Shippee Tetyana P, Henning-Smith Carrie, Rhee Taeho Greg, Held Robert N, Kane Robert L
University of Minnesota, Minneapolis, USA
University of Minnesota, Minneapolis, USA.
J Aging Health. 2016 Mar;28(2):199-224. doi: 10.1177/0898264315589576. Epub 2015 Jun 25.
The aim of this study is to investigate racial differences in nursing home (NH) residents' quality of life (QOL) at the resident and facility levels.
We used hierarchical linear modeling to identify significant resident- and facility-level predictors for racial differences in six resident-reported QOL domains. Data came from the following: (a) resident-reported QOL (n = 10,929), (b) the Minimum Data Set, and (c) facility-level characteristics from the Minnesota Department of Human Services (n = 376).
White residents reported higher QOL in five of six domains, but in full models, individual-level racial differences remained only for food enjoyment. On the facility level, higher percentage of White residents was associated with better scores in three domains, even after adjusting for all characteristics.
Racial differences in QOL exist on individual and aggregate levels. Individual differences are mainly explained by health status. The finding that facility racial composition predicts QOL more than individual race underscores the importance of examining NH structural characteristics and practices.
本研究旨在调查疗养院（NH）居民在个体和机构层面的生活质量（QOL）的种族差异。
我们使用分层线性模型来确定六个居民报告的生活质量领域中种族差异的显著个体和机构层面预测因素。数据来自以下方面：（a）居民报告的生活质量（n = 10,929），（b）最低数据集，以及（c）明尼苏达州人类服务部的机构层面特征（n = 376）。
白人居民在六个领域中的五个领域报告的生活质量较高，但在完整模型中，个体层面的种族差异仅在食物享受方面仍然存在。在机构层面，即使在调整所有特征后，白人居民比例较高与三个领域的得分较高相关。
生活质量的种族差异存在于个体和总体层面。个体差异主要由健康状况解释。机构种族构成比个体种族更能预测生活质量这一发现强调了检查疗养院结构特征和实践的重要性。
