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Cited by 34Geriatric Care and Nursing HomesHealth disparities and outcomesAging, Health, and Disability

The DOI matches its Crossref record; 34 of the 34 references it cites were found in a registry or an index.

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

Open access
Jenkins Morales, Meghan, Robert, Stephanie A·2020·The Journals of Gerontology: Series B

Abstract

Objectives: Investigate 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. Methods: Data 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. Results: Black 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. Discussion: Unmeasured 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.

Overview

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Crossref · 10.1093/geronb/gbz141

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Research works printed but not linked: 5

  1. DeMatteis, 2016, National Health and Aging Trends Study Round 5 Sample Design and Selection
  2. Hernandez, 2012, Disparities in assisted living: Does it meet the HCBS test?, Generations,, 36, 118
  3. Kasper, 2018, National Health and Aging Trends Study (NHATS) User Guide: Rounds 1–7 Beta Release
  4. Kasper, 2013, Classification of Persons by Dementia Status in the National Health and Aging Trends Study
  5. Montaquila, 2012, National Health and Aging Trends Study Round 1 Income Imputation

Cited by

Metadata

Authors
Jenkins Morales, M., & Robert, S. A.
Affiliations
School of Social Work, University of Wisconsin-Madison
Venue
The Journals of Gerontology: Series B
Published
2019-10-30
Volume
75
Issue
9
Pages
1972-1982
ISSN
  • 1079-5014 (ISSN-L)
  • 1758-5368
OpenAlex
W2982369002
Cited by
34
References
34
Citations by year
2026: 6 · 2025: 6 · 2024: 5 · 2023: 4 · 2022: 4 · 2021: 6 · 2020: 3
FWCI
4.43
Type
journal article
Language
en
Open access
Locations
  • The Journals of Gerontology Series B (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
Funders
  • National Institutes of Health (P30 AG017266)
  • National Institute on Aging (NIA U01AG032947)
Topics
  • Health Sciences › Medicine › Geriatrics and Gerontology › Geriatric Care and Nursing Homes
  • Social Sciences › Health › Health disparities and outcomes
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
Keywords
black-white disparities, assisted living, nursing homes, older adults, Medicare beneficiaries, housing transitions, Andersen Behavioral Model, racial discrimination, residential segregation, care preferences, activities of daily living, dementia, self-rated health
MeSH terms
Aged, Black or African American, Female, Medicare, Humans, Male, Nursing Homes, Patient Acceptance of Health Care, United States, Causality, Needs Assessment, Assisted Living Facilities, Black People, White People, Healthcare Disparities, Independent Living, Racism, Social Determinants of Health

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CoChat. (2026). Citation check: Black–White Disparities in Moves to Assisted Living and Nursing Homes Among Older Medicare Beneficiaries. https://app.cochat.ai/papers/10.1093/geronb/gbz141
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Jenkins Morales, M., & Robert, S. A. (2020). Black–White Disparities in Moves to Assisted Living and Nursing Homes Among Older Medicare Beneficiaries. The Journals of Gerontology: Series B. https://doi.org/10.1093/geronb/gbz141

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.