Wallace S P, Levy-Storms L, Ferguson L R
Department of Community Health Sciences, UCLA School of Public Health 90024-1772, USA.
Am J Public Health. 1995 Jul;85(7):970-5. doi: 10.2105/ajph.85.7.970.
The purpose of this study was to compare the national prevalences and predictors of paid in-home functional assistance among disabled Latino and non-Latino elderly people who receive such assistance.
Data were derived from the 1988 wave of the National Center for Health Statistics Longitudinal Study on Aging and the 1988 Commonwealth Fund Commission Survey of Elderly Hispanics. Logistic regression was used to model paid care use and to calculate estimated probabilities of such use.
Among Latino and non-Latino Whites 74 years of age and older who received functional assistance, similar proportions used paid assistance. Predictors of paid care coincided with established models for non-Latino Whites only. Disabled Latinos had a lower estimated probability of using paid assistance when they were highly disabled and socially isolated but had a higher estimated probability when their children lived nearby.
The effects of disability and social support differ among non-Latino White and Latino elderly people. Latino elderly people with high anticipated needs obtain less paid assistance than similar non-Latino Whites. In addition to a reduction in financial barriers, improving access to long-term care services requires addressing this diversity in service use patterns.
本研究旨在比较接受此类帮助的残疾拉丁裔和非拉丁裔老年人中家庭有偿功能帮助的全国患病率及预测因素。
数据来源于美国国家卫生统计中心1988年的老龄化纵向研究以及1988年英联邦基金委员会对老年西班牙裔的调查。采用逻辑回归对有偿护理使用情况进行建模，并计算此类使用的估计概率。
在接受功能帮助的74岁及以上的拉丁裔和非拉丁裔白人中，使用有偿帮助的比例相似。有偿护理的预测因素仅与已建立的非拉丁裔白人模型相符。残疾拉丁裔在高度残疾且社会孤立时使用有偿帮助的估计概率较低，但当他们的孩子住在附近时，使用有偿帮助的估计概率较高。
残疾和社会支持对非拉丁裔白人和拉丁裔老年人的影响不同。预期需求高的拉丁裔老年人获得的有偿帮助比类似的非拉丁裔白人少。除了减少经济障碍外，改善长期护理服务的可及性还需要解决服务使用模式的这种多样性。
