Racial/ethnic disparities in preventive care practice among U.S. Nursing home residents

Huabin Luo, Xinzhi Zhang, Benjamin Cook, Bei Wu, M. Roy Wilson

Research output: Contribution to journalArticle

Abstract

Objective: To assess racial/ethnic disparities in preventive care practices among U.S. nursing home residents. Method: To implement the Institute of Medicine definition of health care disparity, we used the rank-and-replace adjustment method to assess the disparity in receipt of eight preventive care services among residents and evaluate trends in disparities. The sampling design (stratification and clustering) was accounted for using Stata 11. Results: The 2004 National Nursing Home Surveys data show White residents were more likely to have pain management, scheduled toilet plan/bladder retraining, influenza vaccination, and pneumococcal vaccination than Black residents. White residents were also more likely to have scheduled toilet plan/bladder retraining than residents of Other race/ethnicity. Significant Black-White disparities in receipt of influenza vaccination and pneumococcal vaccination were found. Time trend analysis showed that disparities were neither exacerbated nor reduced. Conclusion: Persistent racial/ethnic disparities in preventive care among nursing home residents exist. We urge the development and implementation of targeted interventions to improve the quality of preventive care in nursing homes.

Original languageEnglish (US)
Pages (from-to)519-539
Number of pages21
JournalJournal of Aging and Health
Volume26
Issue number4
DOIs
StatePublished - 2014

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Preventive Medicine
nursing home
Nursing Homes
Vaccination
resident
vaccination
Human Influenza
Urinary Bladder
retraining
Healthcare Disparities
National Academies of Science, Engineering, and Medicine (U.S.) Health and Medicine Division
Quality of Health Care
Pain Management
contagious disease
Cluster Analysis
trend
pain
ethnicity
medicine
health care

Keywords

  • disparity
  • nursing homes
  • preventive care

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Gerontology
  • Community and Home Care

Cite this

Racial/ethnic disparities in preventive care practice among U.S. Nursing home residents. / Luo, Huabin; Zhang, Xinzhi; Cook, Benjamin; Wu, Bei; Wilson, M. Roy.

In: Journal of Aging and Health, Vol. 26, No. 4, 2014, p. 519-539.

Research output: Contribution to journalArticle

Luo, Huabin ; Zhang, Xinzhi ; Cook, Benjamin ; Wu, Bei ; Wilson, M. Roy. / Racial/ethnic disparities in preventive care practice among U.S. Nursing home residents. In: Journal of Aging and Health. 2014 ; Vol. 26, No. 4. pp. 519-539.
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