title: Making the case for culturally appropriate community services: Puerto Rican elders and their caregivers.
abstract: This study of the caregiving arrangements of 214 disabled elderly people in a large northeastern city found that the recipients of care were severely disabled, particularly in instrumental activities of daily living, yet had limited sources of informal care and used formal services minimally. The authors discuss the need to use a structural adaptation approach and to develop social services that are culturally sensitive and acceptable to both elders and their caregivers.
authors.affiliation: Boston University School of Social Work, Boston, MA 02167, USA. delgado@bu.edu
authors.forename: M
authors.initials: M
authors.lastname: Delgado
authors.forename: S
authors.initials: S
authors.lastname: Tennstedt
mesh_terms: D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers / Q000706:statistics & numerical data*; D003466:Cultural Characteristics; D006233:Persons with Disabilities; D004641:Emigration and Immigration; D005190:Family; D005260:Female; D006699:Home Care Services / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008404:Massachusetts; D008875:Middle Aged; D011647:Puerto Rico / Q000208:ethnology; D012044:Regression Analysis