Objective: To address notions around care arrangements for Black and Hispanic people living with dementia (PLwD), the study examined if racial and ethnic differences exist for community-dwelling PLwD. Methods: Using cross-sectional data from the 2015 National Health and Aging Trends Study, we used Pearson’s chi-square and mean comparison to examine differences among a sample of n = 863 community-dwelling White, Black, and Hispanic older PLwD. Results: Black PLwD were less likely than White PLwD to use paid help (26.8% vs. 32.6%), but Hispanic PLwD were most likely to use paid help (46.2%, p < 0.05). Black and Hispanic older adults were more often receiving help from a child (65.8% and 72.2%, respectively; p = 0.01) or other family member (40.3% and 31.0%, respectively; p < 0.01). Discussion: Our findings highlight the important role of familial support in care provision for Black and Hispanic communities. Caregiving supports should be intentional in centering services on the family, not a sole caregiver.

目的：为了解决黑人和西班牙裔痴呆症患者 (PLwD) 的护理安排问题，该研究调查了社区居住的 PLwD 患者是否存在种族和民族差异。方法：利用 2015 年国家健康和老龄化趋势研究的横断面数据，我们使用皮尔逊卡方和平均值比较来检查n = 863 名社区居住的白人、黑人和西班牙裔老年 PLwD 样本之间的差异。结果：黑人 PLwD 比白人 PLwD 更不可能使用有偿帮助（26.8% vs. 32.6%），但西班牙裔 PLwD 最有可能使用有偿帮助（46.2%， p < 0.05）。黑人和西班牙裔老年人更经常接受儿童（分别为 65.8% 和 72.2%； p = 0.01）或其他家庭成员（分别为 40.3% 和 31.0%； p < 0.01）的帮助。讨论：我们的研究结果强调了家庭支持在为黑人和西班牙裔社区提供护理方面的重要作用。护理支持应有意将服务集中于家庭，而不是单一的护理人员。