Variation in Older Americans Act caregiver service use, unmet hours of care, and independence among Hispanics, African Americans, and Whites.
Variation in Older Americans Act caregiver service use, unmet hours of care, and independence among Hispanics, African Americans, and Whites.
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DOI：
10.1080/01621424.2012.755143
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发表时间：
2013-01-01
影响因子：
1.4
通讯作者：
Torres-Gil, Fernando
中科院分区：
文献类型：
--
作者：
Herrera, Angelica P;George, Rebecca;Torres-Gil, Fernando
少数族裔老年人及其照顾者没有充分利用家庭和社区服务，尽管残疾率较高。我们研究了2009年接受《美国老年人法案》第三章护理服务的1,749名西班牙裔、非洲裔和白人的种族/民族差异。此外，我们还确定了护理人员使用的服务量，他们未满足的喘息护理时间，以及服务使用与老年人独立生活能力之间的关系。少数族裔照顾者照顾城市地区的老年人，他们的残疾率、贫困率和医疗补助覆盖率较高。拉美裔人的未满足护理时间率最高，而护理服务不太可能帮助非裔美国人留在家里。少数民族通过社区机构寻求服务，他们的教育程度高于人口统计学上类似的国家群体。通过社区机构，更加努力地接触城市地区教育程度较低的残疾老年人的少数照顾者，可以减少未得到满足的需求，支持独立生活。
Home- and community-based services (HCBS) are underused by minority seniors and their caregivers, despite greater rates of disability. We examined racial/ethnic variation among 1,749 Hispanics, African Americans, and Whites receiving Older Americans Act Title III caregiver services in 2009. In addition, we identified the volume of services used by caregivers, their unmet hours of respite care, and the relationship between service use and seniors' ability to live independently. Minority caregivers cared for seniors in urban areas who had higher rates of disability, poverty, and Medicaid coverage. Hispanics had the highest rate of unmet hours of care, while caregiver services were less likely to help African Americans remain at home. Minorities sought services through community agencies and were more educated than demographically similar national cohorts. Greater efforts to reach minority caregivers of less educated, disabled seniors in urban areas and through community agencies may reduce unmet needs and support independent living.