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Facilitators of home and community-based service use by urban African American elders

TitleFacilitators of home and community-based service use by urban African American elders
Publication TypeJournal Article
Year of Publication2013
AuthorsLehning, AJ, Kim, MH, Dunkle, RE
JournalJ Aging HealthJ Aging Health
Volume25
Pagination439-58
Date PublishedApr
ISBN Number1552-6887 (Electronic)<br/>0898-2643 (Linking)
Accession Number23378526
KeywordsAfrican Americans/ statistics & numerical data, Aged, Community Health Services/ utilization, Female, Home Care Services/ utilization, Humans, Logistic Models, Male, Michigan, Middle Aged, Socioeconomic Factors, Urban Population/ statistics & numerical data
AbstractOBJECTIVE: To examine the factors associated with urban African American elders' utilization of home and community-based services and explore whether these factors differ by category of service. METHODS: Data came from a representative sample of 1,099 African American older adults living in Detroit. Logistic regression models were used to explore the predisposing, enabling, and need factors associated with any service use and five categories of service use: in-home care, household services, functional care, out-of-home services, and financial/legal services. RESULTS: Findings suggest that previous studies using the Andersen model may not be generalizable to an urban African American population. Service use was related primarily to enabling resources, particularly in terms of financial resources, not driving a car, and social resources and support. Future research should further examine the facilitators and barriers to service use by urban African Americans to improve their access to care.
Ethno Med: