Differences in attitude toward home health care between older Japanese-Americans and older non-minority Americans

C. Y. Ohata, W. C. McCormick, J. Uomoto, Heather M Young, A. B. Graves, P. Vitaliano, J. A. Mortimer, S. D. Edland, E. B. Larson

Research output: Contribution to journalArticlepeer-review


OBJECTIVE: Compare the responses of older Japanese Americans and older non-minority (primarily Caucasian) Americans regarding attitudes toward the use of long-term care. DESIGN: Prospective study. PARTICIPANTS AND SETTING: 1239 Japanese Americans and 498 non-minority (primarily Caucasian) Americans over 65 years old in King County, Washington. RESULTS: When presented with a hypothetical situation in which they are disabled by a dementia, 28.3% of the Japanese American cohort and 36.7% of the non-minority cohort intended to use paid home health care. Nursing home care was a more common intention for both cohorts (52.6% vs. 41.0%, respectively). The subjects' perceptions of what their respective families, friends, ministers, and communities would want them to choose were similar. Multivariate logistic regression showed marital status, income and age for Japanese Americans, and marital status and age for non-minority Americans to be the most powerful independent predictors of intention to use home health care. CONCLUSIONS: Non-minority Americans intended to use home health care at higher rates than Japanese Americans if they become disabled by dementia. Being single correlated with home care decisions. Higher income increased likelihood of choosing home care among Japanese Americans and increasing age increased the likelihood among the non-minority group.

Original languageEnglish (US)
JournalInvestigative Ophthalmology and Visual Science
Issue number3
StatePublished - Feb 15 1996
Externally publishedYes

ASJC Scopus subject areas

  • Ophthalmology


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