# MINORITY USE OF LONG-TERM CARE--METHOD AND MEANING

> **NIH NIH R01** · UNIVERSITY OF ILLINOIS AT CHICAGO · 1992 · $195,853

## Abstract

The purpose of this study is to examine the determinants of use of
long-term care services among and between African-American, Hispanic and
White older persons.  We combine a substantive and methodological focus
to accomplish the following objectives: la) To determine the effect of
socioeconomic status, family structure, and health status on long-term
care service use by minority groups; 1b) To determine the replicability
and validity of results across four national data sets: Survey of Income
and Program Participants (SIPP), Longitudinal Study of Aging (LSOA),
National Medical Expenditure, Survey (NMES), and National Long-Term Care
Survey (NLTCS); 2a) To investigate the cultural and linguistic meaning of
selected long-term care constructs; and, 2b) To determine culturally
appropriate items for future studies of long-term services by minority
elderly.

Specific research questions are: 1. Do African-Americans, Hispanics and
White elderly differ in the degree to which they have access to medical
care? Are the determinants of access the same or different for each
group? 2. Do African-Americans, Hispanics, and White elderly differ in
the degree to which they have access to long term care? Are the
determinants of access the same or different for each group? 3. Are
patterns or informal and formal care similar or different across
race/ethnic groups? Are the determinants of these patterns the same or
different for each group? 4. Are there race/ethnic group differences in
rates of transition from informal care to mixed informal and formal care
or to purely formal care? and, 5. How do African-American and Hispanic
respondents understand and interpret the concepts of income, family
structure, health and functional status used in the national surveys of
long-term care services?

This four year study will combine secondary analyses of national data
sets and cognitive survey procedures with purposive samples of
African-American and Hispanic elderly.  A Community Advisory Group will
provide consultation on interpretation and salience of findings for
minority elderly.  Results will contribute first, to knowledge of the
extent to which minorities have blocked access to long-term care services
as a result of income, family structure, and culturally-defined
attitudes; and second, to the development of survey questions that are
relevant and culturally sensitive across cultural and socioeconomic
groups.

## Key facts

- **NIH application ID:** 3123257
- **Project number:** 1R01AG011285-01
- **Recipient organization:** UNIVERSITY OF ILLINOIS AT CHICAGO
- **SAM.gov UEI:** W8XEAJDKMXH3
- **Principal Investigator:** Baila H. Miller
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 1992
- **Award amount:** $195,853
- **Award type:** 1
- **Project period:** 1992-09-30 → 1996-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/3123257

## Citation

> US National Institutes of Health, RePORTER application 3123257, MINORITY USE OF LONG-TERM CARE--METHOD AND MEANING (1R01AG011285-01). Retrieved via MORVS 2026-10-25 from https://api.morvs.ai/grant/nih/3123257. Licensed CC0.

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