Exhibit 4.

Expectations About Using Each Source Of Long-Term Service And Support

	Odds ratio
Living arrangement	Family	Hiring someone	Home health agency	Nursing home or assisted living facility	Other	Multiple sources
With spouse only	Ref	Ref	Ref	Ref	Ref	Ref
Alone	0.35****	1.88****	1.72****	1.78****	2.15****	1.01
With spouse and minor children only	1.51****	0.56****	0.91	0.92	0.54***	0.81
With minor children only	0.62***	0.71	1.37	1.84**	1.17	0.72
With extended family members or unrelated others	1.25***	0.69**	0.97	1.13	1.01	1.07

Source/Notes: SOURCE Authors’ analysis of data from the 2012 National Health Interview Survey.NOTES Analyses were weighted to approximate nationally representative estimates. The sample consisted of 11,796 respondents; the population was 34,480,308.All models were adjusted for sex, age, race or ethnicity, family income, educational attainment, employment, health status, psychological distress, presence of an activity limitation, having a close relative who has needed long-term services and supports for at least a year at the time of the survey, and personal expectations of use of long-term services and supports. “Spouse” means spouse or partner. “Children” means child or children.

^**p < 0.05

^***p < 0.01,

^****p < 0.001