Agency for Health Care Research and Quality, Rockville, MD, USA.
Health Serv Res. 2010 Oct;45(5 Pt 1):1251-67. doi: 10.1111/j.1475-6773.2010.01135.x.
To investigate whether the interaction between individual race/ethnicity and community racial/ethnic composition is associated with health-related home care use among elderly persons in the United States.
A nationally representative sample of community-dwelling elders aged 65+ from the 2000 to 2006 Medical Expenditure Panel Survey (N=23,792) linked to block group-level racial/ethnic information from the 2000 Decennial Census.
We estimated the likelihood of informal and formal home health care use for four racial/ethnic elderly groups (non-Hispanic [NH] whites, NH-blacks, NH-Asians, and Hispanics) living in communities with different racial/ethnic compositions.
NH-Asian and Hispanic elders living in block groups with ≥25 percent of residents being NH-Asian or Hispanic, respectively, were more likely to use informal home health care than their counterparts in other block groups. No such effect was apparent for formal home health care.
NH-Asian and Hispanic elders are more likely to use informal home care if they live in communities with a higher proportion of residents who share their race/ethnicity. A better understanding of how informal care is provided in different communities may inform policy makers concerned with promoting informal home care, supporting informal caregivers, or providing formal home care as a substitute or supplement to informal care.
调查个体种族/族裔与社区种族/族裔构成之间的相互作用是否与美国老年人与健康相关的家庭护理使用有关。
从 2000 年至 2006 年的医疗支出面板调查（N=23792）中选取了一个具有代表性的全国性社区居住的 65 岁以上老年人样本，并与 2000 年十年普查中街区组级别的种族/族裔信息相关联。
我们估计了四个种族/族裔老年人群体（非西班牙裔白人、非西班牙裔黑人、非西班牙裔亚裔和西班牙裔）在不同种族/族裔构成的社区中使用非正式和正式家庭保健的可能性。
居住在街区组中居民中有≥25%为非西班牙裔亚裔或西班牙裔的非西班牙裔亚裔和西班牙裔老年人，比其他街区组中的同龄人更有可能使用非正式家庭保健。正式家庭保健则没有这种效果。
如果非西班牙裔亚裔和西班牙裔老年人居住在其种族/族裔比例较高的社区中，他们更有可能使用非正式家庭护理。更好地了解不同社区中非正式护理是如何提供的，可以为关注促进非正式家庭护理、支持非正式护理者、或提供正式家庭护理作为非正式护理的替代或补充的政策制定者提供信息。
