Center for Gerontology and Healthcare Research, Brown University School of Public Health,Providence, Rhode Island, USA.
College of Liberal Arts and Sciences, Department of Human Development and Family Studies, University of Connecticut, Storrs, Connecticut, USA.
J Aging Soc Policy. 2020 Mar-Apr;32(2):172-187. doi: 10.1080/08959420.2019.1589887. Epub 2019 Apr 1.
We examined racial differences in determinants of choice and control in daily activities and service coordination for a sample of White and Black participants in the Connecticut Money Follows the Person (MFP) Rebalancing Demonstration. Within-group analyses were conducted to understand factors that contribute to choice and control among participants. While no disparities were found in the odds of reporting choice and control, our findings show that White participants with mental health challenges, who lived with family, and had more functional impairments and Black participants with engagement transition challenges were less likely to have choice and control over daily activities. Determinants varied by race for choice in service coordination. Findings indicate a need for initiatives to target different factors for White and Black MFP participants to optimize opportunities for choice and control after returning to community living.
我们考察了康涅狄格州“金钱随人走”（MFP）再平衡试点项目中白人和黑人参与者在日常生活活动选择和控制的决定因素方面的种族差异。我们进行了组内分析，以了解参与者选择和控制的贡献因素。虽然报告选择和控制的可能性没有差异，但我们的研究结果表明，有心理健康问题、与家人同住、功能障碍更多的白人参与者，以及有参与过渡挑战的黑人参与者，他们在日常生活活动中选择和控制的可能性较小。服务协调选择的决定因素因种族而异。研究结果表明，需要采取举措针对 MFP 的白人和黑人参与者的不同因素，以优化他们返回社区生活后的选择和控制机会。
