The Impact of Consumer Numeracy on the Purchase of Long-Term Care Insurance

Health Serv Res. 2016 Aug;51(4):1612-31. doi: 10.1111/1475-6773.12439. Epub 2016 Jan 22.

Abstract

Objective: To determine the effect of consumers' numeric abilities on the likelihood of owning private long-term care insurance.

Data source: The 2010 wave of the Health and Retirement Study, a nationally representative survey of Americans age 50 and older, was used (n = 12,796).

Study design: Multivariate logistic regression was used to isolate the relationship between numeracy and long-term care insurance ownership.

Principal findings: Each additional question answered correctly on a numeracy scale was associated with a 13 percent increase in the likelihood of holding LTCI, after controlling for predictors of policy demand, education, and cognitive function.

Conclusions: Poor numeracy may create barriers to long-term care insurance purchase. Policy efforts aimed at increasing consumer decision support or restructuring the marketplace for long-term care insurance may be needed to increase older adults' ability to prepare for future long-term care expenses.

Keywords: Long-term care insurance; consumer decision making; long-term care financing; numeracy.

Publication types

  • Research Support, U.S. Gov't, P.H.S.
  • Research Support, N.I.H., Extramural

MeSH terms

  • Consumer Behavior / economics*
  • Financing, Personal / economics*
  • Health Surveys
  • Humans
  • Insurance, Long-Term Care / economics
  • Insurance, Long-Term Care / statistics & numerical data*
  • Middle Aged