Hostname: page-component-586b7cd67f-vdxz6 Total loading time: 0 Render date: 2024-11-30T19:07:32.310Z Has data issue: false hasContentIssue false

The Social Service Utilisation Behaviour of USA Mainland Puerto Rican Elderly: A Causal Model

Published online by Cambridge University Press:  14 November 2008

Richard A. Starrett
Affiliation:
Director of Research, California School of Professional Psychology, 1350 M Street, Fresno, California 93721.
James T. Decker
Affiliation:
Executive Director. J. T. Decker Professional Group, Bakersfield, California.
Adelina Araujo
Affiliation:
Clinical Director, Casa Blanca, El Paso, Texas.
Gary Walters
Affiliation:
Director, Admissions, Napa State Hospital, Napa, California.

Abstract

This study develops and tests a causal model of social service use by USA Puerto Rican elderly. Andersen and Newman's Health Framework was employed to classify and test a model of social service use by a national random sample of mainland USA Puerto Rican elderly. The findings indicate that 7 of the original 27 variables (i.e. need for social services, awareness, functional literacy, functional ability, mobility, income and contact with friends and neighbours) accounted for 43% of the variance in use. Counter to our theoretical assumption the need factor accounted for more variance than the enabling factor. Moreover, the predisposing factor and informal support variables were important predictors of utilisation.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1987

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

NOTES

1 Andersen, R. and Newman, J.Societal and individual determinants of medical care utilisation in the United States. Milbank Memorial Fund Quarterly, 51 (1973), 95124.CrossRefGoogle Scholar

2 Andersen, R. and Aday, L.Access to medical care in the U.S.: realised and potential. Medical Care, 16 (1978), 533546.CrossRefGoogle Scholar

3 Berki, S. and Kooashigawa, B.Socioeconomic and need determinants of Ambulatory care use: Path analysis of the 1970 Health Interview Survey Data, Medical Care, 15 (1976), 9798.Google Scholar

4 Wan, T.Use of health services by the elderly in low income communities. Milbank Memorial Fund Quarterly, 60 (1982), 82107.CrossRefGoogle ScholarPubMed

5 Wright, R., Borg, W. and Creecy, R.Health care utilisation among the elderly: a causal analysis. Journal of Social Service Research, 3, 3 (1980), 253265.CrossRefGoogle Scholar

6 McKinlay, J.Some approaches and problems in the study of the use of services -An overview. Journal of Health and Social Behaviour, 13 (1972), 369382.CrossRefGoogle Scholar

7 Mindel, C. and Wright, R. Jr, The use of social services by black and white elderly: the role of social support systems. Journal of Gerontological Social Work, 4, 3 (1982), 107128.CrossRefGoogle Scholar

8 Wan, T. and O'Dell, B.Factors affecting the use of social and health services among the elderly. Ageing and Society 1 (1981), 95115.CrossRefGoogle Scholar

9 Starrett, R., Mindel, C. and Wright, R. Jr, Influence of support systems on the use of social services by the Hispanic elderly. Social Work Research and Abstracts, 19 (1983). 3540.CrossRefGoogle ScholarPubMed

10 Coulton, C. and Frost, A.Use of social and health service by the elderly. Journal of Health and Social behavior, 23 (1982), 330339.CrossRefGoogle ScholarPubMed

11 Wan, T. T. H. and Arling, G.Differential use of health and social services among disabled elderly. Research on Aging, 5, 3, (1983), 411431.CrossRefGoogle Scholar

12 Wan, T. T. H.Functionally disabled elderly: health status, social support and use of health services. Research on Aging, 9, 1, (1987), 6178.CrossRefGoogle ScholarPubMed

13 McCaslin, R. and Calvert, W.Social indicators in black and white: Some ethnic considerations in delivery of service to the elderly. Journal of Gerontology, 30 (1975), 6066.CrossRefGoogle ScholarPubMed

14 Downing, J.The older person in crisis: An exploratory study of 250 older persons. The Gerontologist, 17 5 (1977), 2829.Google Scholar

15 Wright, Borg and Creecy, , 1980, op. cit.Google Scholar

16 Battistella, R.Limitations in use of the concept of psychological readiness to initiate health care. Medical Care, 6 (1988), 308319.CrossRefGoogle Scholar

17 Harris, L. & Associates. The Myth and Reality of Ageing in America. Washington, D.C.: National Council on Ageing, 1975.Google Scholar

18 Lowry, L.Social Work with the Ageing. New York: Harper & Row, 1979.Google Scholar

19 Cantor, M. and Mayer, M.Factors in differential utilisation of services by the urban elderly. The Gerontologist, 15 (1975), 9798.Google Scholar

20 McKinlay, J., op. cit.Google Scholar

21 Ward, R.Services for older people: An integrated framework for research. Journal of Health and Social Behaviour, 18 (1977), 6170.CrossRefGoogle Scholar

22 German, P.Characteristics and health behaviour of the aged population. The Gerontologist, 15 (1975), 327332.CrossRefGoogle ScholarPubMed

23 Wright, R., Creecy, R. & Borg, W.The black elderly and their use of health care services: a causal analysis. Journal of Gerontological Social Work, 2 (1979), 1128.CrossRefGoogle Scholar

24 Hess, B. and Markson, E.An introduction to Social Gerontology: Ageing and Old Age. New York: Macmillan, (1980).Google Scholar

25 Mindel, & Wright, , op. cit.Google Scholar

26 Wolinksy, F.Assessing the effects of predisposing, enabling, and illness-morbidity characteristics on health service utilisation. Journal of Health and Social Behaviour, 19 (1978), 384396.Google Scholar

27 Ward, , op. cit.Google Scholar

28 Andersen, and Newman, , op. cit.Google Scholar

29 Wan, and O'Dell, , op. cit.Google Scholar

30 Mindel, and Wright, , op. cit.Google Scholar

31 Coulton, and Frost, , op. cit.Google Scholar

32 Starren, Mindel and Wright, (1983), op. cit.Google Scholar

33 Andersen, and Newman, , op. cit.Google Scholar

34 Wan, and O'Dell, , op. cit.Google Scholar

35 Mindel, and Wright, , op. cit.Google Scholar

36 Coulton, and Frost, , op. cit.Google Scholar

37 Starrett, Mindel and Wright, (1983), op. cit.Google Scholar

38 Wan, and Arling, , op. cit.Google Scholar

39 Wan, (1987), op. cit.Google Scholar

40 Lacayo, C.A National Study to Assess the Services of the Hispanic Elderly. Washington, D.C.: Library of Congress, (1980), No. 81–66632.Google Scholar

41 . Schumm, W., Southerly, W. and Figley, C.Stumbling block or stepping stone: path analysis in family studies. Journal of Marriage and the Family, 42 (1980), 251262.CrossRefGoogle Scholar

42 Andersen, and Newman, (1973), op. cit.Google Scholar

43 Wan, and O'Dell, , op. cit.Google Scholar

44 Mindel, and Wright, , op. cit.Google Scholar

45 Starrett, Mindel and Wright, (1983), op. cit.Google Scholar

46 Mindel, and Wright, , op. cit.Google Scholar

47 Wan, and O'Dell, , op. cit.Google Scholar

48 Starrett, Mindel and Wright, (1983), op. cit.Google Scholar

49 Mindel, and Wright, , op. cit.Google Scholar

50 Starrett, Mindel and Wright, (1983), op. cit.Google Scholar

51 Wan, and O'Dell, , op. cit.Google Scholar

52 Mindel, and Wright, , op. cit.Google Scholar

53 Wan, and O'Dell, , op. cit.Google Scholar

54 Starrett, Mindel and Wright, (1983), op. cit.Google Scholar