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Is nursing home demand affected by the decline in age difference between spouses?

Author

Listed:
  • Darius N. Lakdawalla

    (RAND Corporation)

  • Robert Schoeni

    (University of Michigan)

Abstract

We investigate whether declines in the age difference between spouses has influenced widowhood and nursing home demand. We first use life-table methods to simulate the impact of the declining age gap on the risk of widowhood. We then use the Medicare Current Beneficiary Survey and the Census Public Use Microdata Samples to estimate the impact of widowhood, and other characteristics, on the probability of nursing home entrance. These help us estimate the impact of the declining age gap on nursing home use. We estimate that the decline in the difference in ages between spouses that took place between the birth cohorts of 1900 and 1955 may raise women's annual nursing home expenditures by about $1.4 billion, but lower men's expenditures by about $600 million.

Suggested Citation

  • Darius N. Lakdawalla & Robert Schoeni, 2003. "Is nursing home demand affected by the decline in age difference between spouses?," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 8(10), pages 279-304.
    • Handle: RePEc:dem:demres:v:8:y:2003:i:10
    DOI: 10.4054/DemRes.2003.8.10
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    References listed on IDEAS

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    Cited by:

    1. Charles, Kerwin Kofi & Sevak, Purvi, 2005. "Can family caregiving substitute for nursing home care?," Journal of Health Economics, Elsevier, vol. 24(6), pages 1174-1190, November.
    2. Jean-François Mignot, 2010. "Der Altersunterschied zwischen Ehepartnern [Age gaps between spouses or intimate partners]," Post-Print halshs-01326705, HAL.
    3. Sarma, Sisira & Simpson, Wayne, 2007. "A panel multinomial logit analysis of elderly living arrangements: Evidence from aging in Manitoba longitudinal data, Canada," Social Science & Medicine, Elsevier, vol. 65(12), pages 2539-2552, December.
    4. Henry Ergas, 2009. "Providing Aged Care: The Case for Reform," Agenda - A Journal of Policy Analysis and Reform, Australian National University, College of Business and Economics, School of Economics, vol. 16(2), pages 21-44.
    5. Sarma, Sisira & Hawley, Gordon & Basu, Kisalaya, 2009. "Transitions in living arrangements of Canadian seniors: Findings from the NPHS longitudinal data," Social Science & Medicine, Elsevier, vol. 68(6), pages 1106-1113, March.

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    More about this item

    Keywords

    aging; marriage; long-term care; nursing home;
    All these keywords.

    JEL classification:

    • J1 - Labor and Demographic Economics - - Demographic Economics
    • Z0 - Other Special Topics - - General

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