title: Facilitators of home and community-based service use by urban African American elders.
abstract: OBJECTIVE
  To examine the factors associated with urban African American elders' utilization of home and community-based services and explore whether these factors differ by category of service.
  
  
  METHODS
  Data came from a representative sample of 1,099 African American older adults living in Detroit. Logistic regression models were used to explore the predisposing, enabling, and need factors associated with any service use and five categories of service use: in-home care, household services, functional care, out-of-home services, and financial/legal services.
  
  
  RESULTS
  Findings suggest that previous studies using the Andersen model may not be generalizable to an urban African American population. Service use was related primarily to enabling resources, particularly in terms of financial resources, not driving a car, and social resources and support. Future research should further examine the facilitators and barriers to service use by urban African Americans to improve their access to care.
authors: University of Michigan, School of Social Work, Ann Arbor, MI 49109-1106, USA. alehning@umich.edu
authors: Amanda J
authors: AJ
authors: Lehning
authors: Min Hee
authors: MH
authors: Kim
authors: Ruth E
authors: RE
authors: Dunkle
mesh_terms: D001741:Black or African American / Q000706:statistics & numerical data*; D000368:Aged; D003153:Community Health Services / Q000706:statistics & numerical data*; D005260:Female; D006699:Home Care Services / Q000706:statistics & numerical data*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008824:Michigan; D008875:Middle Aged; D012959:Socioeconomic Factors; D014505:Urban Population / Q000706:statistics & numerical data*