How Do Race and Hispanic Ethnicity Affect Nursing Home Admission? Evidence From the Health and Retirement Study
How Do Race and Hispanic Ethnicity Affect Nursing Home Admission? Evidence From the Health and Retirement Study
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DOI：
10.1093/geronb/gbu114
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发表时间：
2015-07-01
影响因子：
6.2
通讯作者：
Angel, Jacqueline L.
中科院分区：
文献类型：
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作者：
Thomeer, Mieke Beth;Mudrazija, Stipica;Angel, Jacqueline L.
目标。本研究调查了基于健康和残疾的需求因素和促成因素(例如，社会经济和基于家庭的资源)与3个不同种族和民族的养老院入院之间的关系。在《健康与退休研究》(N=18,952)中，我们使用COX比例风险模型来估计非西班牙裔白人、非西班牙裔黑人和西班牙裔美国人从1998年到2010年入住养老院的差异。在控制了基于健康和残疾的需求因素和促成因素后，疗养院入院的种族-民族差异被放大。此外，特定因素对养老院入院风险的影响程度在不同种族群体之间存在显著差异。我们的发现表明，疗养院入院的种族和民族差异仍然很大，西班牙裔的使用率特别低。我们认为，这些差异可能表明，种族和少数民族疗养院的使用严重不足。或者，它们可能意味着对养老院护理的不同偏好，可能是由于不可测量的文化因素或结构性障碍。
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.