Distribution of African Americans in residential care/assisted living and nursing homes: more evidence of racial disparity?
ABSTRACT In this study, we examined racial separation in long-term care.
We used a survey of a stratified sample of 181 residential care/assisted living (RC/AL) facilities and 39 nursing homes in 4 states.
Most African Americans resided in nursing homes and smaller RC/AL facilities and tended to be concentrated in a few predominantly African American facilities, whereas the vast majority of Whites resided in predominantly White facilities. Facilities housing African Americans tended to be located in rural, nonpoor, African American communities, to admit individuals with mental retardation and difficulty in ambulating, and to have lower ratings of cleanliness/maintenance and lighting.
These racial disparities may result from economic factors, exclusionary practices, or resident choice. Whether separation relates to inequities in care is undetermined.
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ABSTRACT: Zhan HJ, The role of the family in institutional long-term care – cultural management of filial piety in China Int J Soc Welfare 2011: 20: S121–S134 © 2011 The Author(s), International Journal of Social Welfare © 2011 Blackwell Publishing Ltd and the International Journal of Social Welfare. This study used both qualitative and quantitative data collected in Nanjing, China, from 2008 to 2009, to examine the role of the family in long-term institutional elder care. The qualitative data reported on four separate groups of family members and their elderly parents residing in institutions. The survey included information from 140 elder care institutions (over 95% of all urban elder care institutions) in Nanjing. The quantitative data provided a background from which to understand the qualitative responses of family members obtained during the focus group discussions. The qualitative data added a contextualized understanding of the reasons for institutional placement and aspects of the families' continued involvement in long-term care. In conclusion, Chinese families, unlike families in the West, are currently struggling to manage the cultural demands of elder care together with the usual financial, caregiving, and emotional concerns. Managing stigma has been one of the adult children's prevalent themes in the transition from familial to institutional care.International Journal of Social Welfare 10/2011; 20(s1). DOI:10.1111/j.1468-2397.2011.00808.x · 0.54 Impact Factor
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ABSTRACT: A mixed-method analysis of long-term care facility brochures was conducted to gain a deeper understanding of how care facilities market their structure and services to potential residents. The study's first phase consisted of an emergent theme analysis of a sample of long-term care facility brochures. Four message themes, including Material Structure, Homogenous Aging Experience, Happy and Healthy, and Social Capital, exposed the brochures’ strategic omissions and inclusions. The second phase of the study consisted of a quantitative content analysis to examine the generalizability of the thematic elements. Results revealed that brochure frames played upon the cognitive vulnerabilities experienced by older adults during decision making. Ethical implications and practical applications of these findings conclude this study.09/2012; 77(4):349-368. DOI:10.1080/1041794X.2012.679991
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ABSTRACT: We compared data drawn from a random sample of 399 current assisted living (AL) residents and a subsample of 222 newly admitted residents for two groups: childless AL residents and AL residents with children. The percentage of childless AL residents (26%) in our study was slightly higher than US population estimates of childless persons age 65 and over (20%). In the overall sample, the two groups differed significantly by age, race and women's years of education. The childless group was slightly younger, had a higher percentage of African American residents, and had more years of education than the group with children. In the subsample, we looked at demographic, functional, financial and social characteristics and found that compared to residents with children, fewer childless residents had a dementia diagnosis, received visits from a relative while more paid less money per month for AL and reported having private insurance. As childlessness among older adults continues to increase, it will become increasingly important to understand how child status affects the need for and experience of long-term care.Journal of Housing for the Elderly 01/2013; 27(1-2):206-220. DOI:10.1080/02763893.2012.754823