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Equitable formal care access: examining processes for Hispanic/Latino family dementia caregivers’ decision-making
Alma A. Manzo, Joahana Segundo, Maggie Britton, Ashley J. Housten, Zachary G. Baker. The Gerontologist, 2025-07-25
Topic: Risk, prevention and care in population studies
Four main themes were identified: (1) reasons family caregivers may not choose formal care, (2) perceived benefits of formal care, (3) how family caregivers choose formal care, and (4) recommendations for delivering information about formal care options. Although Hispanic/Latino family caregivers recognize formal care provides respite and support, many prefer to use it when their caregiving responsibilities become overwhelming. Researchers also found that participants' ability to embrace Hispanic/Latino culture and Spanish proficiency were crucial. Participants expressed the importance of guidance from doctors and the efficiency of online methods in disseminating information. DISCUSSION AND This study provides a foundation for addressing ethnic disparities in access to formal care. It also lays crucial groundwork for the future development of decision-support interventions by examining decisional needs, identifying accessible methods for disseminating information, and centering the Hispanic/Latino experience.
Key findings
- Four main themes were identified: (1) reasons family caregivers may not choose formal care, (2) perceived benefits of formal care, (3) how family caregivers choose formal care, and (4) recommendations for delivering information about formal care options.
- Although Hispanic/Latino family caregivers recognize formal care provides respite and support, many prefer to use it when their caregiving responsibilities become overwhelming.
- Researchers also found that participants' ability to embrace Hispanic/Latino culture and Spanish proficiency were crucial.
- Participants expressed the importance of guidance from doctors and the efficiency of online methods in disseminating information.
- DISCUSSION AND This study provides a foundation for addressing ethnic disparities in access to formal care.
Why it matters
Interviews with Hispanic/Latino family dementia caregivers identified reasons they may avoid formal care, its perceived benefits, how they choose it, and how information should be delivered. The study is groundwork for future decision-support interventions, not a test of one.
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Study details
- Evidence strengthLow
How this study scored 37/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, effect reported, studied in people and randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (The Gerontologist) |
| Journal's citation record | 2 / 4 | The Gerontologist: journal h-index 238 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2025 — within 3 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 1 / 7 | Cited 4 times (OpenAlex, 2026-10-10) |
| Citations per year | 1 / 5 | 1.3 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | 2 / 6 | Cited 2.5× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 1 / 4 | Cited 4 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 1 / 4 | Last-listed author Zachary G. Baker: h-index 16 (OpenAlex, whole career) |
| Institution's track record | 2 / 3 | Washington University in St. Louis: institution h-index 1,962 (OpenAlex) |
| Multi-centre collaboration | 1 / 3 | OpenAlex lists 3 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 40713884) |
| Free to read | 2 / 2 | Free to read |
| Total | 37 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. Check the citation against the original before you use it.
APA 7th
Manzo, A. A., Segundo, J., Britton, M., Housten, A. J., & Baker, Z. G. (2025). Equitable formal care access: examining processes for Hispanic/Latino family dementia caregivers’ decision-making. The Gerontologist. https://doi.org/10.1093/geront/gnaf168
Vancouver
Manzo AA, Segundo J, Britton M, Housten AJ, Baker ZG. Equitable formal care access: examining processes for Hispanic/Latino family dementia caregivers’ decision-making. The Gerontologist. 2025. doi:10.1093/geront/gnaf168. PMID: 40713884.
BibTeX
@article{manzo2025-40713884,
author = {Manzo, Alma A. and Segundo, Joahana and Britton, Maggie and Housten, Ashley J. and Baker, Zachary G.},
title = {{Equitable formal care access: examining processes for Hispanic/Latino family dementia caregivers’ decision-making}},
journal = {The Gerontologist},
year = {2025},
doi = {10.1093/geront/gnaf168},
pmid = {40713884},
url = {https://doi.org/10.1093/geront/gnaf168}
}
Studies this one cites
Referenced by this study and also in the alzhub library, so you can read them here.