INCREASING DIVERSITY
Disparities
in Long
Term Care
Percent Increase in Population 65+, 1990 - 2030
350%
328%
285%
300%
250%
200%
150%
147%
131%
81%
100%
50%
0%
Laura Trejo, MSG, MPA
SERVICES
z
z
z
z
z
z
Available: Availability of services refers to the
existence of services and bicultural/ bilingual
personnel.
Accessible: Accessibility is contingent on factors
such as “cost” of services, the geographic location,
etc.
z
z Structural Barriers (lack of insurance)
z
z Cultural Differences (minority group status and
discrimination)
African
American
American
Asians and
Indians, Eskimos, Pacific Islanders
and Aleuts
Hispanics
White
Access to Care
60+
60+ and
and Disabled
Disabled
Latino
Latino
Does
Does not
not have
have usual
usual
source
source of
of care
care
70.3%
70.3%
Afro
White
Afro
White
American
American
74.8%
40.8%
74.8%
40.8%
Asian
Asian
Pacific
Pacific Isl.
Isl.
51.5%
51.5%
UCLA-CHIS
UCLA-CHIS Data
Data 2005
2005
Acceptable: Acceptability is the degree to which
services are compatible with the cultural values and
traditions of the clientele.
BABY BOOMERS
z
z
Diversity has not led to equality: Differences of
income according to race, ethnicity and country
of birth are so entrenched that, in effect, they
are ethnic classes.
"What surprised us the most was how racial
inequality persists among the boomers
compared to other generations," Study co-author
Angela M. O. Rand
(The
(The Lives
Lives and
and Times
Times of
of the
the Baby
Baby Boomers,
Boomers, Duke
Duke 2004)
2004)
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