Monday, September 15, 2025 9/15/2025

Racial/Ethnic Disparities in Home Health Care for Persons with Alzheimer’s Disease and Related Dementias

Award Number: R03AG070581
ORGANIZATION: NATIONAL INSTITUTE ON AGING
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 08/15/2021
PERIOD OF PERFORMANCE END DATE: 04/30/2025

Group Awards By:

View Award Description

Racial/Ethnic Disparities in Home Health Care for Persons with Alzheimer’s Disease and Related Dementias - Abstract Alzheimer’s disease and related dementias (ADRD) affect 5.8 million Americans and disproportionately impact racial/ethnic minorities. Despite their complex health and social needs, the majority of persons with ADRD live at home and prefer to do so for as long as possible. Consequently, there is a rapid growth in the demand for home health care (HHC), a leading form of home- and community-based services (HCBS) to support this vulnerable population. The need for HHC is further intensified among racial/ethnic minorities as research has shown that they had higher prevalence of ADRD and more severe symptoms of dementia but limited financial resources for institutional care. At the same time, research from care settings other than HHC has indicated that minorities such as Blacks and Hispanics are less likely to receiving care from high-quality facilities and are more likely to have worse outcomes (e.g., rehospitalization and poor function). However, it is unclear whether similar differences exist among persons with ADRD in the HHC setting. It is also unknown is whether such racial/ethnic differences are affected by health policies (i.e., home health value-based purchase model, HHVBP) aiming at improving quality and efficiency of HHC and the availability of HHC resources, nor how much of the differences can be explained by individual characteristics. We therefore propose a project to elucidate racial/ethnic disparities in quality of HHC among persons with ADRD. This study has two specific Aims: Aim 1) To examine admission to high-quality home health agencies among racial/ethnic minority HHC recipients with ADRD (i.e., non-Hispanic Blacks, Hispanics, Asians, and Native Americans), compared to their White counterparts. We hypothesize (1) racial/ethnic minorities with ADRD are less likely to be admitted to high-quality agencies than their White counterparts, and (2) such differences are smaller in areas with HHVBP model and larger in areas with less HHC resources; and Aim 2) To determine quality outcomes of racial/ethnic minorities with ADRD during HHC, comparing to their White counterparts. We hypothesize that racial/ethnic minorities with ADRD experience poorer outcomes, including higher risk of rehospitalization and less improvement in function during HHC, than their White counterparts. We will also explore how much of these racial/ethnic differences can be explained by individual and environmental factors. This study is innovative because it is the first to creatively link multiple national datasets and use Blinder-Oaxaca method to elucidate racial/ethnic disparities in the quality of HHC among persons with ADRD. This research is significant as it addresses a growing public health concern regarding the quality and equity of care for this vulnerable population. Findings from this study will enrich our knowledge regarding home- and community-based services to racial/ethnic minorities with ADRD. The findings will inform future efforts aiming at reducing health disparities and improving quality and outcomes of dementia care in the HHC setting. It has immediate implications for health policy and practice.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = $0 )
2025	2022	NEW YORK UNIVERSITY	70 WASHINGTON SQ S	NEW YORK	NY	10012	NEW YORK	USA	Aging Research	000	2	8/25/2025	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2024 ( Subtotal = $0 )
2024	2022	NEW YORK UNIVERSITY	70 WASHINGTON SQ S	NEW YORK	NY	10012	NEW YORK	USA	Aging Research	001	2	4/18/2024	NON-COMPETING CONTINUATION	$26,152
2024	2022	NEW YORK UNIVERSITY	70 WASHINGTON SQ S	NEW YORK	NY	10012	NEW YORK	USA	Aging Research	000	2	12/1/2023	NON-COMPETING CONTINUATION	-$26,152
2024	2022	NEW YORK UNIVERSITY	70 WASHINGTON SQ S	NEW YORK	NY	10012	NEW YORK	USA	Aging Research	002	2	5/21/2024	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2022 ( Subtotal = $158,500 )
2022	2022	NEW YORK UNIVERSITY	70 WASHINGTON SQ S	NEW YORK	NY	10012	NEW YORK	USA	Aging Research	000	2	7/7/2022	NON-COMPETING CONTINUATION	$158,500
														Subtotal = $158,500

Issue Date FY: 2021 ( Subtotal = $132,348 )
2021	2021	NEW YORK UNIVERSITY	70 WASHINGTON SQ S	NEW YORK	NY	10012	NEW YORK	USA	Aging Research	000	1	8/12/2021	NEW	$132,348
														Subtotal = $132,348

Grand Total All Awards = $290,848

Top

All Categories

About

Search

Reports

Data Submission

Award Information

Racial/Ethnic Disparities in Home Health Care for Persons with Alzheimer’s Disease and Related Dementias

Award Number: R03AG070581

ORGANIZATION: NATIONAL INSTITUTE ON AGING

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 08/15/2021

PERIOD OF PERFORMANCE END DATE: 04/30/2025

Federal Websites

Department of Health & Human Services

HHS Operating Divisions

HHS Staff Divisions

Download A Document Viewer