VARIATION AMONG AGED RACIAL GROUPS IN LONG TERM CARE

描述（改编自应用程序）：本研究将利用 家庭和代际交换行为的社会学理论， 研究种族/族裔老年人群体在使用 以社区为基础的长期护理服务。 家庭结构的影响 和跨种族群体的代际交换行为模式， 直到最近才对护理的使用进行了实证研究。 然而，在这方面， 调查结果并不一致。 此外，服务的层次结构 偏好（例如，亲属照顾，其次是非亲属照顾，最后是正式的 由于方法上的限制，从未进行过统计检验。 本研究将：（1）扩展Andersen行为模型， 纳入了关于家庭/亲属关系结构和代际关系的信息， 转移模式，以检查种族/族裔对等级制度的影响 （2）应用一种新的随机效应分析模型 和解释变量的非比例优势来检验研究 问题. The Assets and Health Dynamics Among the Oldest Old（AHEAD） 将使用纵向调查，结果变量将是 根据长期的层次结构， 护理服务偏好 具体的研究问题是：（1） 少数老年群体的长期护理利用模式不同 与高加索人相比，？ 变化的模式是否与 少数民族是高加索人吗？ (2)是亲属关系结构， 不同种族/族裔群体的代际转移模式不同？ 这些差异（如果有的话）是否对 六类长期护理的过渡利用模式 服务？ (3)服务利用率的变化有多大 亲属结构和代际交换行为解释了这一现象 种族/族裔老年人群体，同时控制社会经济 因素和大脑健康？ (4)随着时间的推移发生了哪些变化？ 的 调查结果将有助于提供所需的信息， 少数群体无法获得正式的长期护理服务。 此外，研究结果将有助于公众了解和了解 政策制定，关于长期存在的公众辩论， 家庭或社会应承担提供照顾的主要责任 给老年人。

DESCRIPTION (adapted from the application): This research will utilize sociological theories of family and intergenerational exchange behaviors to examine the variation among racial/ethnic elderly groups in use of community-based long-term care services. The effects of family structure and intergenerational exchange behavioral patterns across racial groups on use of care had not been empirically examined until very recently. However, the findings are not consistent. Furthermore, a hierarchy of service preferences (e.g., kin care followed by non-kin care and finally formal care) has never been statistically tested due to methodological limitations. This study will: (1) expand the Andersen behavioral model which incorporates information on family/kinship structure and intergenerational transfer patterns to examine the impacts of race/ethnicity on the hierarchy of service preference; (2) apply a new analytical model with random effect and non-proportional odds for explanatory variables to examine the research questions. The Assets and Health Dynamics Among the Oldest Old (AHEAD) longitudinal surveys will be used and an outcome variable will be constructed with seven categories according to the hierarchy of long-term care service preference. The specific research questions are: (1) Are long-term care utilization patterns different for minority elderly groups compare to those of Caucasians? Is the pattern of change the same for minority groups as for Caucasians? (2) Are kinship structures and intergenerational transfer patterns different across racial/ethnic groups? Do these differences, if any, have the same or different impact on the transitional utilization patterns across the six types of long-term care services? (3) How much of the variation in service utilization can be explained by kinship structure and intergenerational exchange behaviors among the racial/ethnic elderly groups while controlling for socio-economic factors and brain health? (4) What changes occurred over time? The findings will contribute needed information regarding the extent to which minorities have access blocked to formal long-term care services. Furthermore, the results will contribute knowledge and insight into public policy-making, regarding the longstanding public debate about whether the family or the society should take major responsibility for provision of care to the elderly.