VARIATION AMONG AGED RACIAL GROUPS IN LONG TERM CARE

描述(改编自申请)：这项研究将利用 关于家庭和代际交换行为的社会学理论 检查不同种族/民族的老年人在使用 以社区为基础的长期护理服务。家庭结构的影响 以及跨种族群体的代际交流行为模式 直到最近才对护理的使用进行了经验性的检验。然而， 研究结果并不一致。此外，服务的层次结构 偏好(例如，先是亲属护理，然后是非亲属护理，最后是正式护理 CARE)从未经过统计检验，因为方法上的限制。 本研究将：(1)扩展安徒生行为模型 包含有关家庭/亲属关系结构和代际关系的信息 考察种族/民族对等级的影响的转移模式 服务偏好；(2)应用具有随机效应的新的分析模型 和解释变量的非比例赔率来检验研究 问题。高龄老年人的资产和健康动态(前) 将使用纵向调查，结果变量将是 根据长期资本的层次结构，构建了七个类别 护理服务偏好。具体研究问题有：(1) 少数民族老年群体长期护理利用模式不同 与高加索人相比吗？变化的模式是否与 少数群体和高加索人一样？(2)是亲属关系结构和 不同种族/民族的代际转移模式是不同的？ 这些差异，如果有的话，对 六种长期护理的过渡性利用模式 服务？(3)服务利用率的变化有多大 亲属关系结构和代际交换行为的解释 在控制社会经济的同时，在种族/族裔老年群体中 因素和大脑健康？(4)随着时间的推移发生了什么变化？这个 调查结果将有助于提供有关以下方面的必要信息 少数群体无法获得正式的长期护理服务。 此外，结果将为公众提供知识和洞察力 政策制定，关于长期存在的公众辩论，即 家庭或社会应承担提供护理的主要责任 敬老者。

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.