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 accessAbstract
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.
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“Less institutional options like assisted living and continuing care retirement communities remain financially and locationally inaccessible to many, particularly poor and Black older adults”
From Algorithmic harms and digital ageism in the use of surveillance technologies in nursing homes (2022) · cites this paper as Jenkins Morales and Robert, 2020
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Metadata
- Authors
- Jenkins Morales, M., & Robert, S. A.
- Affiliations
- School of Social Work, University of Wisconsin-Madison
- Venue
- The Journals of Gerontology: Series B
- Publisher
- Oxford University Press (OUP)
- Published
- 2019-10-30
- Volume
- 75
- Issue
- 9
- Pages
- 1972-1982
- ISSN
- 1079-5014 (ISSN-L)
- 1758-5368
- PMC
- PMC7566960
- 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
- bronze
- doi.org
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- 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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