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Opportunity costs associated with caring for older Mexican-Americans

TitleOpportunity costs associated with caring for older Mexican-Americans
Publication TypeJournal Article
Year of Publication2013
Authors,, Herrera, AP, Angel, JL
JournalJ Cross Cult GerontolJ Cross Cult Gerontol
Volume28
Pagination375-89
Date PublishedSep
ISBN Number1573-0719 (Electronic)<br/>0169-3816 (Linking)
Accession Number23979263
KeywordsAged, Assisted Living Facilities/ utilization, Cost of Illness, Family Characteristics, Female, Health Surveys, Humans, Logistic Models, Long-Term Care/ utilization, Male, Mexican Americans, Nursing Homes/ utilization, Quality-Adjusted Life Years, Risk Assessment, Sex Factors, Southwestern United States
AbstractLong-term care use among older Mexican-Americans is poorly understood, despite the adverse effects on health and economic disadvantage in this vulnerable population. This study examines gender-based risk of long-term care use in 628 women and 391 men, age 70 and over in the 2000-2001 and 2004-2005 waves of the Hispanic Established Populations for Epidemiologic Studies of the Elderly. Logistic regression models are employed to assess the impact of the opportunity cost implications of family support (kin availability and co-residence) relative to health care needs (quality-adjusted life years (QALY) weighted scores and functional limitations) on women's risk of entry into a nursing home. A small percentage (~5%) of men and women had entered a long-term care facility. Women had lower weights for QALY weights and greater disability than men, but on average were more likely to live with or in closer proximity to an adult child. Higher disability rates (p