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Related Experiment Videos

Demographic and Health Sorting Among Nursing Home Residents.

Megdalynn Fisher1, M Mustaine1, K Simon1

  • 1O'Neill School of Public and Environmental Affairs, Indiana University, Bloomington, IL, USA.

Journal of Aging & Social Policy
|June 1, 2026
PubMed
Summary
This summary is machine-generated.

Nursing home residents show racial and age sorting, with disparities varying by race and health status. While overall racial sorting declined, it increased within specific age and health groups over two decades.

Keywords:
Agingdemographic sortingdissimilarity indexhealthcare disparitieslong-term careminority healthnursing home care

Related Experiment Videos

Area of Science:

  • Gerontology
  • Sociology
  • Public Health

Background:

  • Nursing home resident demographics and health sorting trends are underexplored despite policy changes.
  • Understanding multidimensional sorting is crucial for long-term care.
  • Racial and age sorting within nursing homes and communities requires investigation.

Purpose of the Study:

  • To examine trends in racial sorting between nursing homes and communities.
  • To analyze age and health status sorting within nursing homes.
  • To assess changes in racial, age, and health sorting over two decades.

Main Methods:

  • Utilized the dissimilarity index to measure racial sorting, including Black/white, Hispanic/white, and BIPOC/white comparisons.
  • Analyzed sorting by age and health status within nursing homes.
  • Compared sorting trends between nursing homes and local communities over time.

Main Results:

  • Hispanic/white racial sorting was higher in nursing homes than communities; Black/white and BIPOC/white sorting was higher in communities.
  • Within nursing homes, Black/white sorting was highest, increasing with age, and lowest for those with serious mental illness.
  • Overall racial sorting decreased, but sorting within age and health subgroups increased over the study period.

Conclusions:

  • Multidimensional sorting by race, age, and health status persists in long-term care settings.
  • Racial sorting dynamics differ between nursing homes and communities and across racial groups.
  • Increased sorting within subgroups highlights the need for further research into its drivers and consequences.