Texas Demographics at a Glance: Older Adults in Texas

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Texas Demographics at a GlanceOlder Adults in
Texas LTC
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Why Look at Demographics?

• The aging of the population is one of the most
  important demographic trends affecting the United
  States
• It is critical to know the population to help
  determine their long-term care needs
• The 60-plus population is growing more rapidly
  than any other major population group
• In Texas, this growth continues to parallel
  national trends

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Why Look at Demographics?

• However, the longevity and diversity of older
  adults in Texas presents unique challenges
• The absolute size, ethnic and racial diversity,
  and poverty rate distinguish older Texans from
  the national population
• Texas has the fourth largest population of older
  adults (2.7 million)
• California 4.7 million
• Florida 3.5 million
• New York 3.2 million

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Population Characteristics

• Over 2.7 million Texans are age 60 or older
• Persons age 65 and older (9.9)- U.S. Census 2000
• Older Texans are relatively young
• An estimated 66 of the older population is
  younger than 75.
• The female population outnumbers the male
  population
• Malefemale ratio is approximately 76100
• Disparity increases with age
• Black older adult population has greatest gender
  disparity of approximately 60100

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Population Characteristics

• Older Texans are predominately Anglo (72),
  followed by Hispanics (18), and Blacks (9)
• Texas has the second largest older Hispanic
  population in the nation (488,925), second only
  to California (677,321)
• Texas has the third largest older Black
  population (239,441), following New York
  (352,558) and California (253,122)
• The poverty rate among older Texans continues to
  exceed the national average

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Geographical Characteristics

• Approximately 50 of the 60-plus population
  reside in three major areas of the state
• San Antonio area, Houston-Galveston region, and
  the Dallas/Fort Worth metroplex
• The proportional distribution of older adults
  tends to be highest in non-metropolitan regions.
• Although rural counties make up 80 of all Texas
  counties, they account for only 25 of the older
  adult population.

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The Coming Changes

• Demographers continue to stress a dramatic
  population change in the coming decades as the
  60-plus population rapidly continues to grow.
• Many factors fuel the increase in the 60-plus
  population
• Medical advances
• Improved public health
• Better nutrition
• Wellness-oriented lifestyles
• Large number of Baby Boomers (those born between
  1946 and 1964) entering old age

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The Baby Boomer Wave

• Born 1946- 1964
• Currently between the ages of 39 and 57
• The Numbers
• United States
• 78,310,361 Boomers
• 28 of the population
• Texas
• 5,598,649 Boomers
• 28 of the population

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Future Projections of the Aging Texas Population

• Texans 60-plus are projected to total 8.1 million
  by 2040 (constitutes a 193 increase from 2000)
• By 2040, the 60-plus population is projected to
  comprise 23 of the total Texas population.
• The 60-plus population will itself grow older.
  By 2040, the 85-plus population is projected to
  increase by 249.4 (831,000)

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Future Projections of the Aging Texas Population

• The disparity between males and females is
  projected to decrease males accounted for 44 of
  the aged population in 2000 projected to
  increase to 47 in 2040
• Minority populations are growing rapidly by
  2040, they will constitute almost half of all
  older Texans
• Hispanics will comprise 31 of all older Texans.
  Hispanic elders will continue to outnumber other
  race/ethnicities along the Texas-Mexico Border
  region.
• The Austin-San Marcos Metropolitan Statistical
  Area will experience the largest percent growth
  in the 60-plus population by 2040 (a 321.7
  increase)

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Lifetime Risk of Needing LTC
Sources Long-Term Care Insurance, Baby Boom or
Bust? Conning Company, 1999. B.C. Spillman
and J. Lubitz, 2002.
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Risk Factors

• There are many factors that may increase a
  persons risk of needing LTC
• Age
• Marital Status
• Gender
• Lifestyle
• Health
• Family History

Source General Accounting Office. Long-Term
Care Current Issues and Future Directions,
April 1995.
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Risk of Needing LTC by Age (during a 12-month
period)
Source Urban Institute, Long-Term Care
Consumers, Providers, and Financing. 2001.
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Risk of Needing Nursing Home Care by Age (during
a 12-month period)
Source Urban Institute, Long-Term Care
Consumers, Providers, and Financing. 2001.
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Who Receives Long-Term Care?

• Adults age 65 and over 53
• Working-age adults 44
• Children 3
• Source The Federal Long-Term Care Insurance
  Program
• www.ltcfeds.com

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Who Receives Long-Term Care?

• 6 out of every 10 people (60) who reach age 65
  will need long-term care services
• One in four people age 85 or older currently
  lives in a nursing home
• The longer you live, the more likely it is you
  will need long-term care

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Cost of LTC in Texas (2003)

• Texas
• Cost of nursing home stay may range from 30,000
  to more than 50,000 per year.
• Average daily rates may range from 90 to more
  than 150 per day
• Dependent on
• Services needed
• Costs in your area
• Source Long Term Care Insurance, July 2004
• Texas Department of Insurance

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Average Cost of LTC in Dallas (2004)

• Home Health Care
• 17/hr 22,100/yr
• assumes 5 hrs/ visit and 5 visits/ week
• Assisted Living
• 1,372/mo 16,464/yr
• Nursing Home
• 102/day 37,230/yr
• Source The Federal Long-Term Care Insurance
  Program
• Planning Tools www.ltcfeds.com

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Average Cost of LTC in Houston (2004)

• Home Health Care
• 19.55/hr 25,415/yr
• assumes 5 hrs/ visit and 5 visits/ week
• Assisted Living
• 1,552/mo 18,624/yr
• Nursing Home
• 90.90/day 33,178.50/yr
• Source The Federal Long-Term Care Insurance
  Program
• Planning Tools www.ltcfeds.com