Long-Term Care and Ethnicity

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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.

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Editorial Reviews

Examines some of the racial and ethnic differences and similarities in the ways frail older persons resort to long-term care services. Special attention is given to four aspects of such services: actual needs, rates of admission to nursing home facilities, utilization of in-home and community-based services, and informal caregiving and its burden on informal care providers. Draws on analysis of two major data sets, with information on white, Puerto Rican, and African-, Mexican-, and Cuban American elders. Distributed by Greenwood. Annotation c. by Book News, Inc., Portland, Or.
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Product Details

  • ISBN-13: 9780865692329
  • Publisher: Greenwood Publishing Group, Incorporated
  • Publication date: 8/28/1998
  • Edition description: New Edition
  • Pages: 232
  • Lexile: 1520L (what's this?)
  • Product dimensions: 6.28 (w) x 9.32 (h) x 0.89 (d)

Meet the Author

ADA C. MUI is an Associate Professor at the Columbia University School of Social Work. Her professional interests are social gerontology, cross-cultural research methodology, quality of life, mental health, and support systems among frail elders, older persons living alone, and ethnic elderly populations.

NAMKEE G. CHOI is an Associate Professor at the School of Social Work, SUNY at Buffalo, where she teaches social policy, aging policy, and research methods. Her research has been in the areas of racial and gender differences in the elderly's economic status, retirement patterns, living arrangements, and social service utilization.

ABRAHAM MONK is Professor of Social Work and Gerontology at the Columbia University School of Social Work. He has served as consultant or advisor to numerous public and voluntary agencies. He is the author or editor of 10 books, including The Columbia Retirement Handbook (1994).

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Table of Contents

1 Introduction 1
2 Data Sources and Profiles of the Samples 17
3 Psychological Symptomatology among African American, Hispanic, and White Frail Elders 27
4 Perceived Health, Financial Strain, and Psychological Distress among Mexican American, Cuban American, and Puerto Rican Elders 43
5 Determinants of Applications for Nursing Home Placement: A National Perspective 59
6 Determinants of Applications for Nursing Home Placement among Frail African American and White Elders 79
7 Utilization of In-Home and Community-Based Services among White, African American, and Hispanic Elders 103
8 Use of In-Home and Community-Based Services among Mexican American, Cuban American, and Puerto Rican Elders 125
9 Living Arrangements and Utilization of Formal Services 143
10 Ethnicity, Informal Caregiving, and Caregiver Burden 171
11 Conclusion: Practice and Policy Implications 201
Index 213
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