000009488 001__ 9488 000009488 005__ 20231230134924.0 000009488 0247_ $$2DOI$$a10.6083/02870w42t 000009488 037__ $$aETD 000009488 245__ $$aDisparities of assisted living availability: Investigating the relationships between structural racism, public and private governance, and assisted living location 000009488 260__ $$bOregon Health and Science University 000009488 269__ $$a2022 000009488 336__ $$aDissertation 000009488 502__ $$bPh.D. 000009488 502__ $$gHealth Systems & Policy 000009488 520__ $$aThis dissertation study investigated the relationship between structural racism, assisted living (AL) location, and public and private governance. Market demand and property values have driven the development of ALs in the US, possibly leaving them more vulnerable to historic redlining and land covenants than nursing homes, which were constructed under federal subsidy programming. Based on this history, the "racism as a root cause" framework and theories of structural racism inform the study conceptual model, wherein structural racism causes disparities in access to AL, but public and private governance factors moderate this effect. The empirical relationships put forth by this model were assessed using an observational, cross-sectional approach, relying on linear and comparative analytic methods. 000009488 542__ $$fIn copyright - single owner 000009488 650__ $$aHealth Policy$$019898 000009488 650__ $$aHealth Status Disparities$$037944 000009488 650__ $$aSystemic Racism$$013832 000009488 650__ $$aHealth Services Accessibility$$019904 000009488 650__ $$aDementia$$017461 000009488 650__ $$aAssisted Living Facilities$$035048 000009488 691__ $$aOHSU-PSU School of Public Health$$041366 000009488 7001_ $$aSmith, Lindsey A. 000009488 8564_ $$9595a7e8e-475d-4bd3-b3dc-0ebacdb3cbb1$$s2493341$$uhttps://digitalcollections.ohsu.edu/record/9488/files/Smith.Lindsey.2022.pdf 000009488 905__ $$a/rest/prod/02/87/0w/42/02870w42t 000009488 909CO $$ooai:digitalcollections.ohsu.edu:9488$$pstudent-work 000009488 980__ $$aTheses and Dissertations