Disparities
in Long
Term Care
Laura Trejo, MSG, MPA
INCREASING DIVERSITY
Percent Increase in Population 65+, 1990 - 2030
350%
285%
300%
328%
250%
200%
150%
131%
147%
81%
100%
50%
0%
African
American
American
Asians and
Indians, Eskimos, Pacific Islanders
and Aleuts
Hispanics
White
SERVICES

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.
 Structural Barriers (lack of insurance)
 Cultural Differences (minority group status and
discrimination)

Acceptable: Acceptability is the degree to which
services are compatible with the cultural values and
traditions of the clientele.
Access to Care
60+ and Disabled
Latino
Does not have usual
source of care
70.3%
UCLA-CHIS Data 2005
Afro
White
American
74.8%
40.8%
Asian
Pacific Isl.
51.5%
BABY BOOMERS


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 Lives and Times of the Baby Boomers, Duke 2004)