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

Author

Listed:
  • Howard, D.L.
  • Sloane, P.D.
  • Zimmerman, S.
  • Eckert, J.K.
  • Walsh, J.F.
  • Buie, V.C.
  • Taylor, P.J.
  • Koch, G.G.

Abstract

Objectives. In this study, we examined racial separation in long-term care. Methods. We used a survey of a stratified sample of 181 residential care/assisted living (RC/AL) facilities and 39 nursing homes in 4 states. Results. 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. Conclusions. These racial disparities may result from economic factors, exclusionary practices, or resident choice. Whether separation relates to inequities in care is undetermined.

Suggested Citation

  • Howard, D.L. & Sloane, P.D. & Zimmerman, S. & Eckert, J.K. & Walsh, J.F. & Buie, V.C. & Taylor, P.J. & Koch, G.G., 2002. "Distribution of African Americans in residential care/assisted living and nursing homes: More evidence of racial disparity?," American Journal of Public Health, American Public Health Association, vol. 92(8), pages 1272-1277.
    • Handle: RePEc:aph:ajpbhl:2002:92:8:1272-1277_9
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    Cited by:

    1. David Grabowski & Thomas McGuire, 2009. "Black-White Disparities in Care in Nursing Homes," Atlantic Economic Journal, Springer;International Atlantic Economic Society, vol. 37(3), pages 299-314, September.
    2. Gu, Danan & Dupre, Matthew E. & Liu, Guangya, 2007. "Characteristics of the institutionalized and community-residing oldest-old in China," Social Science & Medicine, Elsevier, vol. 64(4), pages 871-883, February.
    3. Clemens Tesch-Römer & Hans-Werner Wahl, 2017. "Toward a More Comprehensive Concept of Successful Aging: Disability and Care Needs," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 72(2), pages 310-318.

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