African Americans and Aging

Despite the rapid aging of the population and the tremendous growth in ethnic and racial diversity among the elderly in our society, empirical studies on long-term care needs and service use of minority elders have been lacking. Based on two national datasets, this is the first comprehensive analysis of long-term care needs, patterns, and determinants in-home, community-based, and nursing home service utilization and informal support among African American and Hispanic elders, as compared to those of their non-Hispanic White counterparts. The authors also compare caregiver burden within the three groups and present recommendations for ethnic-sensitive long-term care policy and practice for minority elders.

Intergenerational African families, in which the grandmother is the primary caregiver of grandchildren and great-grandchildren, are increasingly rapidly in American society. Over the past decade, researchers and policy makers have shown considerable concern over the increases in grandparent maintained households. This concern has stimulated a proliferation of research on grandparent caregiving on a wide range of issues. Among these are the impact of multiple roles on health, reasons for the rapid increase, problems and needs, social structure and extended family relationships, social support, role satisfaction, the impact of the AIDS and crack-cocaine epidemics, and emotional/physical well-being.

This state-of-the-art, multi-disciplinary reference is the first to assess the empirical research and conceptual frameworks for understanding the mental health needs and services use of the ethnic elderly. Leading scholars, researchers, and clinicians in gerontology, epidemiology, psychiatry, psychology, sociology, anthropology, nursing, and social work appraise varying approaches, the demographics, the mental health status and service use of the ethnic elderly, and issues in the diagnosis, treatment, and mental health service delivery for the ethnic aged: for African Americans, American Indians, Asian and Pacific Islander Americans, and Hispanic/Latino Americans. This unique handbook is a valuable resource and text for students, teachers, and professionals in a broad array of fields and settings.