Racial differences in service utilization: the Forsyth County Aging Study.
Racial differences in correlates and use of formal home and community services and in the predictive ability of the Andersen-Newman model were examined in older African American and white, community-dwelling adults. Results show greater service use by older African Americans and suggest racial differences in the correlates of service use. Racial differences in the predictive ability of the Andersen-Newman model were also evident. While approximately 78 percent of participants (82 percent of whites and 66 percent of African Americans) were correctly identified, findings regarding sensitivity and specificity suggest that much remains to be learned about factors associated with the use of formal home and community services among older adults.
Jackson
Sharon A
SA
Department of Public Health Sciences at Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
Shiferaw
Beletshachew
B
Anderson
Roger T
RT
Heuser
Mark D
MD
Hutchinson
Kim M
KM
Mittelmark
Maurice B
MB
D000203:Activities of Daily Living; D001741:Black or African American / Q000706:statistics & numerical data*; D000368:Aged; D000369:Aged, 80 and over; D003153:Community Health Services / Q000706:statistics & numerical data; D003710:Demography; D005260:Female; D006299:Health Services for the Aged / Q000706:statistics & numerical data*; D006699:Home Care Services / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D009657:North Carolina / Q000453:epidemiology; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D012680:Sensitivity and Specificity; D012959:Socioeconomic Factors; D044465:White People / Q000706:statistics & numerical data*