Title | How do race and Hispanic ethnicity affect nursing home admission? Evidence from the Health and Retirement Study. |
Publication Type | Journal Article |
Year of Publication | 2015 |
Authors | Thomeer, MBeth, Mudrazija, S, Angel, JL |
Journal | J Gerontol B Psychol Sci Soc Sci |
Volume | 70 |
Issue | 4 |
Pagination | 628-38 |
Date Published | 2015 Jul |
ISSN Number | 1758-5368 |
Keywords | Activities of Daily Living, African Continental Ancestry Group, Disability Evaluation, European Continental Ancestry Group, Hispanic Americans, Homes for the Aged, Humans, Nursing homes, Proportional Hazards Models, Socioeconomic factors, United States |
Abstract | OBJECTIVES: This study investigates how health- and disability-based need factors and enabling factors (e.g., socioeconomic and family-based resources) relate to nursing home admission among 3 different racial and ethnic groups. METHOD: We use Cox proportional hazard models to estimate differences in nursing home admission for non-Hispanic whites, non-Hispanic blacks, and Hispanics from 1998 to 2010 in the Health and Retirement Study (N = 18,952). RESULTS: Racial-ethnic differences in nursing home admission are magnified after controlling for health- and disability-based need factors and enabling factors. Additionally, the degree to which specific factors contribute to risk of nursing home admission varies significantly across racial-ethnic groups. DISCUSSION: Our findings indicate that substantial racial and ethnic variations in nursing home admission continue to exist and that Hispanic use is particularly low. We argue that these differences may demonstrate a significant underuse of nursing homes for racial and ethnic minorities. Alternatively, they could signify different preferences for nursing home care, perhaps due to unmeasured cultural factors or structural obstacles. |
URL | http://psychsocgerontology.oxfordjournals.org/content/early/2014/09/08/geronb.gbu114.abstract |
DOI | 10.1093/geronb/gbu114 |
User Guide Notes | |
Endnote Keywords | Hispanic ethnicity/Long-term care/Nursing homes/ethnicity/race/ethnic differences |
Endnote ID | 999999 |
Alternate Journal | J Gerontol B Psychol Sci Soc Sci |
Citation Key | 8251 |
PubMed ID | 25204311 |
PubMed Central ID | PMC4462672 |
Grant List | R01 MD005894 / MD / NIMHD NIH HHS / United States 1 R01 MD005894-01 / MD / NIMHD NIH HHS / United States |