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Community and individual race/ethnicity and home health care use among elderly persons in the United States

TitleCommunity and individual race/ethnicity and home health care use among elderly persons in the United States
Publication TypeJournal Article
Year of Publication2010
AuthorsKirby, JB, Lau, DT
JournalHealth Serv ResHealth Serv Res
Volume45
Pagination1251-67
Date PublishedOct
ISBN Number1475-6773 (Electronic)<br/>0017-9124 (Linking)
Accession Number20662950
KeywordsAfrican Americans/statistics & numerical data, Aged, Asian Americans/statistics & numerical data, Community Networks, Ethnic Groups/ethnology/ statistics & numerical data, European Continental Ancestry Group/statistics & numerical data, Female, Health Care Surveys, Health Services Accessibility/statistics & numerical data, Health Services for the Aged/ utilization, Hispanic Americans/statistics & numerical data, Home Care Services/ utilization, Home Nursing/ utilization, Humans, Logistic Models, Male, Multivariate Analysis, Patient Acceptance of Health Care/ethnology/statistics & numerical data, Residence Characteristics/ statistics & numerical data, Social Support, Socioeconomic Factors, United States
AbstractOBJECTIVE: To investigate whether the interaction between individual race/ethnicity and community racial/ethnic composition is associated with health-related home care use among elderly persons in the United States. DATA SOURCES: A nationally representative sample of community-dwelling elders aged 65+ from the 2000 to 2006 Medical Expenditure Panel Survey (N=23,792) linked to block group-level racial/ethnic information from the 2000 Decennial Census. DESIGN: We estimated the likelihood of informal and formal home health care use for four racial/ethnic elderly groups (non-Hispanic [NH] whites, NH-blacks, NH-Asians, and Hispanics) living in communities with different racial/ethnic compositions. PRINCIPAL FINDINGS: NH-Asian and Hispanic elders living in block groups with >/=25 percent of residents being NH-Asian or Hispanic, respectively, were more likely to use informal home health care than their counterparts in other block groups. No such effect was apparent for formal home health care. CONCLUSIONS: NH-Asian and Hispanic elders are more likely to use informal home care if they live in communities with a higher proportion of residents who share their race/ethnicity. A better understanding of how informal care is provided in different communities may inform policy makers concerned with promoting informal home care, supporting informal caregivers, or providing formal home care as a substitute or supplement to informal care.
Short TitleHealth services research
Ethno Med: