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Title: Racial Differences in Nursing Home Quality of Life Among Residents Living With Alzheimer’s Disease and Related Dementias

Citation Type: Journal Article

Publication Year: 2023

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ISSN: 15526887

DOI: 10.1177/08982643231191164/ASSET/IMAGES/LARGE/10.1177_08982643231191164-FIG1.JPEG

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Abstract: Among nursing home (NH) residents with Alzheimer’s disease (AD) and AD-related dementias (AD/ADRD), racial/ethnic disparities in quality of care exist. However, little is known about quality of life (QoL). This study examines racial/ethnic differences in self-reported QoL among NH residents with AD/ADRD. Methods: Validated, in-person QoL surveys from 12,562 long-stay NH residents with AD/ADRD in Minnesota (2012–2015) were linked to Minimum Data Set assessments and facility characteristics. Hierarchical linear models assessed disparities in resident-reported mean QoL score (range, 0–100 points), adjusting for case-mix and facility factors. Results: Compared to White residents, racially/ethnically minoritized residents reported significantly lower total mean QoL scores (75.53 points vs. 80.34 points, p <.001). After adjustment for resident- and facility-level characteristics, significant racial/ethnic differences remained, with large disparities in food enjoyment, attention from staff, and engagement domains. Discussion: Policy changes and practice guidelines are needed to address racial/ethnic disparities in QoL of NH residents with AD/ADRD.

Url: https://journals.sagepub.com/doi/full/10.1177/08982643231191164

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Authors: Shippee, Tetyana Pylypiv; Parikh, Romil R.; Baker, Zachary G.; Bucy, Taylor I.; Ng, Weiwen; Jarosek, Stephanie; Qin, Xuanzi; Woodhouse, Mark; Nkimbeng, Manka; McCarthy, Teresa

Periodical (Full): Journal of Aging and Health

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