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Journal of Applied Gerontology
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Article

Pathways to Assisted Living: The Influence of Race and Class

Mary M. Ball1*, Molly M. Perkins2, Carole Hollingsworth1, Frank J. Whittington3, and Sharon V. King1

1 Georgia State University, Atlanta
2 Emory University, Atlanta
3 George Mason University

* To whom correspondence should be addressed. E-mail: mball{at}gsu.edu.


  Abstract
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.

First published on October 1, 2008, doi:10.1177/0733464808323451

Journal of Applied Gerontology 2009;28:81.

A more recent version of this article appeared on February 1, 2009

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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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