# RACE AND RESIDENCE DIFFERENCES IN LONG-TERM CARE

> **NIH NIH R01** · UNIVERSITY OF FLORIDA · 1993 · $197,025

## Abstract

The proposed project is a four-year longitudinal study of race and
residence differences in patterns of formal and informal long-term care.
There are two specific aims: (1) to determine the individual, familial,
and community context variables that explain race and residence
differences in the long-term care arrangements of elders; and (2) to
describe patterns of long-term care as they evolve over time among both
black elders and geographically isolated elders and to identify those
factors that predict changes in long-term care arrangements.  To achieve
these goals, a multistage disproportionate sampling approach will be used
to identify 1,200 elders residing in four north Florida counties.
Telephone screenings will be used to stratify the sample on race,
residence, and level of ADL and IADL impairment.  Data will be collected
using four methods: two directed at the individual elder and their family
support network and two others directed at establishing the community
context in which the elder lives and functions.  To acquire information
about the individual elder and their family support network, a series of
telephone interviews will be completed with the full sample at six points
in time (approximately 6-months apart).  To complement this large sample
data collection, a subsample of 100 elders considered to be at high-risk
of entering a nursing home will be selected for more intensive
monitoring.  With this smaller sample, a series of in-person interviews
will be conducted during years 02 and 03 of the project.  To acquire
information about the community context in which the elder resides, focus
groups will be held to collect information about community perceptions of
the need for, and accessibility of, both formal and informal sources of
long-term care.  Finally, for each community in which a respondent
resides, a survey of the formal long-term care resources that are
available in that locale will be conducted.  A modification and expansion
of the Andersen model of service utilization will be used as the
conceptual framework.  Indicators of predisposing, enabling, and need
factors will be measured for the individual elder, their family support
network, and the community in which they live.  The dependent variable,
long-term care arrangements, will be measured in two ways: the
composition of the helping network, and the intensity of the help
provided.  The analytical strategy will include descriptive log-linear
analysis and two general methods appropriate for models with multiple
predictors (i.e., multinomial logistic regression and time-based analysis
using a proportional hazards model).  In addition, techniques appropriate
for ethnographic analysis will be applied to the information from the
in-person interviews and the focus groups.

## Key facts

- **NIH application ID:** 3123178
- **Project number:** 5R01AG011183-02
- **Recipient organization:** UNIVERSITY OF FLORIDA
- **SAM.gov UEI:** NNFQH1JAPEP3
- **Principal Investigator:** RAYMOND T COWARD
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 1993
- **Award amount:** $197,025
- **Award type:** 5
- **Project period:** 1992-09-30 → 1996-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/3123178

## Citation

> US National Institutes of Health, RePORTER application 3123178, RACE AND RESIDENCE DIFFERENCES IN LONG-TERM CARE (5R01AG011183-02). Retrieved via MORVS 2026-10-25 from https://api.morvs.ai/grant/nih/3123178. Licensed CC0.

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