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.
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.
Authors: Mary D Naylor; Karen B Hirschman; Alexandra L Hanlon; Katherine M Abbott; Kathryn H Bowles; Janice Foust; Shivani Shah; Cynthia Zubritsky Journal: J Am Med Dir Assoc Date: 2015-09-26 Impact factor: 4.669
Authors: Tetyana P Shippee; Odichinma Akosionu; Weiwen Ng; Mark Woodhouse; Yinfei Duan; Mai See Thao; John R Bowblis Journal: J Aging Soc Policy Date: 2020-05-31
Authors: Tetyana T Shippee; Weiwen Ng; Yinfei Duan; Mark Woodhouse; Odichinma Akosionu; Haitao Chu; Jasjit S Ahluwalia; Joseph E Gaugler; Beth A Virnig; John R Bowblis Journal: J Aging Health Date: 2020-07-10