TY  - JOUR
PY  - 2017//
TI  - Home modifications among community-dwelling older adults: a closer look at race and ethnicity
JO  - Journal of gerontological social work
A1  - Bakk, Louanne
A1  - Cadet, Tamara
A1  - Lien, Laura
A1  - Smalley, Angela
SP  - 377
EP  - 394
VL  - 60
IS  - 5
N2  - 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.<p />  <p>Language: en</p>
LA  - en
SN  - 0163-4372
UR  - http://dx.doi.org/10.1080/01634372.2017.1341444
ID  - ref1
ER  -