|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|
|Date Published||2015 Jul|
|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|
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.
|User Guide Notes|
|Endnote Keywords|| |
Hispanic ethnicity/Long-term care/Nursing homes/ethnicity/race/ethnic differences
|Endnote ID|| |
|Alternate Journal||J Gerontol B Psychol Sci Soc Sci|
|PubMed Central ID||PMC4462672|
|Grant List||R01 MD005894 / MD / NIMHD NIH HHS / United States |
1 R01 MD005894-01 / MD / NIMHD NIH HHS / United States