MINORITIES' CHARACTERISTICS, CHANGING RESIDENCE & LTC US

老年非裔美国人的长期护理（LTC）使用率低于白人 与医院使用相比。 正式LTC服务使用的差异 包括疗养院的范围都在缩小， 个人、健康状况和居住特征不同， 在老年人中的种族 这个项目将描述，然后分析龙 定期护理（LTC）服务使用随着时间的推移，按种族。 描述符将是 身体、认知功能和疾病的健康状况指标， 个人、社会、经济和居住特征及地区 特点，如医疗保险和社区服务的使用，和护理 使用1984-1990年老龄化纵向调查（LSOA）磁带的家庭病床 通过额外的医院和LTC使用和区域资源数据进行修饰。 我们将首先做一个汇总的时间序列横截面分析， 这些变量与医院和正式长期 护理服务使用，以确定长期护理服务使用的预测因素。 变化 慢性疾病和相关居住过渡的损害 随着时间的推移发生，并影响对LTC的需求。 我们将分析过渡 从最少到最严格的（疗养院）住宅 环境在两年内使用一个单独的汇总交叉 基于匹配的两个连续LSOA访谈的截面样本。 我们 将测试的假设，LTC的使用和住宅过渡 种族群体之间的差异主要是由健康状况造成的， 个人和区域特征。 LSOA于1984年首次投入使用 作为SOA，并采访了55岁以上的全国样本，其中包括7，541人 70+的受访者。 1986年进行了随后的采访， 1988年和1990年。 受访者数据与他们的医疗保险记录合并 对于那些死亡的人，国家死亡指数， 护理使用、原因和死亡部位数据。 代理受访者为 寻找那些死者。 分析将集中于以下子集： 5，151名70岁以上的受访者有资格在1986年重新面试，他们是 有可能在所有四个阶段都有资格参加面试。 1986年子集 保留了一半的70岁以上的人和所有的老年人（80岁以上），以及少数民族 包括560名非裔美国人

Long Term Care (LTC) use for aged Afro-Americans is less than for whites in contrast to hospital use. Differences in formal LTC service use including nursing homes are narrowing over time and are highly correlated with personal, health status and residential characteristics which differ by race among the aged. This project will describe and then analyze Long Term Care (LTC) service use over time by race. Descriptors will be health status indicators of physical, cognitive function and disease, personal, social, economic and residential characteristics and area characteristics such as medicare and community service use, and nursing home beds using the 1984-1990 Longitudinal Survey on Aging (LSOA) tapes embellished by additional hospital and LTC use and area resource data. We will first do a pooled time series cross sectional analysis of the relationships among those variables and hospital and formal long term care service use to determine the predictors of LTC use. Changes in impairment from chronic disease and associated residential transitions occur over time and effect the need for LTC. We will analyze transitions from the least to the most restrictive (nursing home) residential environments within two year periods using a separate pooled cross sectional sample based on matching two consecutive LSOA interviews. We will test the hypothesis that LTC use and residential transitions differences among racial groups are largely accounted for by health, personal, and area characteristics. The LSOA was first fielded in 1984 as the SOA and interviewed a national sample of those 55+ including 7,541 respondents who were 70+. Subsequent interviews were conducted in 1986, 1988 and 1990. Respondent Data were merged with their Medicare records and for those dying, National Death Index, to provide diagnostic, health care use, and cause, and site of death data. Proxy respondents were sought for those dead. The Analysis will concentrate on the subset of 5,151 respondents 70+ eligible for re-interview in 1986 who were potentially eligible for interview in all four periods. The 1986 subset retained half those 70+ and all the very old (80+), and minorities including 560 Afro-Americans.