Full Citation
Title: Racial Differences in Minnesota Nursing Home Residents' Quality of Life: The Importance of Looking Beyond Individual Predictors.
Citation Type: Journal Article
Publication Year: 2016
ISBN:
ISSN: 1552-6887
DOI: 10.1177/0898264315589576
NSFID:
PMCID:
PMID: 26112065
Abstract: OBJECTIVES The aim of this study is to investigate racial differences in nursing home (NH) residents' quality of life (QOL) at the resident and facility levels. METHOD We used hierarchical linear modeling to identify significant resident- and facility-level predictors for racial differences in six resident-reported QOL domains. Data came from the following: (a) resident-reported QOL (n = 10,929), (b) the Minimum Data Set, and (c) facility-level characteristics from the Minnesota Department of Human Services (n = 376). RESULTS White residents reported higher QOL in five of six domains, but in full models, individual-level racial differences remained only for food enjoyment. On the facility level, higher percentage of White residents was associated with better scores in three domains, even after adjusting for all characteristics. DISCUSSION Racial differences in QOL exist on individual and aggregate levels. Individual differences are mainly explained by health status. The finding that facility racial composition predicts QOL more than individual race underscores the importance of examining NH structural characteristics and practices.
Url: http://www.ncbi.nlm.nih.gov/pubmed/26112065
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Authors: Shippee, Tetyana; Henning-Smith, Carrie; Rhee, Taeho Greg; Held, Robert N; Kane, Robert L
Periodical (Full): Journal of aging and health
Issue: 2
Volume: 28
Pages: 199-224
Countries: