Volume 40 | Number 3 | June 2005

Abstract List

Donald H. Taylor Jr., Jan Osterman, S. Will Acuff, Truls Østbye


To determine whether seniors understand their risk of moving to a nursing home.

Data Sources

We used longitudinal data from the Asset and Health Dynamics Among the Oldest Old (AHEAD) database. AHEAD is a nationally representative survey (=8,203) of community dwellers aged 70+ years and their spouses.

Study Design

We followed respondents for 5 years from the date of the first interview fielded in 1993. Our primary dependent variable was whether respondents moved to a nursing home within 5 years of baseline; self‐assessed probability of moving to a nursing home within 5 years, also assessed at baseline, was the primary explanatory variable.

Principal Findings

We found that seniors who believed they were more likely to move to a nursing home within 5 years were indeed more likely to do so, and that most elders overestimated their likelihood of moving to a nursing home.


Low rates of private long‐term care insurance are not plausibly a result of seniors underestimating their personal risk of moving to a nursing home; such an assumption is inherent in many strategies to plan for the future long‐term care needs of the baby boom generation.