ArticleMedical care2014
Racial and ethnic disparities in social engagement among US nursing home residents.
Article in Medical care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
20 citing papers in PubMed, 43 citations in OpenAlex.
- Racial differences in the quality of care interactions among nursing home residents with dementia.Ethnicity & health · 2025Trial
- Predictors of care coordination versus social visitation with long-term care facility residents.Innovation in aging · 2026Article
- Incident Depression in Relation to Contextual Isolation among Established Long-stay Residents of US Nursing Homes.The journal of nursing home research sciences · 2026Article
- Methods for studying health disparities in U.S. nursing homes: a scoping review.BMC health services research · 2025Article
- Place-Based Disparities Among Nursing Homes During the COVID-19 Pandemic: A Systematic Literature Review.Health equity · 2025Review
- Social connection in long-term care homes: a qualitative study of barriers and facilitators.BMC geriatrics · 2024Article
- Potentially Avoidable Hospitalizations Among Historically Marginalized Nursing Home Residents.JAMA network open · 2024Article
- Exploring Overt Racial and Ethnic Conflict in Resident-to-Resident Aggression in Long-Term Care Facilities.Journal of the American Medical Directors Association · 2024Article
- An outcome-wide analysis of the effects of diagnostic labeling of Alzheimer's disease and related dementias on social relationships.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024Article
- Nursing Home Resident Preferences for Daily Care and Activities: A Latent Class Analysis of National Data.The Gerontologist · 2024Article
- Social Connection in Long-Term Care Homes: A Scoping Review of Published Research on the Mental Health Impacts and Potential Strategies During COVID-19.Journal of the American Medical Directors Association · 2021Article
- High-Minority Nursing Homes Disproportionately Affected by COVID-19 Deaths.Frontiers in public health · 2021Article
- Social Participation in Later Years: The Role of Driving Mobility.The journals of gerontology. Series B, Psychological sciences and social sciences · 2018Article
- Social Engagement After Nursing Home Admission: Racial and Ethnic Disparities and Risk Factors.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2017Observational
- Nurse Staffing Hours At Nursing Homes With High Concentrations Of Minority Residents, 2001-11.Health affairs (Project Hope) · 2015Article
- Racial/Ethnic Disparities in Nursing Home Quality of Life Deficiencies, 2001 to 2011.Gerontology & geriatric medicineArticle
- The Intersections of Structural Racism and Ageism in the Time of COVID-19: A Call to Action for Gerontological Nursing Science.Research in gerontological nursingArticle
- Racial Disparities in Care Interactions and Clinical Outcomes in Black Versus White Nursing Home Residents With Dementia.Journal of nursing care qualityArticle
- COVID-19 Pandemic: Exacerbating Racial/Ethnic Disparities in Long-Term Services and Supports.Journal of aging & social policyArticle
- High Medicaid Nursing Homes: Organizational and Market Factors Associated With Financial Performance.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
Abstract
backgroundThe numbers and proportions of racial and ethnic minorities have increased dramatically in US nursing homes in recent years. Concerns exist about whether nursing homes can serve appropriately the clinical and psychosocial needs of patients with increasingly diverse ethnic and cultural backgrounds. This study determined racial and ethnic disparities in social engagement among nursing home long-term residents.
methodsWe analyzed the 2008 national Minimum Data Set supplemented with the Online Survey, Certification, and Reporting File and the Area Resource File. We estimated multivariable logistic regressions to determine disparities and how disparities were explained by individual, facility, and geographic factors. Stratified analyses further determined persistent disparities within patient and facility subgroups.
resultsCompared with white residents (n = 690,228), black (n = 123,116), Hispanic (n = 37,099), and other (n = 17,568) residents showed lower social engagement, with overall scores (mean ± SD) being 2.5 ± 1.7, 2.2 ± 1.6, 2.0 ± 1.6, and 2.1 ± 1.6, respectively. Disparities were partially explained by variations in individual, facility, and geographic covariates, but persisted after multivariable adjustments. Stratified analyses confirmed that disparities were similar in magnitude across patient and facility subgroups.
conclusionsAlthough nursing home residents showed overall low social engagement levels, racial/ethnic minority residents were even less socially engaged than white residents. Efforts to address disparities in psychosocial well-being and quality of life of nursing home residents are warranted.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.