title: Use of home and community-based services by elderly black and white females.
abstract: The study purpose was to determine the impact of demographic, social, environmental, and health indicators on utilization of community-based services among black and white female elders. Existing data from a regional Area Agency on Aging was used and the sample (N = 1816) included low income and rural females. Races differed in use and services most frequently used were case management, outreach, congregate meal, and home delivered meals. Multiple linear and logistic regression indicated that age, payment source, income adequacy, residence, health conditions, sensory impairment, and function were associated with the number and types of services used, but these differed by race. Study findings have implications for health care providers, educators, policy makers, and planners.
authors.affiliation: College of Nursing, University of Tennessee, Knoxville 37996-4180, USA. debrawallace@utk.edu
authors.forename: D C
authors.initials: DC
authors.lastname: Wallace
authors.forename: B L
authors.initials: BL
authors.lastname: Fields
authors.forename: J
authors.initials: J
authors.lastname: Witucki
authors.forename: C
authors.initials: C
authors.lastname: Boland
authors.forename: I
authors.initials: I
authors.lastname: Tuck
mesh_terms: D000203:Activities of Daily Living; D001741:Black or African American / Q000523:psychology* / Q000706:statistics & numerical data; D000368:Aged / Q000523:psychology* / Q000706:statistics & numerical data; D000369:Aged, 80 and over; D003153:Community Health Services / Q000706:statistics & numerical data*; D005260:Female; D015577:Geriatric Assessment; D006305:Health Status Indicators; D006699:Home Care Services / Q000706:statistics & numerical data*; D006801:Humans; D016014:Linear Models; D016015:Logistic Models; D010342:Patient Acceptance of Health Care / Q000208:ethnology* / Q000706:statistics & numerical data; D011203:Poverty / Q000523:psychology / Q000706:statistics & numerical data; D012424:Rural Population / Q000706:statistics & numerical data; D012959:Socioeconomic Factors; D013022:South Carolina; D044465:White People / Q000523:psychology* / Q000706:statistics & numerical data; D014930:Women / Q000523:psychology*