title: Predictive factors of hospice use among Blacks: applying Andersen's Behavioral Model.
abstract: The purpose of this prospective, correlational study was to examine the differential ability of demographic variables, beliefs, and values about end-of-life, spirituality, and social relationships to predict hospice use among blacks. The framework for this study was the Behavioral Model of Health Services Use. Data were collected from 104 terminally ill black men and women recruited from 6 inpatient and outpatient settings. Only 34% of the individuals participated in hospice services. Chi-square, sequential, and stepwise logistic regressions revealed that the best predictive model consisted of presence of a caregiver, having a religious affiliation, and male gender. Together these factors predicted 13.7% to 19% of hospice use among blacks. Health care providers can use these findings in planning care for patients early in their disease trajectory.
authors.affiliation: University of Central Florida, College of Nursing, Orlando, FL 32826, USA. norma.conner@ucf.edu
authors.forename: Norma E
authors.initials: NE
authors.lastname: Conner
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data*; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D017051:Hospice Care / Q000706:statistics & numerical data*; D006801:Humans; D019458:Insurance Coverage / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D012737:Sex Factors; D012944:Social Support; D012959:Socioeconomic Factors; D029181:Spirituality; D019452:Terminally Ill; D055815:Young Adult