Predictors of time to nursing home placement in White and African American individuals with dementia.
OBJECTIVE
This study examined the influence of racial group identification on nursing home placement (NHP) for individuals with dementia before and after adjusting for the possible mediating effects of the caregiving context as defined by stress-process variables in 215 caregiver/care recipient dyads.


METHODS
Demographics, problem behaviors, self-care impairment, and caregiver appraisal, social support, psychological well-being, and coping were used to prospectively predict Time to NHP.


RESULTS
Race was a significant predictor of NHP with African American care recipients placed significantly slower than White care recipients. Race remained a significant predictor of Time to NHP after controlling for other variables that showed independent association with Time to NHP and stress-process variables.


CONCLUSIONS
Findings suggest that stress-process variables are critical factors in Time to NHP; however, these variables do not explain fully the difference in Time to NHP seen in White and African American care recipients.
Stevens
Alan
A
Dementia Care Research Program, University of Alabama at Birmingham, Birmingham, AL, USA. Astevens@aging.uab.edu
Owen
Jason
J
Roth
David
D
Clay
Olivio
O
Bartolucci
Alfred
A
Haley
William
W
D000223:Adaptation, Psychological; D000368:Aged; D044383:Black People; D017028:Caregivers; D003704:Dementia; D005260:Female; D006801:Humans; D007326:Institutionalization; D008297:Male; D009735:Nursing Homes; D012944:Social Support; D013315:Stress, Psychological; D013997:Time Factors; D014481:United States; D044465:White People; D001741:Black or African American