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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 of 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.
List of contents
Preface
Introduction
Data Sources and Profiles of the Samples
Psychological Symptomatology among African American, Hispanic, and White Frail Elders
Perceived Health, Financial Strain, and Psychological Distress among Mexican American, Cuban American, and Puerto Rican Elders
Determinants of Applications for Nursing Home Placement: A National Perspective
Determinants of Applications for Nursing Home Placement among Frail African American and White Elders
Utilization of In-Home and Community-Based Services among White, African American, and Hispanic Elders
Use of In-Home and Community-Based Services among Mexican American, Cuban American, and Puerto Rican Elders
Living Arrangements and Utilization of Formal Services
Ethnicity, Informal Caregiving, and Caregiver Burden
Conclusion: Practice and Policy Implications
Index
About the author
Namkee G. Choi, Abraham Monk, Ada Mui
