Kart C S
Department of Sociology, University of Toledo, OH 43606.
J Aging Health. 1991 Nov;3(4):511-26. doi: 10.1177/089826439100300405.
Data from the Supplement on Aging to the 1984 National Health Interview Survey were used to identify patterns of long-term care (LTC) service use among older Blacks. A subset of the SOA, including all 1,217 Blacks aged 55 and over, was the focus of the research. About 37% of all older Blacks in the sample reported difficulty in carrying out at least one activity of daily living (ADL) or instrumental activity of daily living (IADL); 27% reported receiving help with at least one of the ADLs or IADLs. Older Blacks were not significant users of community-based LTC services, with 11.9% reporting using a senior center, the highest percentage of use among a list of 10 community and social services. Five LTC factors were identified: ADL Help, Community Services, Home Health Services, Home Management Services, and Personal Services. Multiple regression analyses identify need factors as most dominant in explaining variation in LTC service use by older Blacks.
来自1984年全国健康访谈调查老龄补充调查的数据被用于确定老年黑人长期护理（LTC）服务的使用模式。老龄补充调查的一个子集，包括所有1217名55岁及以上的黑人，是该研究的重点。样本中约37%的老年黑人报告称在进行至少一项日常生活活动（ADL）或工具性日常生活活动（IADL）时存在困难；27%的人报告称在至少一项ADL或IADL方面得到了帮助。老年黑人并非基于社区的LTC服务的主要使用者，11.9%的人报告使用过老年中心，这是10项社区和社会服务中使用比例最高的一项。确定了五个LTC因素：ADL帮助、社区服务、家庭健康服务、家庭管理服务和个人服务。多元回归分析确定需求因素在解释老年黑人LTC服务使用差异方面最为显著。
