Citation

Bakk L, Cadet T, Lien L, Smalley A. J. Gerontol. Soc. Work 2017; 60(5): 377-394.

Affiliation

Research Assistant, Department of Rehabilitation Science, School of Public Health and Health Professions , University at Buffalo .

Copyright

(Copyright © 2017, Informa - Taylor and Francis Group)

DOI

10.1080/01634372.2017.1341444

PMID

28657880

Abstract

Home modification is an intervention that can improve functional performance and lower injury or fall risk. This study investigated racial and ethnic disparities in modification use among Medicare beneficiaries aged 65 and older, and factors that can account for differences in utilization. Data from the 2011 National Health and Aging Trends Study were used (n = 6,764). Logistic regression was used to examine the relationship between race, ethnicity, and three bathroom modification measures, and whether predisposing, need, and enabling factors account for utilization differences. Compared with older non-Hispanic Whites, Hispanics were less likely to have a grab bar (odds ratio (OR) = 0.6), bath seat (OR = 0.8), or raised toilet/raised toilet seat (OR = 0.6). Non-Hispanic Blacks were less likely to have a grab bar (OR = 0.7) or bath seat (OR = 0.7) than non-Hispanic Whites, but more likely to have a raised toilet/raised toilet seat (OR = 1.3). Ethnic differences were largely explained by English proficiency, and health status partially accounted for racial disparities. Differences in home modification use among racial and ethnic minority groups highlight the need for community-based education, communication, policies, and services that increase knowledge of and access to these critical supports.

Language: en

Keywords

Disparities; health promotion; mobility; physical function