— Auburn University’s Nursing Home Research Institute found that nursing homes with a low number of nursing home residents and a high death rate had a disproportionate impact on their community.
Researchers found that when compared to nursing homes in states with higher death rates, the largest percentage of nursing homes had an African American population, as opposed to whites.
The study was published in the journal Health Affairs and found that in states where nursing home deaths exceeded the national rate, the highest number of African American nursing homes and African American residents were found.
“The nursing home community is impacted by these factors,” said Dr. Mark Hochman, an associate professor in the School of Nursing.
“We wanted to understand what is the underlying causes, what are the factors that are associated with nursing home mortality, and what is associated with the nursing home being able to continue operating?
We found that there are a number of factors associated with these factors.”
In the case of nursing facilities, it is important to recognize that the higher the death rate in a community, the higher those communities rate of mortality,” he said.
“When it comes to health care, we have a lot of data showing that people who have a high mortality rate are much more likely to live in communities that have a low mortality rate. “
This finding is in line with previous research that shows that community death rates are more influenced by the nursing facilities health-care system, which is an area of research that has been discussed for a long time,” said co-author Dr. Susan G. Hough, associate professor of nursing at Auburn.
“When it comes to health care, we have a lot of data showing that people who have a high mortality rate are much more likely to live in communities that have a low mortality rate.
When you look at African American communities, that is very, very well documented, as is the fact that African Americans are much less likely to get to the same level of health care coverage that whites do,” Hough said.
Hochman and colleagues used a database of mortality data from the United States Census Bureau’s death records to determine which states had the highest death rates in a given year.
From that data, they looked at the population of nursing-home residents and death rates by county, as well as the number of residents of African-American, white and Hispanic ethnicity.
They then compared these numbers to states that had a higher number of deaths and the rate of deaths per resident.
To do this, they took into account differences in population size, the type of care the nursing homes provided, the proportion of residents from minority ethnic groups and whether the facility had a long history of discrimination.
“It is a difficult thing to measure,” Hochmann said.
“Because of the sheer volume of data we had, the results we got are very, quite remarkable.”
Hochmann and colleagues also looked at whether the number and type of residents were related to the quality of the care.
While the quality and level of care is important, the study found that African American, white or Hispanic residents had a much higher mortality rate than white residents.
In states with lower death rates and higher African American populations, the nursing-house residents were significantly more likely than white or Latino residents to have experienced problems with their care.
In other words, the community had a high risk of death due to the nursing and social services provided to the residents, according to the study.
The study also looked to see if the type and location of the facility were important.
The study found the nursing centers with the highest mortality rates in the state had a significantly higher rate of the types of nursing facility services that were associated with higher mortality rates.
The authors also looked into the effects of the state’s unemployment rate on the number, type and severity of nursing house residents.
While nursing homes have a very high rate of unemployment, they are not particularly common in the U.S.
Hough and Hochmans study was the first to find that the nursing community was significantly more than 50 percent black, and that the state with the lowest unemployment rate had the largest number of black nursing homes.
Hough said that while the findings do not provide any definitive conclusions on the relationship between nursing home nursing home death rates across states and racial demographics, they do suggest that these trends should be taken into account in nursing home planning.
“There is still an issue with the racial composition of nursing centers in the United State, but we have to think about that because we don’t know what’s going to happen when people retire,” Hohman said.