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Journal of Applied Gerontology
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Pathways to Assisted Living

The Influence of Race and Class

Mary M. Ball

Georgia State University, Atlanta, mball{at}gsu.edu

Molly M. Perkins

Emory University, Atlanta

Carole Hollingsworth

Georgia State University, Atlanta

Frank J. Whittington

George Mason University

Sharon V. King

Georgia State University, Atlanta

This article examines how race and class influence decisions to move to assisted living facilities. Qualitative methods were used to study moving decisions of residents in 10 assisted living facilities varying in size and location, as well as race and socioeconomic status of residents. Data were derived from in-depth interviews with 60 residents, 43 family members and friends, and 12 administrators. Grounded theory analysis identified three types of residents based on their decision-making control: proactive, compliant, and passive/resistant. Only proactive residents (less than a quarter of residents) had primary control. Findings show that control of decision making for elders who are moving to assisted living is influenced by class, though not directly by race. The impact of class primarily related to assisted-living placement options and strategies available to forestall moves. Factors influencing the decision-making process were similar for Black and White elders of comparable socioeconomic status.

Key Words: assisted living • control of moving decisions • residents' race and socioeconomic status

This version was published on February 1, 2009

Journal of Applied Gerontology, Vol. 28, No. 1, 81-108 (2009)
DOI: 10.1177/0733464808323451


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M. M. Ball
The Uncertain Future of Assisted Living
Gerontologist, August 1, 2009; 49(4): 580 - 585.
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