Skip to main content
Log in

Preparation for future care needs: Styles of preparation used by older Eastern German, United States, and Canadian women

  • Published:
Journal of Cross-Cultural Gerontology Aims and scope Submit manuscript

Abstract

Many older persons have chronic conditions and limitations intheir everyday functioning. While some individuals prepare fortheir future care needs, many others do not. Usingsemi-structured, qualitative interviews, discourse about dealingwith the risk for needing help or care in the future wasinvestigated in 23 East German, 10 U.S., and 12 Canadian elderlycommunity-dwelling women (≥65 years). Eighty percent hadthought about future care needs; 64% had made general plans fortheir future care. Four preparation styles were identified inthe three social-structural contexts: Avoidance of preparation,thinking without planning, short-term planning, and long-termplanning. Individuals using these styles differed in theirsubjective assessment of preparation as well as in objectivepersonal conditions. More similarities than differences werefound between German, U.S. and Canadian women in the use of thesestyles. Results suggest that limited resources, systeminstability, and personal characteristics contribute to thechoice of planning style.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Arber, S. & Ginn, J. (1991). Gender and later life. London: Sage.

    Google Scholar 

  • Aspinwall, L. & Taylor, S. (1997). A stitch in time: Self-regulation and proactive coping, Psychological Bulletin 121: 417–436.

    Google Scholar 

  • Berg, C. A., Strough, J., Calderone, K., Meegan, S. P. & Sansone, C. (1997). Planning to prevent everyday problems from occurring. In S. L. Friedman & E. K. Scholnick (eds), Why, how, and when do we plan? The developmental psychology of planning (pp. 209–236). Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Bogdan, R. C. & Biklen, S. K. (1992). Qualitative research for education. Boston: Allyn & Bacon.

    Google Scholar 

  • Bromley, M. C. & Blieszner, R. (1997). Planning for long-term care: Filial behavior and relationship quality of adult children with independent parents, Family Relations 46: 155–162.

    Google Scholar 

  • sys.htm. Accessed October 30, 2000.

  • Chappell, E. (1996). Die Bestimmung des Umfangs der Pflegebedürftigkeit nach dem Pflegeversicherungsgesetz im interdisziplinären Vergleich, Zeitschrift für Gerontologie und Geriatrie 29: 418–425.

    Google Scholar 

  • Chappell, N. L. (1994). The future of health care in Canada, Journal of Social Policy 22: 487–505.

    Google Scholar 

  • Cockerham, W. C., Kunz, G., Leuschen, G. & Spaeth, J. L. (1986). Symptoms, social strati-fication and self-responsibility for health in the United States and West Germany, Social Science and Medicine 22: 1263–1271.

    Google Scholar 

  • Deeg, D. J. H., Kardaun, J. W. & Fozard, J. L. (1996). Health, behavior, and aging. In J. E. Birren & K.W. Schaie (eds), Handbook of the psychology of aging, 4th edn. (pp. 129–149). San Diego: Academic Press.

    Google Scholar 

  • Frese, M., Stewart, J. & Hannover, B. (1987). Goal orientation and planfulness: Action styles as personality concepts, Journal of Personality and Social Psychology 52: 1182–1194.

    Google Scholar 

  • Gelfand, D. E. (1988). Directions and trends in aging services: A German-American comparison, International Journal of Aging and Human Development 27: 57–68.

    Google Scholar 

  • George, L. K. (1996). Social factors and illness. In J. E. Birren & K. W. Schaie (eds), Handbook of the psychology of aging 4th edn. (pp. 229–252). San Diego: Academic Press.

    Google Scholar 

  • Gibson, M. J. (1984). Family support patterns, policies, and programs. In C. Nusberg (ed.), Innovative aging programs abroad: Implications for the United States (pp. 159–195). Westport, CT: Greenwood.

    Google Scholar 

  • Gilgun, J. F. (1995). We shared something special: The moral discourse of incest perpetrators, Journal of Marriage and the Family 57: 265–281.

    Google Scholar 

  • Groger, L. (1994). Decision as process: A conceptual model of black elders' nursing home placement, Journal of Aging Studies 8: 77–94.

    Google Scholar 

  • Gurin, G., Veroff, J. & Field, S. (1960). Americans view their mental health: A nation-wide interview study. New York: Basic Books.

    Google Scholar 

  • Hagestad, G. O. & Burton, L. M. (1986). Grandparenthood, life context and family development, American Behavioral Scientist 29: 471–484.

    Google Scholar 

  • Hansson, R. O., Nelson, R., Carver, M. D., NeeSmith, D. H., Dowling, E. M., Fletcher, W. & Suhr, P. (1990). Adult children with frail elderly parents: When to intervene? Family Relations 39: 153–158.

    Google Scholar 

  • Heyman, D. & Jeffers, F. (1965). Observations on the extent of concern and planning by the aged, for possible chronical illness, Journal of the American Geriatrics Society 13: 153–159.

    Google Scholar 

  • Hobbs, F. B. & Damon, B. L. (1996). 65+ in the United States. Washington, DC: U.S. Government Printing Office.

    Google Scholar 

  • Huberman, M. A. & Miles, M. B. (1994). Data management and analysis methods. In N. K. Denzin & Y. S. Lincoln (eds), Handbook of qualitative research (pp. 428–429). Thousand Oaks: Sage.

    Google Scholar 

  • Kosberg, J. (1992). Conclusion: Family care of the elderly-unique and common features. In J. Kosberg (ed.), Family care of the elderly (pp. 286–299). Newbury Park: Sage.

    Google Scholar 

  • Kulys, R. (1983). Future crisis and the very old: Implications for discharge planning, Health and Social Work 8: 182–195.

    Google Scholar 

  • Kulys, R. & Tobin, S. S. (1980). Interpreting the lack of future concerns among the elderly, International Journal of Aging and Human Development 11: 111–126.

    Google Scholar 

  • Lehr, U. M. & Thomae, H. (1991). Alltagspsychologie. Darmstadt: Wissenschaftliche Buchgesellschaft.

    Google Scholar 

  • Lindemann, B. L. (1993). The effects of social context on grain producers' decision to sell or hold grain. Unpublished doctoral thesis, University of Iowa.

  • Lopes, L. L. (1993). Reasons and resources: The human side of risk taking. In N. J. Bell & R. W. Bell (eds), Adolescent risk taking (pp. 29–54). Newbury Park: Sage.

    Google Scholar 

  • Maloney, S. K., Finn, J., Bloom, D. & Andresen, J. (1996). Personal decisionmaking styles and long-term care choices, Health Care Financing Review 18: 141–156.

    Google Scholar 

  • Mayer, K. U. & Müller, W. (1986). The state and the structure of human life-course. In A. B. Sø rensen, F. E. Weinert & L. R. Sherrod (eds), Human development and the life course: Multidisciplinary perspectives (pp. 217–245). Hillsdale: Lawrence Erlbaum.

    Google Scholar 

  • Merton, R. K. (1966). Anticipatory socialization. In B. J. Biddle & E. J. Thomas (eds.), Role theory: Concepts and research (pp. 347–350). New York: John Wiley.

    Google Scholar 

  • Monat, A. & Lazarus, R. S. (eds) (1985). Stress and coping: An anthology. New York: Columbia University Press

    Google Scholar 

  • Quadagno, J. (1996). Social security and the myth of the entitlement 'crisis', The Gerontologist 36: 391–399.

    Google Scholar 

  • Scarborn, M. & Nicki, R. (1996). Worry among Canadian seniors, International Journal of Aging and Human Development 43: 169–178.

    Google Scholar 

  • Schmitz-Scherzer, R., Schick, I., Kühn, D., Plageman, K. & Krauthoff, U. (1977). Vorbereitung auf das Alter? Berlin: Bundesministerium für Jugend, Familie und Gesundheit.

    Google Scholar 

  • Schneekloth, U. (1996). Entwicklung von Pflegebedürftigkeit im Alter, Zeitschrift für Gerontologie und Geriatrie 29: 11–17.

    Google Scholar 

  • Schwitzer, K.-P. & Winkler, G. (1993). Alternreport 1992. Zur sozialen Lage und Lebensweise ältere Menschen in den neuen Bundesländern. Berlin: Morgenbuch.

    Google Scholar 

  • Shiv, B. & Fedorikhin, A. (1999). Heart and mind in conflict: The interplay of affect and cognition in consumer decision making, Journal of Consumer Research 26: 278–292

    Google Scholar 

  • Sörensen, S. (1998). Predictors of anticipating caregiving in multi-generation families: An exploratory study, Journal of Applied Gerontology 17: 499–520.

    Google Scholar 

  • Sörensen, S. & Zarit, S. H. (1996). Preparation for caregiving: A study of multigeneration families, International Journal of Aging and Human Development 42: 43–63.

    Google Scholar 

  • Sörensen, S. & Pinquart, M. (2000). Vulnerability and access to resources as predictors of preparation for future care needs in the elderly, Journal of Aging and Health 12: 275–300.

    Google Scholar 

  • Sø rensen, A. B. (1986). Social structure and mechanisms of life-course processes. In A. B. Sø rensen, F. E. Weinert & L. R. Sherrod (eds), Human development and the life course: Multidisciplinary perspectives (pp. 177–197). Hillsdale: Lawrence Erlbaum.

    Google Scholar 

  • Starmer, C. (2000). Developments in Non-expected utility theory: The hunt for a descriptive theory of choice under risk, Journal of Economic Literature 38: 332–382.

    Google Scholar 

  • Statistisches Bundesamt (1998). Statistisches Jahrbuch für die Bundesrepublik Deutschland 1998. Stuttgart: Metzler-Poeschel.

    Google Scholar 

  • Staudinger, U. M., Fleeson, W. & Baltes, P. B. (1999). Predictors of subjective physical health and global well-being: Similarities and differences between the United States and Germany, Journal of Personality and Social Psychology 76: 305–319.

    Google Scholar 

  • Strauss, A. & Corbin, J. (1990). Basics of qualitative research: Grounded theory procedures and techniques. Newbury Park: Sage.

    Google Scholar 

  • Suls, J. & Fletcher, B. (1985). The relative efficacy of avoidant and nonavoidant coping strategies, Health Psychology 4: 249–288.

    Google Scholar 

  • van Meter, M. & Johnson, P. (1985). Family decision making and long term care for the elderly: Part II: A review, Journal of Religion and Aging 1: 59–72.

    Google Scholar 

  • Vezina, A. & Roy, J. (1996). State-family relations in Quebec from the perspective of intensive home care services for the elderly, Journal of Gerontological Social Work 25(3–4): 149–164.

    Google Scholar 

  • Wiener, J. M. & Illston, L. H. (1996). The financing and organization of health care for older Americans. In R. H. Binstock & L. K. George (eds), The handbook of aging and the social sciences, 4th edn. (pp. 427–445). San Diego: Academic Press.

    Google Scholar 

  • Wister, A. V. & Burch, T. K. (1989). Attitudes of the elderly towards living arrangements: Conceptual and methodological issues, Journal of Housing for the Elderly 5(2): 5–18.

    Google Scholar 

Download references

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Sörensen, S., Pinquart, M. Preparation for future care needs: Styles of preparation used by older Eastern German, United States, and Canadian women. Journal of Cross-Cultural Gerontology 15, 349–381 (2000). https://doi.org/10.1023/A:1006778627518

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1006778627518

Navigation