IDEAS home Printed from https://ideas.repec.org/a/oup/geronb/v75y2020i9p1972-1982..html
   My bibliography  Save this article

Black–White Disparities in Moves to Assisted Living and Nursing Homes Among Older Medicare Beneficiaries

Author

Listed:
  • Meghan Jenkins Morales
  • Stephanie A Robert
  • Deborah Carr

Abstract

ObjectivesInvestigate black-white disparities in older adults’ moves to assisted living and nursing homes and draw from the Andersen Healthcare Utilization Model to test explanations for any disparities.MethodsData are from a nationally representative sample of older community-dwelling Medicare beneficiaries from the 2015 (N = 5,212) National Health and Aging Trends Study (NHATS). We use stepwise multinomial logistic regression to examine black-white disparities in moves out of community housing to assisted living or a nursing home over 2 years, before and after adjusting for predisposing (age, gender), enabling (income, housing tenure, Medicaid, living arrangement) and need (activities of daily living [ADL] limitation, physical capacity, self-rated health, and dementia) factors.ResultsBlack older adults are less likely to move to assisted living and are more likely to move to a nursing home compared to white older adults. Black-white disparities in moves to nursing homes are explained by black-white differences in enabling and need factors, whereas black-white disparities in moves to assisted living remain even after adjusting for enabling and need factors.DiscussionUnmeasured factors related to systemic racism (e.g., residential racial segregation, racial discrimination) and/or black-white differences in care preferences might further explain black-white disparities in moves to assisted living and warrant further investigation.

Suggested Citation

  • Meghan Jenkins Morales & Stephanie A Robert & Deborah Carr, 2020. "Black–White Disparities in Moves to Assisted Living and Nursing Homes Among Older Medicare Beneficiaries," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 75(9), pages 1972-1982.
    • Handle: RePEc:oup:geronb:v:75:y:2020:i:9:p:1972-1982.
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.1093/geronb/gbz141
    Download Restriction: Access to full text is restricted to subscribers.
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:oup:geronb:v:75:y:2020:i:9:p:1972-1982.. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Oxford University Press (email available below). General contact details of provider: https://academic.oup.com/psychsocgerontology .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.