# UNDERSTANDING RACE DIFFERENCES IN LONG-TERM CARE

> **NIH NIH R01** · JOHNS HOPKINS UNIVERSITY · 1992 · $142,549

## Abstract

The provision of long-term care to disabled older people continues to be
a major focus of policy and research in the financing and delivery of
health care.  Previous research has documented the gaps in financing
long-term care services for older people, the heavy reliance on family
members as providers of care, and the strong desire of disabled older
people to remain community-resident even though resources for
community-based formal long-term care services are often meager and
fragmented.  One aspect of the long-term care "problem" that has received
little attention, however, is the role of race or minority-group
membership.

The overall objective of the proposed research is to investigate the role
of race in the structure of informal caregiving arrangements and the use
of formal inhome care and nursing home care.  The data are from the
National Long-Term Care Surveys, a nationally representative survey of
disabled people age 65 or older.  In order to characterize the provision
of long-term care to black disabled elders, in contrast to their white
counter parts, the project will be guided by the following specific aims:
1. To describe and compare the structure of informal care arrangements of
black and white disabled elders. 2. To examine the effects of
psychosocial, contextual, economic factors and the structure of informal
care arrangements, on black/white differences in long-term care
utilization. 3. To investigate differences by race in the caregiver role
and in perceptions of caregiving, and the effects on use of formal
long-term care services.

The goal of the proposed research is to advance our understanding of the
significance of race in the provision of long-term care.  It is
particularly important, of course, to determine the extent to which
differences by race reflect barriers to access as opposed to preferences
that are more closely tied to cultural differences.  By focusing on
policy-related variables, such as economic resources and contextual
indicators of the health services environment, as well as informal care
arrangements and psychosocial factors, it is possible to begin to
understand the causes of race differences in use of formal long-term care
services.  Equally important, such analyses will clarify the need for
policy interventions to address racial inequities.

## Key facts

- **NIH application ID:** 3123255
- **Project number:** 1R01AG011283-01
- **Recipient organization:** JOHNS HOPKINS UNIVERSITY
- **SAM.gov UEI:** FTMTDMBR29C7
- **Principal Investigator:** JUDITH KASPER
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 1992
- **Award amount:** $142,549
- **Award type:** 1
- **Project period:** 1992-09-30 → 1994-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/3123255

## Citation

> US National Institutes of Health, RePORTER application 3123255, UNDERSTANDING RACE DIFFERENCES IN LONG-TERM CARE (1R01AG011283-01). Retrieved via MORVS 2026-10-25 from https://api.morvs.ai/grant/nih/3123255. Licensed CC0.

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