Objective Demographic aging affects the number of older individuals potentially in need of care and age groups of younger individuals potentially providing formal and informal care. This study examines the current and future demographic aging and care preferences on a county level in Saxony. Methods To analyze demographic aging, formal (FISR) and informal intergenerational support ratios (IISR) based on population data from the Federal Institute for Research on Building, Urban Affairs and Spatial Development (BBSR) were used. Ratios were calculated for every county in Saxony from 2012 to 2035. Care preferences for care settings of senior German citizens in Saxony were determined by a representative telephone survey (n = 101; 65+). Results FISR and IISR tend to progress in similar ways and are reduced by 50 % by 2035. Regarding nursing care preferences, the majority preferred being cared for at home. Implications Upcoming care ratios may inform community health care planners and decision makers on critical constellations in advance. Strategies to ensure the future elderly care are to be developed and implemented.
