Center
for Public Affairs Research. Data were collected using the AmeriSpeak Omnibus®, a monthly multi-
client survey using NORC’s probability-based panel designed to be representative of the U.S.
household population. The survey was part of a larger study that included questions about other
topics not included in this report.
During the initial recruitment phase of the panel, randomly selected U.S. households were sampled
with a known, non-zero probability of selection from the NORC National Sample Frame and then
contacted by U.S. mail, email, telephone, and field interviewers (face to face). The panel provides
sample coverage of approximately 97% of the U.S. household population. Those excluded from the
sample include people with P.O. Box only addresses, some addresses not listed in the USPS Delivery
Sequence File, and some newly constructed dwellings. Of note for this study, the panel would also
exclude recipients of long-term care who live in some institutional types of settings, such as skilled
nursing facilities or nursing homes, depending on how addresses are listed for the facility. Staff from
NORC at the University of Chicago, The Associated Press, and The SCAN Foundation collaborated on
all aspects of the study.
Interviews for this survey were conducted between March 25 and March 29, 2021, with adults age 18
and older representing the 50 states and the District of Columbia. Panel members were randomly
drawn from AmeriSpeak, and 1,113 completed the survey1,040 via the web and 73 via telephone.
Interviews were conducted in English. Respondents were offered a small monetary incentive ($3) for
completing the survey.
The final stage completion rate is 22.5 percent, the weighted household panel response rate is 19.5
percent, and the weighted household panel retention rate is 75.0 percent, for a cumulative response
rate of 3.3 percent. The overall margin of sampling error is +/- 3.7 percentage points at the 95 percent
confidence level including the design effect.
Once the sample has been selected and fielded, and all the study data have been collected and made
final, a poststratification process is used to adjust for any survey nonresponse as well as any non-
coverage or under and oversampling resulting from the study specific sample design.
Poststratification variables included age, gender, census division, race/ethnicity, and education.
Weighting variables were obtained from the 2020 Current Population Survey. The weighted data
reflect the U.S. population of adults age 18 and over.
Topline data and reports for all previous years, including full methodology statements, are available at
www.longtermcarepoll.org. For more information, email info@apnorc.org.
LONG-TERM CARE IN AMERICA: AMERICANS WANT TO AGE AT HOME
© Copyright 2021. The Associated Press and NORC May 2021 |
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CONTRIBUTING RESEARCHERS
From NORC at the University of Chicago
Dan Malato
Semilla Stripp
Claire Inciong Krummenacher
Jennifer Benz
From The Associated Press
Emily Swanson
Hannah Fingerhut
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