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- Title
Racial Differences in Nursing Home Quality of Life Among Residents Living With Alzheimer's Disease and Related Dementias.
- 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
- Abstract
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.
- Subjects
MINNESOTA; SELF-evaluation; NURSING home patients; STATISTICAL models; MEDICAL care use; POST-traumatic stress disorder; BIPOLAR disorder; BEHAVIOR disorders; ALZHEIMER'S disease; DATABASE management; MILD cognitive impairment; RESEARCH funding; QUESTIONNAIRES; AT-risk people; POSITIVE psychology; DESCRIPTIVE statistics; PSYCHOLOGICAL adaptation; ANXIETY; SEVERITY of illness index; AGITATION (Psychology); SCHIZOPHRENIA; FUNCTIONAL status; RACE; QUALITY of life; CONCEPTUAL structures; PATIENT-professional relations; STATISTICS; COGNITION disorders; SENILE dementia; LENGTH of stay in hospitals; PSYCHOLOGICAL tests; PSYCHOSOCIAL factors; MEDICAL care costs; DEMENTIA patients; COMORBIDITY; MENTAL depression; REGRESSION analysis
- Publication
Journal of Aging & Health, 2024, Vol 36, Issue 5/6, p379
- ISSN
0898-2643
- Publication type
Article
- DOI
10.1177/08982643231191164