How Do Race and Hispanic Ethnicity Affect Nursing Home Admission? Evidence From the Health and Retirement Study

被引:64
作者
Thomeer, Mieke Beth [1 ]
Mudrazija, Stipica [2 ]
Angel, Jacqueline L. [3 ,4 ,5 ]
机构
[1] Univ Alabama Birmingham, Dept Sociol, Birmingham, AL 35294 USA
[2] Univ So Calif, Sch Social Work, Edward R Roybal Inst Aging, Los Angeles, CA 90089 USA
[3] Univ Texas Austin, Dept Sociol, Austin, TX 78712 USA
[4] Univ Texas Austin, Lyndon B Johnson Sch Publ Affairs, Austin, TX 78712 USA
[5] Univ Texas Austin, Populat Res Ctr, Austin, TX 78712 USA
来源
JOURNALS OF GERONTOLOGY SERIES B-PSYCHOLOGICAL SCIENCES AND SOCIAL SCIENCES | 2015年 / 70卷 / 04期
关键词
Hispanic ethnicity; Long-term care; Nursing homes; Race; LONG-TERM-CARE; LIVING ARRANGEMENTS; RACIAL DISPARITIES; MEXICAN-AMERICANS; UNITED-STATES; ACCESS; FAMILY; RISK; DETERMINANTS; DEMOGRAPHICS;
D O I
10.1093/geronb/gbu114
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
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.
引用
收藏
页码:628 / 638
页数:11
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