Abstract:
:The purpose of this study was to compare attitudes toward the use of long-term care between older Japanese Americans (n = 1,244) and older Caucasian Americans (n = 1,354). When presented with a hypothetical situation in which they have dementia, 39% of older Japanese Americans and 42% of older Caucasians intended to be cared for at home, whereas 53% versus 38%, respectively, intended to use nursing home care (P <.001). If the hypothetical situation was hip fracture, 81% of older Japanese Americans and 72% of older Caucasians intended to be cared for at home, with 13% of both groups intending to use nursing home care (P = NS). The subjects' perceptions of what their families, friends, ministers, and communities would want them to choose differed, with more uncertainty among Caucasians (P <.001). For provision of home care, Japanese Americans were more likely to rely on loved ones than Caucasians, who were more likely to rely on paid providers. Multivariate logistic regression showed ethnicity to be independently related to intention to use nursing home care in the dementia scenario, controlling for demographic variables. Being married lowered the odds of intending to use nursing homes in any situation. We conclude that Caucasian Americans intend to use paid home health care at higher rates than Japanese Americans if they become disabled by dementia. Japanese Americans demonstrated more certainty about the influences of others on their opinions, suggesting a more stable cultural norm in this population, and intended to use more nursing home care in the event of permanent debility (dementia).
journal_name
J Am Geriatr Socjournal_title
Journal of the American Geriatrics Societyauthors
McCormick WC,Ohata CY,Uomoto J,Young HM,Graves AB,Kukull W,Teri L,Vitaliano P,Mortimer JA,McCurry SM,Bowen JD,Larson EBdoi
10.1046/j.1532-5415.2002.50275.xsubject
Has Abstractpub_date
2002-06-01 00:00:00pages
1149-55issue
6eissn
0002-8614issn
1532-5415pii
jgs50275journal_volume
50pub_type
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