Long-Term Care and Ethnicity

Long-Term Care and Ethnicity

Long-Term Care and Ethnicity

Long-Term Care and Ethnicity


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.


This book examines some of the racial and ethnic differences and similarities in the way frail older persons resort to long-term care services. Special attention is given to four aspects of such services: (1) the extent of actual needs for long-term care; (2) the rates and determinants of applications for admission to nursing home facilities; (3) modalities of in-home and community-based services and patterns of utilization of these services; and (4) how informal caregiving--that is, the services provided by relatives, friends, and neighbors-- is manifested. Associated with the last named, this book examines whether informal providers experience the stress of burden and, in the affirmative, how they cope with it.

This book intends to make a modest contribution to the gerontological literature by filling a void in the existing body of knowledge about the long- term care needs of ethnic minority elders. Among its special features worth noting are the extensive empirical analysis of information contained in two major national datasets, as well as the conceptualization of long-term care as a multifaceted and complex domain of service.

Special care was taken to link research findings to policy and practice concerns. The book may therefore prove to serve as a critically important resource for the teaching of multiple disciplines, of which public health, social work, nursing, gerontology and geriatrics, and urban and social planning come immediately to mind. In addition, professional practitioners involved with senior clients or patients, agency administrators, community leaders and volunteers, public officials, legislators and, last but not least, the relatives of recipients of long-tern care services, will similarly find this book informative and helpful.

The authors were fortunate to receive the expert and warm assistance of many colleagues and friends. Special thanks are extended to Professor Fred Seidl . . .

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