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

被引:2
|
作者
Shippee, Tetyana Pylypiv [1 ]
Parikh, Romil R. R. [2 ]
Baker, Zachary G. G. [3 ]
Bucy, Taylor I. I. [1 ]
Ng, Weiwen [1 ]
Jarosek, Stephanie [1 ]
Qin, Xuanzi [4 ]
Woodhouse, Mark [1 ]
Nkimbeng, Manka [1 ]
McCarthy, Teresa [5 ]
机构
[1] Univ Minnesota, Sch Publ Hlth, Div Hlth Policy & Management, 420 Delaware St SE,MMC 729 Mayo, Minneapolis, MN 55455 USA
[2] Univ Minnesota, Sch Publ Hlth, Div Epidemiol & Community Hlth, Minneapolis, MN 55455 USA
[3] Arizona State Univ, Edson Coll Nursing & Hlth Innovat, Tempe, AZ USA
[4] Univ Maryland, Sch Publ Hlth, Dept Hlth Policy & Management, College Pk, MD USA
[5] Univ Minnesota, Med Sch, Dept Family Med, Minneapolis, MN 55455 USA
关键词
quality of life among people with dementia; nursing home residents with dementia; racial; ethnic disparities; LONG-TERM SERVICES; CARE SPAN; DISPARITIES; PSYCHOSIS; OUTCOMES;
D O I
10.1177/08982643231191164
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
Objectives 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.
引用
收藏
页码:379 / 389
页数:11
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