Distribution of African Americans in Residential Care/Assisted Living and Nursing Homes: More Evidence of Racial Disparity?
Open accessAbstract
Objectives. In this study, we examined racial separation in long-term care. Methods. We used a survey of a stratified sample of 181 residential care/assisted living (RC/AL) facilities and 39 nursing homes in 4 states. Results. 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. Conclusions. These racial disparities may result from economic factors, exclusionary practices, or resident choice. Whether separation relates to inequities in care is undetermined. (Am J Public Health. 2002;92:1272–1277)
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Access to high-quality care is unequally distributed because of income, education, race, and ethnicity.
“In addition, access to high-quality care is unequally distributed because of income, education, race, and ethnicity (e.g., Fennell, Feng, Clark, & Mor, 2010; Howard et al., 2002).”
From Toward a More Comprehensive Concept of Successful Aging: Disability and Care Needs: Table 1. (2016) · cites this paper as Howard et al., 2002
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References 16 · Cited by 80
- Authors
- Howard, D. L., Sloane, P. D., Zimmerman, S., Eckert, J. K., Walsh, J. F., Buie, V. C., Taylor, P. J., & Koch, G. G.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 2002-08
- Volume
- 92
- Issue
- 8
- Pages
- 1272-1277
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- PMC
- PMC1447229
- OpenAlex
- W2116147985
- Cited by
- 80
- References
- 16
- Citations by year
- 2026: 2 · 2024: 2 · 2023: 4 · 2022: 2 · 2021: 8 · 2020: 8 · 2019: 6 · 2018: 1 · 2017: 1 · 2016: 5 · 2015: 4 · 2014: 1 · 2013: 2 · 2012: 3
- FWCI
- 6.96
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Public Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- DigitalGeorgetown (Georgetown University Library) (submittedVersion)
- Funders
- National Institutes of Health (5r01ag013863-04, 5r01ag013871-04, 5p30nr004716-05)
- National Institute on Aging (R01 AG 13863, R01 AG13871)
- National Institute of Nursing Research (NR04716-05)
- Topics
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Social Sciences › Health › Health disparities and outcomes
- Social Sciences › Sociology and Political Science › Urban, Neighborhood, and Segregation Studies
- Keywords
- racial disparities, long-term care, nursing homes, residential care, assisted living, African Americans, racial segregation, care homes, facility characteristics, quality of care, rural communities, intellectual disability, mobility impairment
- MeSH terms
- Adult, Aged, Black or African American, Catchment Area, Health, Female, Florida, Health Services Accessibility, Humans, Male, Maryland, Middle Aged, New Jersey, North Carolina, Nursing Homes, Prejudice, Residential Facilities, Housing for the Elderly, White People
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