Changes over Time in Racial/Ethnic Differences in Quality of Life for Nursing Home Residents: Patterns within and between Facilities

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

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives: To investigate trends in racial/ethnic differences in nursing home (NH) residents’ quality of life (QoL) and assess these patterns within and between facilities. Method: Data include resident-reported QoL surveys (n = 60,093), the Minimum Data Set, and facility-level characteristics (n = 376 facilities) for Minnesota. Hierarchical linear models were estimated to identify differences in QoL by resident race/ethnicity and facility racial/ethnic minority composition for 2011–2015. Results: White residents in low-proportion racial/ethnic minority facilities reported higher QoL than both minority and white residents in high-proportion minority facilities. While the year-to-year differences were not statistically significant, the point estimates for white–minority disparity widened over time. Discussion: Racial/ethnic differences in QoL are persistent and may be widening over time. The QoL disparity reported by minority residents and all residents in high-proportion minority facilities underscores the importance of examining NH structural characteristics and practices to ultimately achieve the goal of optimal, person-centered care in NHs.

Original languageEnglish (US)
JournalJournal of aging and health
DOIs
StateAccepted/In press - 2020

PubMed: MeSH publication types

  • Journal Article

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