Growth Of Racial And Ethnic Minorities In US Nursing Homes Driven By Demographics And Possible Disparities In Options

Feng, Zhanlian; Fennell, Mary L.; Tyler, Denise; Clark, Melissa A.; Mor, Vincent

doi:10.1377/hlthaff.2011.0126

Cited by 163 publications

(146 citation statements)

References 24 publications

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“…Historically, disparities in access to nursing homes and other formal long-term care services contributed to lower rates of use of such services by elderly members of minority groups than by elderly whites (Belgrave, Wykle, & Choi, 1993). However, as nursing home occupancy rates have declined in most markets, and assisted living and other home-and community-based options have proliferated, access to nursing home care may now be less of a problem for elderly minorities (Feng, Fennell, Tyler, Clark, & Mor, 2011).…”

Section: Use Of Long-term Services and Supports And Other Health Servmentioning

confidence: 99%

“…From 1999 through 2008, the absolute number of elderly Hispanics and Asians living in US nursing homes grew by 55 percent and 54 percent, respectively, while the number of elderly black residents increased 11 percent (Feng et al, 2011). During the same period, the number of white nursing home residents declined by 10 percent.…”

Section: Use Of Long-term Services and Supports And Other Health Servmentioning

confidence: 99%

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Racial and Ethnic Disparities Among Individuals with Alzheimer’s Disease in the United States: A Literature Review

Lines¹,

Sherif²,

Wiener³

2014

115

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This study reviews the published literature on racial and ethnic disparities among people with Alzheimer’s disease (AD) and related dementias in the United States. To identify relevant studies, we searched electronic sources for peer-reviewed journal articles and unpublished research reports that were published through July 2014; related to the AD population and their caregivers; and provided evidence of racial and ethnic disparities, discussed reasons for disparities, or described interventions to address disparities. The literature shows consistent and adverse disparities among blacks and Hispanics compared with non-Hispanic whites concerning AD, including the disease’s prevalence and incidence, mortality, participation in clinical trials, use of medications and other interventions, use of long-term services and supports, health care expenditures, quality of care, and caregiving. The literature suggests numerous underlying causes, including factors related to measurement of the disease, genetics, socioeconomic factors, cultural differences, lack of culturally competent clinicians, and discrimination. Although these disparities are well known, little is known about the effectiveness of various strategies, such as cultural competence training, to address these differences, and very few studies evaluate possible interventions.

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Section: Use Of Long-term Services and Supports And Other Health Servmentioning

confidence: 99%

Section: Use Of Long-term Services and Supports And Other Health Servmentioning

confidence: 99%

Racial and Ethnic Disparities Among Individuals with Alzheimer’s Disease in the United States: A Literature Review

Lines¹,

Sherif²,

Wiener³

2014

115

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“…In 2012, 13.9% of nursing home residents were African American compared to 9.6% in 1999. 38,39 The lack of African American staff has been cited as a barrier to hospice use among African Americans. The CLAS standards recommend recruiting a diverse workforce at every level, and many hospices in this study reported efforts to do so.…”

Section: Discussionmentioning

confidence: 99%

What are Hospice Providers in the Carolinas Doing to Reach African Americans in Their Service Area?

JohnsonKimberly

PayneRichard

KuchibhatlaMaragatha

2016

Journal of Palliative Medicine

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Background: Experts and national organizations recommend that hospices work to increase service to African Americans, a group historically underrepresented in hospice. Objective: The study objective was to describe strategies among hospices in North and South Carolina to increase service to African Americans and identify hospice characteristics associated with these efforts. Methods: The study was a cross-sectional survey using investigator-developed scales to measure frequency of community education/outreach, directed marketing, efforts to recruit African American staff, cultural sensitivity training, and goals to increase service to African Americans. We used nonparametric Wilcoxon tests to compare mean scale scores by sample characteristics. Results: Of 118 eligible hospices, 79 (67%) completed the survey. Over 80% were at least somewhat concerned about the low proportion of African Americans they served, and 78.5% had set goals to increase service to African Americans. Most were engaged in community education/outreach, with 92.4% reporting outreach to churches, 76.0% to social services organizations, 40.5% to businesses, 35.4% to civic groups, and over half to health care providers; 48.0% reported directed marketing via newspaper and 40.5% via radio. The vast majority reported efforts to recruit African American staff, most often registered nurses (63.75%). Nearly 90% offered cultural sensitivity training to staff. The frequency of strategies to increase service to African Americans did not vary by hospice characteristics, such as profit status, size, or vertical integration, but was greater among hospices that had set goals to increase service to African Americans. Conclusions: Many hospices are engaged in efforts to increase service to African Americans. Future research should determine which strategies are most effective.

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“…Although historically African Americans were not as likely to be admitted into long term care facilities, compared to other ethnic/racial/cultural groups, research has shown an increasing number of older African Americans are now being admitted into nursing facilities (Paul, 2004;Feng et. al., 2011).…”

Section: Nursing Home Relocationmentioning

confidence: 99%

“…Unfortunately, research has shown an increasing number of older African Americans are being admitted into nursing facilities (Paul, 2004;Feng et al, 2011). Between the years of 1998-2008, it was projected African Americans living in nursing homes increased by 10.8% (Feng et al, 2011).…”

mentioning

confidence: 99%

African American Grandparents Residing in a Nursing Facility: Perceptions of Influence With Their Grandchildren, Family, and Community

Bester¹

2015

The Gerontologist

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Growth Of Racial And Ethnic Minorities In US Nursing Homes Driven By Demographics And Possible Disparities In Options

Cited by 163 publications

References 24 publications

Racial and Ethnic Disparities Among Individuals with Alzheimer’s Disease in the United States: A Literature Review

Racial and Ethnic Disparities Among Individuals with Alzheimer’s Disease in the United States: A Literature Review

What are Hospice Providers in the Carolinas Doing to Reach African Americans in Their Service Area?

African American Grandparents Residing in a Nursing Facility: Perceptions of Influence With Their Grandchildren, Family, and Community

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