title: Health service use in Russian immigrant and nonimmigrant older persons.
abstract: Health service use was compared in Russian immigrant (n=105) and White nonimmigrant (n=101) older persons. Study participants completed a health utilization questionnaire, the Short-Form-36 Health Survey, and a health behavior diary. Controlling for health status and demographic variables, Russians reported significantly more service use, fewer physical access problems, and lower appointment availability, but nonimmigrants reported significantly more provider problems. Significant predictors of service use for the total sample included symptom self-care, health status, and age. In group-specific analyses, health status and age were significant for both groups and education was also significant for Russians.
authors.affiliation: Wayne State University College of Nursing, Detroit, MI 48202, USA. aroian@wayne.edu
authors.forename: Karen J
authors.initials: KJ
authors.lastname: Aroian
authors.forename: Jillon S
authors.initials: JS
authors.lastname: Vander Wal
mesh_terms: D000367:Age Factors; D000368:Aged; D004641:Emigration and Immigration; D005260:Female; D015438:Health Behavior / Q000208:ethnology*; D006296:Health Services / Q000706:statistics & numerical data*; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D012426:Russia / Q000208:ethnology; D012648:Self Care; D012737:Sex Factors; D012959:Socioeconomic Factors; D014481:United States