解析养老院生活质量的种族和民族差异。
Decomposing Racial and Ethnic Disparities in Nursing Home Quality of Life.
机构信息
Miami University, Oxford, OH, USA.
University of Minnesota, Minneapolis, USA.
出版信息
J Appl Gerontol. 2021 Sep;40(9):1051-1061. doi: 10.1177/0733464820946659. Epub 2020 Aug 10.
Abstract
This study examines the racial/ethnic disparity among nursing home (NH) residents using a self-reported, validated measure of quality of life (QoL) among long-stay residents in Minnesota. Blinder-Oaxaca decomposition techniques determine which resident and facility factors are the potential sources of the racial/ethnic disparities in QoL. Black, Indigenous, and other People of Color (BIPOC) report lower QoL than White residents. Facility structural characteristics and being a NH with a high proportion of residents who are BIPOC are the factors that have the largest explanatory share of the disparity. Modifiable characteristics like staffing levels explain a small share of the disparity. To improve the QoL of BIPOC NH residents, efforts need to focus on addressing systemic disparities for NHs with a high proportion of residents who are BIPOC.
摘要
本研究使用明尼苏达州长期居住在养老院（NH）居民的自我报告、经验证的生活质量（QoL）测量方法，考察了养老院居民中的种族/民族差异。Blinder-Oaxaca 分解技术确定了哪些居民和设施因素是 QoL 种族/民族差异的潜在来源。黑人和其他有色人种（BIPOC）报告的生活质量低于白人居民。设施结构特征和高比例 BIPOC 居民的 NH 是造成这种差异的最大因素。可调节的特征，如人员配备水平，仅能解释很小一部分差异。为了提高 BIPOC NH 居民的生活质量，需要努力解决高比例 BIPOC 居民的 NH 所面临的系统性差异问题。
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