Impact of culture on use of Western health services by older South Asian Canadians.
OBJECTIVE
South Asians are the largest visible minority group in Canada, but little research is available, particularly on the older adults and their use of Western health services. This study examined the effects of the predisposing, enabling, need, and cultural factors on the use of Western health services by older South Asian immigrants.


METHODS
Using a modified version of the Andersen-Newman service utilization model, the specific effects of cultural factors on use of Western health services were examined. A random sample of 220 South Asians 55 years and older were interviewed in Calgary using a structured telephone survey.


RESULTS
Hierarchical regression analysis showed that the cultural factors were as important as the need factors in explaining the proportion of variance in the use of Western health services. Being a Hindu, immigrated to Canada for a longer period of time, fewer access barriers related to cultural incompatibility, a lower level of agreement with traditional South Asian health beliefs, and a stronger South Asian ethnic identity were significantly related to the use of more types of Western health services.


CONCLUSIONS
The findings signify the importance of developing strategies for providing culturally competent health promotion, prevention, and intervention, and health care services.
Addiction and Mental Health, Alberta Health Services, 5th Floor, 9942-108 Street, Edmonton, AB TSK 2J5. shireen.surood@albertahealthservices.ca
Shireen
S
Surood
Daniel W L
DW
Lai
D000368:Aged; D000416:Alberta; D001208:Asia / Q000208:ethnology; D003466:Cultural Characteristics; D005260:Female; D006801:Humans; D008297:Male; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D012068:Religion and Medicine