The DOI matches its Crossref record; 9 of the 9 references it cites were found in a registry or an index.
Prevalence and Correlates of Gray Market Use for Aging and Dementia Long-Term Care in the U.S
Abstract
Objectives: To estimate the national prevalence and sociodemographic correlates of gray market utilization, consisting of paid providers who are unrelated to the recipient, not working for a regulated agency, and potentially unscreened and untrained, for aging and dementia-related long-term care. Methods: We surveyed a nationally representative sample of 1,037 American Life Panel respondents aged 18 years and older. Results: Nearly a third of Americans who arranged paid care sought gray market care for persons with dementia, and most (65%) combined it with unpaid care. Respondents who arranged gray market care had 66% lower odds of currently working, and those living in rural areas had an almost 5-times higher odds of arranging dementia gray market care. Discussion: Gray market care represents a substantial proportion of paid, long-term care for older adults and may fill gaps in access to care.
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“One study using a nationally representative sample of adults found that nearly a third of people who arrange paid care for an aging adult or person living with dementia rely on the gray market (rather than a home care agency or other formal care provider).”
From 2024 Alzheimer's disease facts and figures (2024) · cites this paper as [777]
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null (2016) · Philosophy Study · doi:10.17265/2159-5313/2016.09.003 · Cited by 28,317
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Self-citationMoving Toward Person- and Family-Centered Care
Feinberg, L. F. (2014) · Public Policy & Aging Report · doi:10.1093/ppar/pru027 · Cited by 65
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A Profile of the Assisted Living Direct Care Workforce in the United States
Kelly, C., Morgan, J. C., Kemp, C. L., et al. (2018) · Journal of Applied Gerontology · doi:10.1177/0733464818757000 · Cited by 33
The Homecare Aide Workforce Initiative: Implementation and Outcomes
Feldman, P. H., Ryvicker, M. B., Evans, L. M., et al. (2017) · Journal of Applied Gerontology · doi:10.1177/0733464817707298 · Cited by 19
Beware of Data Gaps in Home Care Research
Newquist, D. D., DeLiema, M., & Wilber, K. H. (2015) · Medical Care Research and Review · doi:10.1177/1077558715588437 · Cited by 14
An Exploratory Analysis of Patient-Provider Language-Concordant Home Health Care Visit Patterns
Squires, A. P., Peng, T. R., Barrón‐Vayá, Y., et al. (2017) · Home Health Care Management & Practice · doi:10.1177/1084822317696706 · Cited by 14
Where Policy Meets Practice: Employer Perspectives on Scheduling and Hours for Home Care Aides
Nisbet, E., & Morgan, J. C. (2017) · Journal of Applied Gerontology · doi:10.1177/0733464817739153 · Cited by 10
Flagged first, then by citations
Research works printed but not linked: 4
- Ngyuen V., 2017, Long-term support and services—AARP facts sheet
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2024 Alzheimer's disease facts and figures
(2024) · Alzheimer's & Dementia · doi:10.1002/alz.13809 · Cited by 2,536
Metadata
- Authors
- Shih, R. A., Friedman, E. M., Chen, E. K., & Whiting, G. C.
- Affiliations
- RAND Corporation (US)
- National Alliance for Caregiving, Washington, DC, USA
- Corresponding author
- Shih, Regina A.
- Venue
- Journal of Applied Gerontology
- Publisher
- SAGE Publications
- Published
- 2021-06-11
- Volume
- 41
- Issue
- 4
- Pages
- 1030-1034
- ISSN
- 0733-4648 (ISSN-L)
- 1552-4523
- OpenAlex
- W3171686445
- Cited by
- 10
- References
- 9
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 1 · 2023: 1
- FWCI
- 0.56
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Applied Gerontology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Minority Health and Health Disparities (R01MD010360)
- Topics
- Health Sciences › Medicine › Geriatrics and Gerontology › Geriatric Care and Nursing Homes
- Social Sciences › Life-span and Life-course Studies › Aging, Elder Care, and Social Issues
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Keywords
- dementia care, long-term care, paid care, unpaid care work, older adults, rural residence, employment status, health care access, prevalence, sociodemographic correlates
- MeSH terms
- Aged, Aging, Dementia, Humans, Long-Term Care, Surveys and Questionnaires, United States, Prevalence
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