As global populations age & multi-generational family living increases, more individuals are likely to be impacted by illness & disability within their family. Our recent findings using nationwide administrative data indicate that in Aotearoa, high levels of family-based support are needed among Pacific Peoples, multi-generation families & those living in high levels of deprivation. This suggests potential gains from culturally appropriate: family-based preventative strategies that address modifiable risk factors; family-wide health screening/assessment; and interventions that include the whole family.