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Centre for Policy on Ageing | |
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| The persistence of race and ethnicity in the use of long-term care | | Author(s) | Steven P Wallace, Lené Levy-Storms, Raynard Kington |
| Journal title | The Journals of Gerontology Series B: Psychological sciences and social sciences, vol 53B, no 2, March 1998 |
| Pages | pp S104-S112 |
| Keywords | Usage [services] ; Nursing homes ; Domiciliary services ; White people ; Black people ; United States of America. |
| Annotation | In this US study, the use of nursing homes, formal personal care, informal Activities of Daily Living (ADL) assistance, and no care was examined to identify racial differences in their use. Using the 1987 National Medical Expenditure Survey of both nursing homes and the community, multinominal (i.e. multinomial) logistic regressions controlled for predisposing, enabling, and need variables, as well as other types of service use. Additional state-level variables make few changes in race and ethnicity parameters, indicating that race and ethnicity are not simply proxies for state-level variables. Older African Americans are less likely to use nursing homes than similar white older people, but more likely to use paid home care, informal ADL assistance, and no care. Findings suggest that formal in-home community care is not fully compensating for the racial differences in nursing home use. Persistent effects of race and ethnicity could be the result of culture, class, and/or discrimination that may impair equitable access to services. (AKM). |
| Accession Number | CPA-980602412 A |
| Classmark | QLD: LHB: N: TKA: TKE: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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