Black Americans are underrepresented in residential care communities, AP/CNHI News analysis finds

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Nearly half of Americans over 65 will pay for some version of long-term health care, the landscape of which is quickly transitioning away from nursing homes and toward community living situations.

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“Most of her doctors, her church, everything was within Nashville,” said Danielle Cotton, Upshaw’s granddaughter, “... this was the best option for us.”Black Americans are less likely to use residential care communities, such as assisted-living facilities, and more likely to live in nursing homes, CNHI News and The Associated Press found as part of an examination into America’s long-term care options. The opposite is true for white people.

Black Americans account for about 9% of people over 65 in the U.S. But they are underrepresented in residential care communities at 4.9% of the population, and overrepresented in nursing homes — about 16% of residents. She said many can barely pay for government-subsidized housing, let alone expensive living communities: “It leaves them in a gap. Those are the seniors that are really not even considered or thought about.”

While affordability is a clear determining factor of who can and can’t access assisted living, researchers say it doesn’t completely explain why more Black people are not moving in.

 

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