Variation in Older Americans Act Caregiver Service Use, Unmet Hours of Care, and Independence Among Hispanics, African Americans, and Whites

Angelica P. Herrera, Rebecca George, Jacqueline L. Angel, Kyriakos Markides, Fernando Torres-Gil

Research output: Contribution to journalArticlepeer-review

25 Scopus citations

Abstract

Home- and community-based services (HCBS) are underused by minority seniors and their caregivers, despite greater rates of disability. We examined racial/ethnic variation among 1,749 Hispanics, African Americans, and Whites receiving Older Americans Act Title III caregiver services in 2009. In addition, we identified the volume of services used by caregivers, their unmet hours of respite care, and the relationship between service use and seniors' ability to live independently. Minority caregivers cared for seniors in urban areas who had higher rates of disability, poverty, and Medicaid coverage. Hispanics had the highest rate of unmet hours of care, while caregiver services were less likely to help African Americans remain at home. Minorities sought services through community agencies and were more educated than demographically similar national cohorts. Greater efforts to reach minority caregivers of less educated, disabled seniors in urban areas and through community agencies may reduce unmet needs and support independent living.

Original languageEnglish (US)
Pages (from-to)35-56
Number of pages22
JournalHome Health Care Services Quarterly
Volume32
Issue number1
DOIs
StatePublished - Jan 2013

Keywords

  • African Americans
  • Mexican Americans
  • Older Americans Act
  • caregiver support services

ASJC Scopus subject areas

  • Health Policy
  • Community and Home Care
  • Public Health, Environmental and Occupational Health

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