ArticleThe journals of gerontology. Series B, Psychological sciences and social sciences2020
Black-White Disparities in Moves to Assisted Living and Nursing Homes Among Older Medicare Beneficiaries.
Article in The journals of gerontology. Series B, Psychological sciences and social sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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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
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Reporting race and ethnicity in aging in place research: A systematic review.The Gerontologist · 2026Pooled it
- Social inequity in ageing in place among older adults in Organisation for Economic Cooperation and Development countries: a mixed studies systematic review.Age and ageing · 2024Pooled it
- Differences in patient access to and utilization of caregiving services: a scoping review.BMC health services research · 2026Article
- Developing an evidence base to inform retirement home policy development using an equity and diversity lens: a mixed methods study protocol.BMC geriatrics · 2025Article
- Unmet needs and nursing home placements in Black, Latino, and White people living with dementia.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Article
- Racial-Ethnic Differences in Care Networks of Older Adults: Empirical Exploration of Possible Explanations.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025Article
- Trend in Respite Use by Race Among Caregivers for People Living With Dementia.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024Article
- Advancing Aging Research Through a Health Disparities Perspective.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024Article
- Assisted living or nursing home: Who is moving in?Journal of the American Geriatrics Society · 2023Article
- Turning It Over to God: African American Assisted Living Residents' End-of-Life Preferences and Advance Care Planning.The journals of gerontology. Series B, Psychological sciences and social sciences · 2023Review
- Examining Consequences Related to Unmet Care Needs Across the Long-Term Care Continuum.The journals of gerontology. Series B, Psychological sciences and social sciences · 2022Article
- Quality of Care and Outcomes Among a Diverse Group of Long-Term Care Residents With Alzheimer's Disease and Related Dementias.Journal of aging and health · 2022Article
- Algorithmic harms and digital ageism in the use of surveillance technologies in nursing homes.Frontiers in sociology · 2022Article
- Structural Racism, Place, and COVID-19: A Narrative Review Describing How We Prepare for an Endemic COVID-19 Future.Health equity · 2022Review
- Selective optimization with compensation strategies utilized by older adults newly-transitioned to assisted living.Aging & mental health · 2021Article
- The Effects of Housing Cost Burden and Housing Tenure on Moves to a Nursing Home Among Low- and Moderate-Income Older Adults.The Gerontologist · 2020Article
- Racial Disparities in Care Interactions and Clinical Outcomes in Black Versus White Nursing Home Residents With Dementia.Journal of nursing care qualityArticle
- Perceived Decisional Control as a Mediator between Moving to Assisted Living Due to Caregiver Burden and Relocation Adjustment.Clinical gerontologistArticle
- Risk factors for inpatient facility admission among home health care patients with diabetes.Nursing outlookArticle
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
objectivesInvestigate black-white disparities in older adults' moves to assisted living and nursing homes and draw from the Andersen Healthcare Utilization Model to test explanations for any disparities.
methodsData are from a nationally representative sample of older community-dwelling Medicare beneficiaries from the 2015 (N = 5,212) National Health and Aging Trends Study (NHATS). We use stepwise multinomial logistic regression to examine black-white disparities in moves out of community housing to assisted living or a nursing home over 2 years, before and after adjusting for predisposing (age, gender), enabling (income, housing tenure, Medicaid, living arrangement) and need (activities of daily living [ADL] limitation, physical capacity, self-rated health, and dementia) factors.
resultsBlack older adults are less likely to move to assisted living and are more likely to move to a nursing home compared to white older adults. Black-white disparities in moves to nursing homes are explained by black-white differences in enabling and need factors, whereas black-white disparities in moves to assisted living remain even after adjusting for enabling and need factors. DISCUSSION: Unmeasured factors related to systemic racism (e.g., residential racial segregation, racial discrimination) and/or black-white differences in care preferences might further explain black-white disparities in moves to assisted living and warrant further investigation.
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