Journals of Gerontology Series B: Psychological Sciences and Social Sciences
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]
Author:
Keyword(s):
Year:  Vol:  Page: 


This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Google Scholar
Right arrow Articles by Cagney, K. A.
Right arrow Articles by Agree, E. M.
Right arrow Articles citing this Article
PubMed
Right arrow PubMed Citation
Right arrow Articles by Cagney, K. A.
Right arrow Articles by Agree, E. M.
The Journals of Gerontology Series B: Psychological Sciences and Social Sciences 60:S137-S145 (2005)
© 2005 The Gerontological Society of America


RESEARCH ARTICLE

Racial Differences in Formal Long-Term Care: Does the Timing of Parenthood Play a Role?

Kathleen A. Cagney1, and Emily M. Agree2

1 Department of Health Studies, University of Chicago, Illinois.
2 Department of Population and Family Health Sciences, Johns Hopkins University, Baltimore, Maryland.

Address correspondence to Kathleen Cagney, Department of Health Studies, University of Chicago, 5841 S. Maryland Ave., MC 2007, Chicago, IL 60637. E-mail: kcagney{at}health.bsd.uchicago.edu

Objectives. This article examines the association between race and the timing of formal long-term care (LTC) service use, both institutional and community based. It seeks to understand whether early parenthood predicts the timing of LTC use later in life and whether it in turn mediates the association between race and LTC use. In particular, it explores whether the lower rate of formal LTC use among African Americans is due in some part to the earlier inception of parenthood.

Methods. Linking measures from the 1989 National Long-Term Care Survey with Medicare claims (1989–1993), we model age at first use of institutional (skilled nursing facility) care and home health as competing risks using a Cox proportional hazards model.

Results. Early parenthood accelerates first use of home health for Whites but delays first use for Blacks. The likelihood of any LTC use by race group converges as timing of parenthood increases.

Discussion. Differential effects of teen childbearing across race groups indicate differential vulnerability to LTC needs among early parents.







HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
All GSA journals The Gerontologist
Journals of Gerontology Series A: Biological Sciences and Medical Sciences
Copyright © 2005 by The Gerontological Society of America.