Distribution of African Americans in residential care/assisted living and nursing homes: more evidence of racial disparity?

Department of Natural and Physical Sciences, Environmental Science Program, Shaw University, Raleigh, NC, USA.
American Journal of Public Health (Impact Factor: 4.23). 09/2002; 92(8):1272-7. DOI: 10.2105/AJPH.92.8.1272
Source: PubMed

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.

Download full-text


Available from: Daniel L Howard, Jul 06, 2015
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Despite the rapid growth of the elderly African American population in the U.S., elder abuse and neglect in African American families continue to be underdeveloped areas of study. This article presents an ecological and culturally informed framework for the study of elder abuse in African American populations. The model was developed based on Bronfenbrenner's Human Ecological Theory. The model identifies risk factors associated with different systems that have an influence on the lives of African American families. Cultural protective factors also are identified in the model. The model is intended to provide an understanding of elder abuse and neglect in African American families by considering the influence of contextual factors such as the legacy of slavery, social exclusion, and structural segregation and racism. Specific suggestions for practice are proposed according to cultural strengths of African American communities as well as the ecological premises of the model.
    Journal of Elder Abuse & Neglect 01/2011; 23(1):75-88. DOI:10.1080/08946566.2011.534709
  • Source
  • [Show abstract] [Hide abstract]
    ABSTRACT: Dramatic growth in Assisted Living (AL) has resulted in increasing research and policy interest. This analysis compares smaller and larger AL facilities in four states to determine whether extant measures of four key concepts, used to distinguish the AL sector, give advantage to larger facilities. Quantitative comparisons predominantly show differences favorable to larger facilities; qualitative information raises the prospect that current measures overlook beneficial aspects of smaller facilities. If small facilities are included under the AL banner. both policy provisions and quality assessment must be carefully crafted to avoid placing small homes in funding and oversight jeopardy as AL develops.
    Journal of Aging & Social Policy 02/2004; 16(4):1-16. DOI:10.1300/J031v16n04_01 · 0.60 Impact Factor