ArticleInnovation in aging2020
Does Living in a Higher Proportion Minority Facility Improve Quality of Life for Racial/Ethnic Minority Residents in Nursing Homes?
Article in Innovation in aging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.
- The use of care home environments to meet culture-specific needs of culturally and linguistically diverse residents with dementia: an integrative review using the ICF framework.International journal for equity in health · 2026Pooled it
- Associations between nursing home leadership turnover and resident satisfaction.The Gerontologist · 2026Article
- Predictors of perceived quality of life in zoroastrian minority older adults with chronic diseases: a cross-sectional study in Iran.BMC geriatrics · 2026Article
- Clinical, social, and home-level factors associated with the quality of life of residents living with dementia in Canadian nursing homes: a cross-sectional, multi-province study.Health and quality of life outcomes · 2026Article
- Prevalent Diagnosed Depression in Relation to Contextual Isolation Among Nursing Home Residents in the United States: A Cross-Sectional Study.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025Article
- Methods for studying health disparities in U.S. nursing homes: a scoping review.BMC health services research · 2025Article
- Association of Racial and Ethnic Composition with Staff Levels in Nursing Homes: 2013-2019.Journal of the American Medical Directors Association · 2025Article
- "I feel like a caged pig in here": Language, Race, and Ethnic Identity in a Case Study Hmong Nursing Home Resident Quality of Life.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025Article
- Cause of Death by Race and Ethnicity in Minnesota Before and During the COVID-19 Pandemic, 2019-2020.Journal of racial and ethnic health disparities · 2024Article
- Potentially Avoidable Hospitalizations Among Historically Marginalized Nursing Home Residents.JAMA network open · 2024Article
- Counting what counts: assessing quality of life and its social determinants among nursing home residents with dementia.BMC geriatrics · 2024Article
- The (un)caring experienced by racialized and/or ethnoculturally diverse residents in supportive living: a qualitative study.BMC geriatrics · 2024Article
- A comparative study on the effects of Mitchell and Benson relaxation techniques on quality of life of the old people in nursing homes: a quasi- experimental study.BMC geriatrics · 2023Article
- Cause of Death by Race and Ethnicity in Minnesota Before and During the COVID-19 Pandemic, 2019-2020.medRxiv : the preprint server for health sciences · 2023Article
- Did the COVID-19 Pandemic Affect the Use of Antipsychotics Among Nursing Home Residents With ADRD?The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2023Observational
- Why Men Fare Worse: A Mixed-Methods Study Examining Gender Differences in Nursing Home Resident Quality of Life.The Gerontologist · 2022Article
- Quality of Life Scores for Nursing Home Residents are Stable Over Time: Evidence from Minnesota.Journal of aging & social policy · 2022Article
- Geropsychiatric Nursing Leadership in Long-Term Care.The Nursing clinics of North America · 2022Review
- Evidence for Action: Addressing Systemic Racism Across Long-Term Services and Supports.Journal of the American Medical Directors Association · 2022Article
- The uptake and use of a minimum data set (MDS) for older people living and dying in care homes: a realist review.BMC geriatrics · 2022Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
BACKGROUND AND
objectivesThe proportion of racial/ethnic minority older adults in nursing homes (NHs) has increased dramatically and will surpass the proportion of white adults by 2030.Yet, little is known about minority groups' experiences related to the quality of life (QOL). QOL is a person-centered measure, capturing multiple aspects of well-being. NH quality has been commonly measured using clinical care indicators, but there is growing recognition for the need to include QOL. This study examines the role of individual race/ethnicity, facility racial/ethnic composition, and the interaction of both for NH resident QOL. RESEARCH DESIGN AND
methodsWe used a unique state-level data set that includes self-reported QOL surveys with a random sample of long-stay Minnesota NH residents, using a multidimensional measure of QOL. These surveys were linked to resident clinical data from the Minimum Dataset 3.0 and facility-level characteristics. Minnesota is one of the two states in the nation that collects validated QOL measures, linked to data on resident and detailed facility characteristics. We used mixed-effects models, with random intercepts to model summary QOL score and individual domains.
resultsWe identified significant racial disparities in NH resident QOL. Minority residents report significantly lower QOL scores than white residents, and NHs with higher proportion minority residents have significantly lower QOL scores. Minority residents have significantly lower adjusted QOL than white residents, whether they are in low- or high-minority facilities, indicating a remaining gap in individual care needs. DISCUSSION AND IMPLICATIONS: The findings highlight system-level racial disparities in NH residents QOL, with residents who live in high-proportion minority NHs facing the greatest threats to their QOL. Efforts need to focus on reducing racial/ethnic disparities in QOL, including potential public reporting (similar to quality of care) and resources and attention to provision of culturally sensitive care in NHs to address residents' unique needs.
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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.