Vulnerability and access to resources as predictors of preparation for future care needs in the elderly
Abstract
Objective:To identify whether vulnerability and resources predict preparation for future care needs in two samples that differ with respect to access to resources. Methods:Community-dwelling elderly from Utah and Thuringia (eastern Germany) who did not yet require care received questionnaires assessing long-and short-term care plans as well as their vulnerability and resources. Results:In both samples, greater activities of daily living (ADL) deficits and higher age were associated with more concrete preparation. In addition, being female (in Utah) and having more frequent family contact (in Thuringier) were associated with more concrete planning. In the Thuringian sample, greater ADL deficits predicted more concrete preparation for those with high socioeconomic status (SES) but not low SES; in the Utah sample, ADLdeficits predicted more planning for those with lowbut not those with high SES. Discussion:Indicators of vulnerability, especially ADL deficits and age, are the most consistent predictors of preparation for care across both samples. Resources enhance planning most for those who can foresee needs and sources of assistance.
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Social isolation and loneliness are common in populations throughout the world.
“In populations throughout the world, social isolation (defined as an objective lack of interactions with others or the wider community) and loneliness (defined as the subjective feeling of the absence of a social network or a companion) are common.”
From An overview of systematic reviews on the public health consequences of social isolation and loneliness (2017) · cites this paper as [3]
Surveys in Europe and the USA estimate the prevalence of loneliness ranges from 5% to 43% in the elderly.
“Surveys in Europe and the USA estimate the prevalence of loneliness ranges from 5% to 43% in the elderly 1-4 , with similar figures for China 5 .”
From An overview of systematic reviews on the public health consequences of social isolation and loneliness (2017) · cites this paper as [3]
Cites
Multiple regression: testing and interpreting interactions
(1992) · Choice Reviews Online · doi:10.5860/choice.29-3352 · Cited by 36,644 · see citing works
Assessment of Older People: Self-Maintaining and Instrumental Activities of Daily Living
Lawton, M. P., & Brody, E. M. (1969) · The Gerontologist · doi:10.1093/geront/9.3_part_1.179 · Cited by 18,540 · see citing works
Functional evaluation : Barthel index
Mahonery, F. I. (1965) · Medical Entomology and Zoology · Cited by 12,762 · see citing works
Handbook of the Psychology of Aging
Schaie, K. W., Willis, S. L., Knight, B. G., & Park, D. C. (2016) · Elsevier eBooks · doi:10.1016/c2012-0-07221-3 · Cited by 3,436 · see citing works
Deutsch, M. (1975) · Journal of Social Issues · doi:10.1111/j.1540-4560.1975.tb01000.x · Cited by 2,783 · see citing works
Handbook of Aging and the Social Sciences
(2016) · Elsevier eBooks · doi:10.1016/c2013-0-01344-8 · Cited by 1,976 · see citing works
A stitch in time: Self-regulation and proactive coping.
Aspinwall, L. G., & Taylor, S. E. (1997) · Psychological Bulletin · doi:10.1037/0033-2909.121.3.417 · Cited by 1,691 · see citing works
Handbook of the Psychology of Aging
(1986) · Journal of Gerontology · doi:10.1093/geronj/41.2.296 · Cited by 1,557 · see citing works
Caregivers of the Frail Elderly: A National Profile
Stone, R., Cafferata, G. L., & Sangl, J. A. (1987) · The Gerontologist · doi:10.1093/geront/27.5.616 · Cited by 1,216 · see citing works
Statistical tests for moderator variables: Flaws in analyses recently proposed.
Cronbach, L. J. (1987) · Psychological Bulletin · doi:10.1037/0033-2909.102.3.414 · Cited by 996 · see citing works
Handbook of aging and the social sciences
(2002) · Choice Reviews Online · doi:10.5860/choice.39-4041 · Cited by 859 · see citing works
Hobbs, F. B., & Damon, B. L. (1996) · PsycEXTRA Dataset · doi:10.1037/e401512005-001 · Cited by 542 · see citing works
The Myth and Reality of Aging in America
Montgomery, J. E., & Harris, L. (1977) · The Family Coordinator · doi:10.2307/583378 · Cited by 502 · see citing works
Case-based planning: A framework for planning from experience
Hammond, K. J. (1990) · Cognitive Science · doi:10.1016/0364-0213(90)90018-r · Cited by 250 · see citing works
&NA; (1952) · Southern Medical Journal · doi:10.1097/00007611-195204000-00019 · Cited by 243 · see citing works
Factors Associated with Change in Physical Functioning in the Elderly
Kaplan, G. A., Strawbridge, W. J., Camacho, T. C., & Cohen, R. D. (1993) · Journal of Aging and Health · doi:10.1177/089826439300500107 · Cited by 232 · see citing works
(1984) · Journal of Gerontology · doi:10.1093/geronj/39.6.764b · Cited by 208 · see citing works
Adult Children's Attachment and Helping Behavior to Elderly Parents: A Path Model
Cicirelli, V. G. (1983) · Journal of Marriage and the Family · doi:10.2307/351794 · Cited by 187 · see citing works
Case‐Based Planning: A Framework for Planning from Experience
Hammond, K. J. (1990) · Cognitive Science · doi:10.1207/s15516709cog1403_3 · Cited by 146 · see citing works
Patterns of Intergenerational Exchange and Mental Health
Davey, A., & Eggebeen, D. J. (1998) · The Journals of Gerontology Series B · doi:10.1093/geronb/53b.2.p86 · Cited by 128 · see citing works
The Developmental Psychology of Planning
(2014) · Psychology Press eBooks · doi:10.4324/9781315806495 · Cited by 124 · see citing works
Special Research Methods for Gerontology
Lawton, M. P., Herzog, A. R., & Hendricks, J. A. (1989) · Medical Entomology and Zoology · Cited by 118 · see citing works
Health, Social Support, and the Utilization of Health Services among Older Adults
Penning, M. J. (1995) · The Journals of Gerontology Series B · doi:10.1093/geronb/50b.5.s330 · Cited by 115 · see citing works
The Elderly who Live Alone Their Mental Health and Social Relationships
Henderson, A. S., Scott, R., & Kay, D. W. K. (1986) · Australian & New Zealand Journal of Psychiatry · doi:10.3109/00048678609161332 · Cited by 59 · see citing works
Preparation for Caregiving: A Study of Multigeneration Families
Sörensen, S., & Zarit, S. H. (1996) · The International Journal of Aging and Human Development · doi:10.2190/a8h1-w8bd-w6xl-2v2e · Cited by 58 · see citing works
Self-citationThe Multifaceted Nature of Social Support in a Community Sample of Elderly Women
Heller, K., & Mansbach, W. E. (1984) · Journal of Social Issues · doi:10.1111/j.1540-4560.1984.tb01109.x · Cited by 49 · see citing works
Who will Make Health Care Decisions for Me when I can't?
High, D. M. (1990) · Journal of Aging and Health · doi:10.1177/089826439000200301 · Cited by 45 · see citing works
Refraining Research on Service Use Among the Elderly: An Analysis of Recent Findings
McCaslin, R. (1988) · The Gerontologist · doi:10.1093/geront/28.5.592 · Cited by 42 · see citing works
Discharge Planning and Decision Making
Coulton, C. J., Dunkle, R. E., Goode, R. A., & Mackintosh, J. (1982) · Health & Social Work · doi:10.1093/hsw/7.4.253 · Cited by 42 · see citing works
Holden, K. A., McBride, T., & Perozek, M. G. (1997) · The Journals of Gerontology Series B · doi:10.1093/geronb/52b.5.s240 · Cited by 41 · see citing works
Permanency planning by older parents who care for adult children with mental retardation.
Kaufman, A., Adams, J. P., & Campbell, V. A. (1991) · PubMed · Cited by 40 · see citing works
Interpreting the Lack of Future Concerns among the Elderly
Kulys, R., & Tobin, S. S. (1980) · The International Journal of Aging and Human Development · doi:10.2190/t9tl-0umb-q7ay-wy6t · Cited by 40 · see citing works
Preserving Autonomy in Early Stage Dementia
Brechling, B. G., & Schneider, C. A. (1993) · Journal of Gerontological Social Work · doi:10.1300/j083v20n01_03 · Cited by 34 · see citing works
Decision as process: A conceptual model of black elders' nursing home placement
Groger, L. (1994) · Journal of Aging Studies · doi:10.1016/0890-4065(94)90020-5 · Cited by 34 · see citing works
Social Security and the Myth of the Entitlement "Crisis"
Quadagno, J. S. (1996) · The Gerontologist · doi:10.1093/geront/36.3.391 · Cited by 34 · see citing works
Retirement Financial Planning Among Black Professionals
Richardson, V., & Kilty, K. M. (1989) · The Gerontologist · doi:10.1093/geront/29.1.32 · Cited by 30 · see citing works
Predictors of Anticipating Caregiving in Multigeneration Families: An Exploratory Study
Sörensen, S. (1998) · Journal of Applied Gerontology · doi:10.1177/073346489801700406 · Cited by 30 · see citing works
Self-citationLeisure Participation and the Retirement Process
Broderick, T., & Glazer, B. (1983) · American Journal of Occupational Therapy · doi:10.5014/ajot.37.1.15 · Cited by 28 · see citing works
Health Care Professionals and Family Involvement in Care-Related Decisions Concerning Older Patients
Deimling, G. T., Smerglia, V. L., & Barresi, C. M. (1990) · Journal of Aging and Health · doi:10.1177/089826439000200302 · Cited by 24 · see citing works
Adult Children with Frail Elderly Parents: When to Intervene?
Hansson, R. O., Nelson, R. E., Carver, M. D., NeeSmith, D., Dowling, E. M., Fletcher, W. L., & Suhr, P. (1990) · Family Relations · doi:10.2307/585717 · Cited by 24 · see citing works
Sources of Support for the Elderly during Illness
Stoller, E. P. (1982) · Health & Social Work · doi:10.1093/hsw/7.2.111 · Cited by 22 · see citing works
OBSERVATIONS ON THE EXTENT OF CONCERN AND PLANNING BY THE AGED FOR POSSIBLE CHRONIC ILLNESS*
HEYMAN, D. K., & Jeffers, F. C. (1965) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1965.tb00703.x · Cited by 15 · see citing works
Future Crises and the Very Old: Implications for Discharge Planning
Kulys, R. (1983) · Health & Social Work · doi:10.1093/hsw/8.3.182 · Cited by 14 · see citing works
Family Decision Making and Long-Term Care for the Elderly:
Meter, M. J. S. V., & Johnson, P. (1985) · Journal of Religion & Aging · doi:10.1300/j491v01n04_04 · Cited by 9 · see citing works
[Development of disability in the elderly].
Schneekloth, U. (1996) · PubMed · Cited by 6 · see citing works
The 54th Annual Scientific Meeting of the Gerontological Society of America
(2001) · Aging Clinical and Experimental Research · doi:10.1007/bf03351537 · Cited by 6 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Leigh-Hunt, N., Bagguley, D., Bash, K., Turner, V., Turnbull, S., Valtorta, N., & Caan, W. (2017) · Public Health · doi:10.1016/j.puhe.2017.07.035 · Cited by 2,158 · see citing works
Proactive Approaches to Successful Aging: One Clear Path through the Forest
Kahana, E. F., Kahana, B., & Lee, J. E. (2014) · Gerontology · doi:10.1159/000360222 · Cited by 112 · see citing works
Developing a Measure of Older Adults' Preparation for Future Care Needs
Sörensen, S., & Pinquart, M. (2001) · The International Journal of Aging and Human Development · doi:10.2190/1r0d-30tc-f4k1-f0dw · Cited by 84 · see citing works
Self-citationPinquart, M., & Sörensen, S. (2002) · The International Journal of Aging and Human Development · doi:10.2190/1fvt-24t3-y1v3-57a5 · Cited by 84 · see citing works
Self-citationEmerging lifestyles and proactive options for successful ageing
Kahana, E. F., Kahana, B., & Kercher, K. (2003) · Ageing International · doi:10.1007/s12126-003-1022-8 · Cited by 71 · see citing works
Sörensen, S., Mak, W., Chapman, B. P., Duberstein, P. R., & Lyness, J. M. (2011) · American Journal of Geriatric Psychiatry · doi:10.1097/jgp.0b013e31822ccd8c · Cited by 61 · see citing works
Self-citationHow Are Personality Traits Related to Preparation for Future Care Needs in Older Adults?
Sörensen, S., Duberstein, P. R., Chapman, B. P., Lyness, J. M., & Pinquart, M. (2008) · The Journals of Gerontology Series B · doi:10.1093/geronb/63.6.p328 · Cited by 55 · see citing works
Self-citationLong-Term Planning and Decision-Making Among Midlife and Older Gay Men and Lesbians
Hash, K. M., & Netting, F. E. (2007) · Journal of Social Work in End-of-Life & Palliative Care · doi:10.1300/j457v03n02_05 · Cited by 54 · see citing works
Psychological Outcomes of Preparation for Future Care Needs
Pinquart, M., & Sörensen, S. (2002) · Journal of Applied Gerontology · doi:10.1177/073346402237632 · Cited by 52 · see citing works
Self-citationPreparation for Future Care Needs by West and East German Older Adults
Sörensen, S., & Pinquart, M. (2000) · The Journals of Gerontology Series B · doi:10.1093/geronb/55.6.s357 · Cited by 48 · see citing works
Self-citationSörensen, S., & Pinquart, M. (2000) · Journal of Cross-Cultural Gerontology · doi:10.1023/a:1006778627518 · Cited by 47 · see citing works
Self-citationCaregiving and Care Receiving Among Older Lesbian, Gay, and Bisexual Adults
Grossman, A. H., D’Augelli, A. R., & Dragowski, E. A. (2007) · Sexual and Gender Diversity in Social Services · doi:10.1300/j041v18n03_02 · Cited by 42 · see citing works
Planning for Long-Term Care: Concept, Definition, and Measurement
Friedemann, M., Newman, F. L., Seff, L. R., & Dunlop, B. D. (2004) · The Gerontologist · doi:10.1093/geront/44.4.520 · Cited by 41 · see citing works
Optimism and Planning for Future Care Needs among Older Adults
Sörensen, S., Hirsch, J. K., & Lyness, J. M. (2014) · GeroPsych · doi:10.1024/1662-9647/a000099 · Cited by 37 · see citing works
Self-citationAssessing future care preparation in late life: Two short measures.
Sörensen, S., Chapman, B. P., Duberstein, P. R., Pinquart, M., & Lyness, J. M. (2017) · Psychological Assessment · doi:10.1037/pas0000446 · Cited by 36 · see citing works
Self-citationPerspectives on Aging‐Related Preparation
Sörensen, S., Missell-Gray, R., Eustice‐Corwin, A., & Otieno, D. A. (2021) · Journal of Elder Policy · doi:10.18278/jep.1.2.7 · Cited by 30 · see citing works
Self-citationPinquart, M., Sörensen, S., & Davey, A. (2003) · Journal of Cross-Cultural Gerontology · doi:10.1023/a:1024878512547 · Cited by 28 · see citing works
Self-citationAn Exploratory Study of Preparation for Future Care Among Older Latinos in Utah
Delgadillo, L. M., Sörensen, S., & Coster, D. C. (2004) · Journal of Family and Economic Issues · doi:10.1023/b:jeei.0000016723.31676.fe · Cited by 28 · see citing works
Self-citationHelping Older Adults and Their Families Develop and Implement Care Plans
Pinquart, M., Sörensen, S., & Peak, T. (2005) · Journal of Gerontological Social Work · doi:10.1300/j083v43n04_02 · Cited by 28 · see citing works
Self-citationPreparation for Death and Preparation for Care in Older Community-Dwelling Adults
Pinquart, M., & Sörensen, S. (2002) · OMEGA - Journal of Death and Dying · doi:10.2190/5k9j-c320-22lq-kph6 · Cited by 25 · see citing works
Self-citationLate-Life Preparedness and Its Correlates: A Behavioral Perspective on Preparation
Kim-Knauss, Y., & Lang, F. R. (2020) · The Journals of Gerontology Series B · doi:10.1093/geronb/gbaa088 · Cited by 22 · see citing works
Mak, W., & Sörensen, S. (2011) · The Gerontologist · doi:10.1093/geront/gnr119 · Cited by 22 · see citing works
Self-citationFamily Support and Preparation for Future Care Needs Among Urban Chinese Baby Boomers
Song, Y., Sörensen, S., & Yan, E. (2016) · The Journals of Gerontology Series B · doi:10.1093/geronb/gbw062 · Cited by 21 · see citing works
Self-citationIs Annual Income a Predictor of Completion of Advance Directives (ADs) in Patients With Cancer
Saeed, F., Xing, G., Tancredi, D. J., Epstein, R. M., Fiscella, K. A., Norton, S. A., & Duberstein, P. R. (2018) · American Journal of Hospice and Palliative Medicine® · doi:10.1177/1049909118813973 · Cited by 20 · see citing works
Older Women Discuss Planning for Future Care Needs
Girling, L., & Morgan, L. A. (2014) · Journal of Aging and Health · doi:10.1177/0898264314529330 · Cited by 19 · see citing works
Song, Y., Yan, E., & Sörensen, S. (2016) · Ageing and Society · doi:10.1017/s0144686x16000349 · Cited by 19 · see citing works
Self-citationGranbom, M., Nkimbeng, M. J., Roberts, L., Gitlin, L. N., Taylor, J. L. W., & Szanton, S. L. (2020) · Housing and Society · doi:10.1080/08882746.2020.1816782 · Cited by 17 · see citing works
Preparation Dimensions and Styles in Long-Term Care
Steele, M., Pinquart, M., & Sörensen, S. (2003) · Clinical Gerontologist · doi:10.1300/j018v26n03_09 · Cited by 17 · see citing works
Self-citationMarshalling Social Support: A Care-Getting Model for Persons Living With Cancer
Kahana, E. F., Kahana, B., Wykle, M. L., & Kulle, D. (2009) · Journal of Family Social Work · doi:10.1080/10522150902874834 · Cited by 16 · see citing works
Kvæl, L. A. H. (2025) · Social Science & Medicine · doi:10.1016/j.socscimed.2025.118098 · Cited by 13 · see citing works
“Care-Getting”: A Conceptual Model of Marshalling Support Near the End of Life
Kahana, E., Kahana, B., & Wykle, M. L. (2010) · Current Aging Science · doi:10.2174/1874609811003010071 · Cited by 12 · see citing works
Pinquart, M., & Sörensen, S. (2000) · Diagnostica · doi:10.1026//0012-1924.46.3.130 · Cited by 11 · see citing works
Self-citationDan, A. (2004) · OhioLink ETD Center (Ohio Library and Information Network) · Cited by 6 · see citing works
The long-term care decision making of older lesbians
Gabrielson, M. L. (2009) · doi:10.17077/etd.z3cl629b · Cited by 6 · see citing works
Zhu, B., & Wu, L. (2025) · Applied Psychology Health and Well-Being · doi:10.1111/aphw.70005 · Cited by 5 · see citing works
Hafen, M., & Sörensen, S. (2008) · Illness Crisis & Loss · doi:10.2190/il.16.1.c · Cited by 5 · see citing works
Self-citationReadiness to Plan for Aging and Frailty: Examining Contextual Factors
Frechman, E., Dietrich, M. S., Buck, H. G., Rhoten, B. A., & Maxwell, C. A. (2023) · Journal of Gerontological Nursing · doi:10.3928/00989134-20230106-05 · Cited by 4 · see citing works
Hill, T. G., & MacGillivray, M. K. (2023) · Journal of Community Psychology · doi:10.1002/jcop.23089 · Cited by 5 · see citing works
Harris, M. A., Crone, D., Hughes, S., & Bird, W. (2022) · PLoS ONE · doi:10.1371/journal.pone.0263414 · Cited by 4 · see citing works
Frechman, E., Buck, H. G., Dietrich, M. S., Rhoten, B. A., Davis, A., & Maxwell, C. A. (2023) · Journal of Ageing and Longevity · doi:10.3390/jal3010006 · Cited by 2 · see citing works
Karantzas, G. C. (2012) · doi:10.1002/9781444354119.ch6 · Cited by 2 · see citing works
Ni, Q., Wang, L. M., Sui, W., & Zhuang, Y. (2025) · Geriatric Nursing · doi:10.1016/j.gerinurse.2025.103704 · Cited by 1 · see citing works
Li, L., Bao, Z., Zheng, Q., Yang, J., Liu, X., Fan, R., & Feng, Z. (2026) · Frontiers in Public Health · doi:10.3389/fpubh.2026.1798813 · Cited by 1 · see citing works
Southerland, J. L. (2012) · Digital Commons - East Tennessee State University (East Tennessee State University) · Cited by 1 · see citing works
LEEGYESEUNG, & Kim, D. H. (2017) · Korean Journal of Social Welfare Studies · doi:10.16999/kasws.2017.48.4.157 · Cited by 1 · see citing works
Preparation for Future Care: The Role of Family Caregivers
Sörensen, S. (2021) · Encyclopedia of Gerontology and Population Aging · doi:10.1007/978-3-319-69892-2_25-1
Self-citationPreparation for Future Care: The Role of Family Caregivers
Sörensen, S. (2021) · Springer eBooks · doi:10.1007/978-3-319-69892-2_25-2 · Cited by 1 · see citing works
Self-citationA Study of Quality of Life Issues in Community-Dwelling Elders
McCLANE, K. S. (2002) · doi:10.22371/07.2002.006 · Cited by 1 · see citing works
Lovegreen, L. D. (2010) · Open Longevity Science
LEEGYESEUNG, & Kim, D. H. (2018) · Disability & Employment · doi:10.15707/disem.2018.28.2.001
Preparation for Future Care: The Role of Family Caregivers
Sörensen, S. (2021) · Springer eBooks · doi:10.1007/978-3-030-22009-9_25
Self-citationLee, E., Huo, M. L., & Kim, K. (2024) · Research on Aging · doi:10.1177/01640275241279922
Ni, Q., Wang, L. M., Zhang, J., Huang, Z., Zhang, C., Jiang, W., Shen, Y., Sui, W., Gong, X., & Zhuang, Y. (2024) · Research Square · doi:10.21203/rs.3.rs-4930301/v1
- Authors
- Sörensen, S., & Pinquart, M.
- Affiliations
- Utah State University (US)
- Friedrich Schiller University Jena (DE)
- Venue
- Journal of Aging and Health
- Publisher
- SAGE Publications
- Published
- 2000-08
- Volume
- 12
- Issue
- 3
- Pages
- 275-300
- ISSN
- 0898-2643 (ISSN-L)
- 1552-6887
- OpenAlex
- W1967331833
- Cited by
- 53
- References
- 46
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 2 · 2023: 3 · 2022: 1 · 2021: 3 · 2020: 2 · 2019: 1 · 2018: 2 · 2017: 3 · 2016: 2 · 2014: 3 · 2012: 2
- FWCI
- 9.14
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Aging and Health (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Aging, Elder Care, and Social Issues
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Keywords
- care planning, older adults, vulnerability, access to resources, activities of daily living, socioeconomic status, family contact, age differences, gender differences, community-dwelling older adults, long-term care
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