Adult day services (ADS) are one of the more popular long-term care options for racial and ethnic minority older Americans. Focusing on minority older adults, this study aims to (a) identify both the individual and structural/organizational levels factors associated with ADS use and to (b) examine ADS’ effect on health and well-being. Using the integrative review approach of Whittemore and Knafl, we found 14 studies published between 2010 to 2021. Findings concluded that individual-level needs and enabling factors were associated with ADS use and outcomes among minority older adults centered mostly on quality of life. Organizational/structural characteristics of ADS were never empirically examined in relation to service use or health outcomes. Future research should move beyond the individual level to identify and address the impact of the institutional structure, culture and practice on access, quality, and use.

成人日间服务 (ADS) 是美国少数族裔老年人更受欢迎的长期护理选择之一。本研究以少数族裔老年人为重点，旨在 (a) 确定与 ADS 使用相关的个人和结构/组织层面的因素，以及 (b) 检查 ADS 对健康和福祉的影响。使用 Whittemore 和 Knafl 的综合审查方法，我们发现了 2010 年至 2021 年间发表的 14 项研究。研究结果得出结论，个人层面的需求和促成因素与少数老年人的 ADS 使用和结果相关，主要集中在生活质量上。ADS 的组织/结构特征从未与服务使用或健康结果相关的经验性检查。