Gaugler Joseph E, Kane Robert L, Kane Rosalie A, Newcomer Robert
Center on Aging, Center for Gerontological Nursing, School of Nursing, The University of Minnesota, Minneapolis, MN 55455, USA.
J Cross Cult Gerontol. 2006 Sep-Dec;21(3-4):139-55. doi: 10.1007/s10823-006-9029-8.
The present study identified predictors of time to institutionalization among elderly Latinos suffering from dementia, and determined how these predictors varied when compared to Caucasians and African-Americans. The sample included 324 Latino, 701 African-American, and 7,100 Caucasian dementia patients and their caregivers recruited from eight catchment regions in the U.S. and were assessed over a 3-year period. Potential predictors considered in the event history analyses included context of care and indicators of care recipient cognitive and functional status, caregiver stress and depression, and caregiving resources. Cox proportional hazards models revealed that various indicators of sociodemographic context, caregiver well-being, and community-based service utilization influenced time to institutionalization among Latinos. Cross-ethnic/racial comparisons also identified statistical variations in site, living arrangement, intensity of informal care provision, caregiver depression, and adult day service use across the Latino, Caucasian, and African-American samples when predicting time to nursing home placement. The findings emphasize the need to explore time to institutionalization across racial and ethnic contexts, and suggest future variables to consider when analyzing nursing home placement in diverse situations.
本研究确定了患有痴呆症的老年拉丁裔人群机构化时间的预测因素，并确定了与白人和非裔美国人相比，这些预测因素有何不同。样本包括从美国八个集水区招募的324名拉丁裔、701名非裔美国人和7100名白人痴呆症患者及其护理人员，并在3年期间进行了评估。事件史分析中考虑的潜在预测因素包括护理背景以及受护理者认知和功能状态指标、护理人员压力和抑郁，以及护理资源。Cox比例风险模型显示，社会人口背景、护理人员福祉和基于社区的服务利用的各种指标影响了拉丁裔人群的机构化时间。跨种族/族裔比较还发现，在预测养老院安置时间时，拉丁裔、白人和非裔美国人样本在地点、居住安排、非正式护理提供强度、护理人员抑郁和成人日间服务使用方面存在统计学差异。研究结果强调了在不同种族和族裔背景下探索机构化时间的必要性，并提出了在分析不同情况下养老院安置时未来需要考虑的变量。
