Addressing the Home Care Shortage: Predictors of Willingness to Provide Paid Home Care in New York

Amy L. Shaw, Joanna B. Ringel, Ariel C. Avgar, Catherine A. Riffin, John Kallas, Madeline R. Sterling

Research output: Contribution to journalArticlepeer-review


Objectives: To determine the prevalence and predictors of willingness to consider becoming a paid home care worker. Design: Cross-sectional telephone-based survey study. Setting and Participants: 800 adult residents of New York State participating in the 2020 Empire State Poll, an annual survey conducted in English and Spanish using random-digit dialing. Methods: Willingness to consider working as a paid home care worker was analyzed as the main outcome. Survey questions also involved demographics and unpaid caregiving experience. We used multinomial logistic regression to examine associations between participant characteristics and willingness to be a paid caregiver. Results: Participants had a mean age of 47.7 years (95% CI 45.4-50.0). Demographic information included 51.1% female gender, 65.4% White race, 13.4% Black race, 6.4% Asian or Pacific Islander, 14.8% another race, 19.1% Hispanic/Latino ethnicity, and 43.0% household income below $50,000 per year. A weighted 25.4% of participants would consider becoming a paid home care worker. In an adjusted model, willingness to be a paid home care worker was associated with younger age [odds ratio (OR) 0.98, 95% CI 0.96-1.00, P = .032], female gender (OR 2.46, 95% CI 1.35-4.46, P = .003), Black or other race (OR 2.40, 95% CI 1.11-5.17, P = .026, and OR 3.13, 95% CI 1.30-7.54, P = .011, respectively), Hispanic ethnicity (OR 2.26, 95% CI 1.06-4.81, P = .035), household income below $50,000 per year (OR 2.00, 95% CI 1.03-3.88, P = .040), and having provided unpaid family caregiving (OR 2.08, 95% CI 1.15-3.76, P = .016). Conclusions and Implications: A quarter of New Yorkers would consider working as a paid home care worker. Willingness to consider this occupation was associated with the demographic characteristics disproportionately represented in the current home care workforce. Improved working conditions and compensation could help attract and retain home care workers, thereby addressing the rising need for home care in the United States.

Original languageEnglish (US)
Pages (from-to)1621-1626.e1
JournalJournal of the American Medical Directors Association
Issue number10
StatePublished - Oct 2022
Externally publishedYes


  • aging
  • caregiving
  • Home care
  • home care workers
  • paid care
  • survey

ASJC Scopus subject areas

  • General Nursing
  • Health Policy
  • Geriatrics and Gerontology


Dive into the research topics of 'Addressing the Home Care Shortage: Predictors of Willingness to Provide Paid Home Care in New York'. Together they form a unique fingerprint.

Cite this