Long-term care preferences and attitudes among Great Lakes American Indian families: cultural context matters.

This research examines the role of family and culture in planning for future long-term care needs and preferences among 252 elders age 55 and older and 74 middle generation children of Great Lakes American Indians living in three residential areas: urban, reservation, and off-reservation rural. Findings show that both generations prefer a non-institutional home-based choice for care if needed, and that acculturation levels influence those choices. Level of acculturation differed by area of residence.