Variations Between Adult Day Services Centers in the United States by the Racial and Ethnic Case-Mix of Center Participants. (September 2021)

• Record Type: Journal Article
• Authors: Lendon, Jessica Penn; Rome, Vincent; Sengupta, Manisha
• Is Part Of: Journal of applied gerontology. Volume 40:Number 9(2021)
• Page Start: 1029
• Page End: 1038
• Publication Date: 2021-09
• Subjects: adult day care -- diversity and ethnicity -- health services -- home and community-based care and services -- long-term services & supports; Gerontology -- Periodicals; 362.6
• DOI: 10.1177/0733464820934996
• Languages: English
• ISSNs: 0733-4648

Abstract

This is the first nationally representative study to identify differences between adult day services centers, a unique home- and community-based service, by racial/ethnic case-mix: Centers were classified as having a majority of participants who were Hispanic, non-Hispanic Black, or non-Hispanic other race/ethnicities and non-Hispanic White. The associations between racial/ethnic case-mix and geographic and operational characteristics of centers and health and functioning needs of participants were assessed using multivariate regression analyses, using the 2014 National Study of Long-term Care Providers' survey of 2, 432 centers. Half of all adult day centers predominantly served racial/ethnic minorities, which were more likely to be for-profit, had lower percentages of self-pay revenue, more commonly provided transportation services, and had higher percentages of participants with diabetes, compared with predominantly non-Hispanic White centers. Findings show differences by racial/ethnic case-mix, which are important when considering the long-term care needs of a diverse population of older adults.