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Centre for Policy on Ageing | |
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Racial differences in skilled nursing care and home health use
— the mediating effects of family structure and social class | | Author(s) | Kathleen A Cagney, Emily M Agree |
| Journal title | The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, vol 54B, no 4, July 1999 |
| Pages | pp S223-236 |
| Keywords | Ethnic groups ; Nursing homes ; Private nursing ; Home visits [doctors] ; The Family ; Social class ; United States of America. |
| Annotation | The effects of race on the use of skilled nursing facility (SNF) care and Medicare home health were investigated. The study also sought to understand the extent to which family structure and social class explain any differences observed. Linking measures from the 1998 US National Long-Term Care Survey claims data, the authors modelled SNF care and home health use as competing risks using a Cox proportional hazards model. Results found that blacks postpone both home health and SNF care until later ages than whites; and both children and grandchildren play a part in deferring their use until even later ages. When formal assistance is needed, blacks are more apt than whites to use home health over SNF care. The race difference in SNF care is even greater than that previously reported for all types of nursing home use combined. Social class has little influence on the risk differential. Contrary to expectation, black elders are not counterbalancing their lower rate of SNF use with a higher rate of home health use. This suggests that differences in need, preference, or access are yet to be identified. (RH). |
| Accession Number | CPA-991220215 A |
| Classmark | TK: LHB: N5: L5H: SJ: T: 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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