At age 65, the lifetime likelihood of needing significant long-term care (defined as requiring help with two or more Activities of Daily Living (ADLs)) is 75% for women and 64% for men. The use of unpaid care only is relative low, which means that while care may start at home, it may progress to other settings and usually will result in at least some paid care. If paid care is used, the duration may vary widely from less than two years (about 35% of women and 47% of men) to more than eight years (17% of women and 12% of men).