Syracuse University, NY, USA.
California State University, Long Beach, CA, USA.
J Appl Gerontol. 2020 May;39(5):490-501. doi: 10.1177/0733464819827806. Epub 2019 Feb 8.
Home health aides are crucial to ensuring quality services for the growing older adult population needing home-based care in the United States. We utilize data from the nationally representative 2007 National Home Health Aide Survey ( = 3,344) to analyze racial-ethnic disparity in turnover intent. Non-Hispanic Black and non-Hispanic Other home health aides had higher all-cause turnover intent than Non-Hispanic Whites. Cause-specific turnover intent varied by race-ethnicity. Compared with non-Hispanic White home health aides, (a) non-Hispanic Black home health aides were more likely to leave due to low pay and educational/advancement opportunities; (b) Hispanic home health aides were more likely to leave due to a perceived lack of respect or difficulty with their supervisor/agency; and (c) non-Hispanic home health aides were more likely to leave due to an impending move. Findings suggest that efforts to address high levels of turnover intent among home health aides should account for differences in race-ethnic groups.
家庭保健助手对于确保美国需要家庭护理的日益老龄化人口获得高质量服务至关重要。我们利用具有全国代表性的 2007 年全国家庭保健助手调查（=3344）的数据，分析了在离职意愿方面的种族差异。非西班牙裔黑人和非西班牙裔其他人种的家庭保健助手比非西班牙裔白人更有可能产生离职意愿。按种族划分的特定离职原因各不相同。与非西班牙裔白人家庭保健助手相比，（a）非西班牙裔黑人家庭保健助手因薪酬低和教育/晋升机会少而离职的可能性更大；（b）西班牙裔家庭保健助手因感到不受尊重或与主管/机构相处困难而离职的可能性更大；（c）非西班牙裔家庭保健助手因即将搬家而离职的可能性更大。研究结果表明，解决家庭保健助手离职意愿高的问题，应该考虑到不同种族群体的差异。
