• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
Geriatrics

Geriatrics

Ethnogeriatrics

  • Facebook
  • Twitter
  • YouTube
  • Home
  • Culture Med
    • Ethnogeriatrics Overview
      • Introduction
      • Patterns of Health Risk
      • Fund of Knowledge
      • Assessment
      • Delivery of Care
    • Glossary
    • Interview Strategies
  • Ethno Med
    • Background
    • African American
    • Alaska Native
    • American Indian
    • Asian Indian American
    • Chinese American
    • Filipino American
    • Hawaiian and Pacific Islander
    • Hispanic / Latino American
    • Hmong American
    • Japanese American
    • Korean American
    • Pakistani American
    • Vietnamese American
  • Medical Interpreters
    • Microlectures
    • Partnering with medical interpreter
  • Media Coverage
  • Resources
  • About Us
    • Overview
    • iSAGE Team
    • Contact iSAGE
    • Geriatric Medicine Fellowship
    • Aging Adult Services at Stanford
    • System Requirements

Long-Term Care

2. Physician-Based Factors: Long-Term Care

 Graph

» Figure 3: Nursing Home Residents Comparison—
Black and White Older Adults

African American older adults are frequently supported in adhering to their health care regimens by family members rather than formal support providers. Family members also act as coordinators of care, including transportation, medication management, diet, exercise and monitoring chronic illness (Jennings, 1999).

This is further supported by the fact that most African Americans with functional disabilities and health problems remain at home, with supportive care provided by immediate or extended families and informal support networks in the church or community. Past experiences of Black older adults have demonstrated that utilization of institutions for the purpose of “rehabilitation,” rather than as nursing homes was more common (Mavundla, 1996). Lower rates of institutionalization by older African Americans have been accounted for by higher use of paid home care, informal-only care or no care (Wallace et al. 1998).

In 1999, data was released by the National Center for Health Statistics that for the first time showed nursing home utilization by African Americans equal or greater than that by older White Americans in most age and sex categories (See Figure 2). In all of the three age groups of older men, and in all but the oldest women, a higher proportion of Black older adults resided in nursing homes.

    Pages:
  • <
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6

Primary Sidebar

Culturemed Image

African American

  • Description
  • Learning Objectives
  • Introduction & Overview
    • Population Growth and Distribution
    • Characteristics
  • Patterns of Health Risk
    • Life Expectancy
    • Mortality
    • Morbidity
    • Self-Rated Health and Functional Status

CULTURALLY APPROPRIATE CARE

  • Fund of Knowledge
    • Health History
      • Up from slavery
      • Health and Longevity Since the Mid-19th Century
      • Significant Dates and Periods
      • Cohort Experiences
    • Health Beliefs
    • Illness Causes & Interventions
  • Assesment
    • Cultural Biases and Misdiagnoses
    • Showing Respect
    • Use of Assesment Instruments
  • Delivery of Care
    • Cardiovascular Disease
    • Stroke
    • Breast Cancer
    • Mental Health
    • End-of-life Care
  • Cancer Care

Access and Utilization

  • Disparities
    • 1. Patient-Based Factors
    • 2. Physician-Based Factors
      • Maltreatment and Segregated Training
      • Discriminatory Patterns
      • Social and Kinship Networks
      • Informal Caregiving
      • Caregiver Burden
      • Long-Term Care
    • 3. End-of-Life Care Issues
      • Palliative and Hospice Care
      • Advance Directives
      • Role of Church and Religion
  • Health Promotion
    • Improving Health Care

Learning Resources

  • Instructional Strategies
    • Projects and Assignments
    • Case Study 1: Mr. S
      • Overview and History
      • Course and Outcome
      • Cultural Issues
    • Case Study 2: Mrs. P
  • Student Evaluation
  • List of References
    • General
    • Fictive Kin
    • Breast Cancer
    • Tuskegee Study
  • Searchable Reference Database
  • Links
  • Important Cultural Terminology
  • Glossary
  • Interview Strategies
© 2019 Stanford Medicine
Privacy Policy • Terms of Use