Skip to content Skip to navigation

Variation in Older Americans Act caregiver service use, unmet hours of care, and independence among Hispanics, African Americans, and Whites

TitleVariation in Older Americans Act caregiver service use, unmet hours of care, and independence among Hispanics, African Americans, and Whites
Publication TypeJournal Article
Year of Publication2013
AuthorsHerrera, AP, George, R, Angel, JL, Markides, K, Torres-Gil, F
JournalHome Health Care Services QuarterlyHome Health Care Services Quarterly
Volume32
Pagination35-56
Date PublishedJan
ISBN Number0162-1424<br/>1545-0856
Accession NumberPeer Reviewed Journal: 2013-06884-003
Keywords*Community Services, *Health Care Utilization, *Home Care, *Racial and Ethnic Differences, *Respite Care, Blacks, Health & Mental Health Treatment & Prevention [3300], home & community based services, service use, unmet respite care hours, minority seniors, Hispanic vs African American vs White seniors, Human Male Female Adulthood (18 yrs & older) Middle Age (40-64 yrs) Aged (65 yrs & older) Very Old (85 yrs & older), Latinos/Latinas, us, Whites
AbstractHome- and community-based services (HCBS) are underused by minority seniors and their caregivers, despite greater rates of disability. We examined racial/ethnic variation among 1,749 Hispanics, African Americans, and Whites receiving Older Americans Act Title III caregiver services in 2009. In addition, we identified the volume of services used by caregivers, their unmet hours of respite care, and the relationship between service use and seniors' ability to live independently. Minority caregivers cared for seniors in urban areas who had higher rates of disability, poverty, and Medicaid coverage. Hispanics had the highest rate of unmet hours of care, while caregiver services were less likely to help African Americans remain at home. Minorities sought services through community agencies and were more educated than demographically similar national cohorts. Greater efforts to reach minority caregivers of less educated, disabled seniors in urban areas and through community agencies may reduce unmet needs and support independent living. (PsycINFO Database Record (c) 2014 APA, all rights reserved) (journal abstract).