Distribution of African Americans in Residential Care/Assisted Living and Nursing Homes: More Evidence of Racial Disparity?

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 concentra...

Full description

Saved in:

Bibliographic Details
Published in:	American journal of public health (1971) Vol. 92; no. 8; pp. 1272 - 1277
Main Authors:	Howard, Daniel L, Sloane, Philip D, Zimmerman, Sheryl, Eckert, J. Kevin, Walsh, Joan F, Buie, Verita C, Taylor, Persephone J, Koch, Gary G
Format:	Journal Article
Language:	English
Published:	Washington, DC Am Public Health Assoc 01-08-2002 American Public Health Association American Journal of Public Health 2002
Subjects:	Adult African Americans African Americans - statistics & numerical data Aged Assisted living facilities Biological and medical sciences Black American people Catchment Area (Health) - statistics & numerical data Economic indicators Elderly people European Continental Ancestry Group - statistics & numerical data Female Florida General aspects Health Services Accessibility - economics Health Services Accessibility - statistics & numerical data Housing for the Elderly - statistics & numerical data Humans Licenses Long term health care Male Maryland Medical sciences Middle Aged New Jersey North Carolina Nursing homes Nursing Homes - statistics & numerical data Planification. Prevention (methods). Intervention. Evaluation Prejudice Public health Public health. Hygiene Public health. Hygiene-occupational medicine Race Racial segregation Research and Practice Residential care Residential Facilities - statistics & numerical data Social conditions & trends USA Variables United States North America America Human Socioeconomic status Accessibility Risk factor Homes for the aged Epidemiology Ethnic group Comparative study Public health Care
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	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.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Requests for reprints should be sent to Philip Sloane, MD, MPH, 725 Airport Rd, CB 7590, Chapel Hill, NC 27599–7590 (e-mail: psloane@med.unc.edu). Peer Reviewed D. L. Howard, P. D. Sloane, S. Zimmerman, J. K. Eckert, J. F. Walsh, and V. C. Buie contributed to the conception and design. D. L. Howard, J. F. Walsh, and G. G. Koch provided analysis and interpretation of data. All authors contributed to drafting and revision of the final article.
ISSN:	0090-0036 1541-0048
DOI:	10.2105/AJPH.92.8.1272