TY - JOUR T1 - How do race and Hispanic ethnicity affect nursing home admission? Evidence from the Health and Retirement Study. JF - J Gerontol B Psychol Sci Soc Sci Y1 - 2015 A1 - Thomeer, Mieke Beth A1 - Mudrazija, Stipica A1 - Jacqueline L. Angel KW - Activities of Daily Living KW - African Continental Ancestry Group KW - Disability Evaluation KW - European Continental Ancestry Group KW - Hispanic Americans KW - Homes for the Aged KW - Humans KW - Nursing homes KW - Proportional Hazards Models KW - Socioeconomic factors KW - United States AB -

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.

PB - 70 VL - 70 UR - http://psychsocgerontology.oxfordjournals.org/content/early/2014/09/08/geronb.gbu114.abstract IS - 4 U1 - http://www.ncbi.nlm.nih.gov/pubmed/25204311?dopt=Abstract U2 - PMC4462672 U4 - Hispanic ethnicity/Long-term care/Nursing homes/ethnicity/race/ethnic differences ER -