title: Home and community-based service and other senior service use: Prevalence and characteristics in a national sample.
abstract: We report on the use of home and community-based services (HCBS) and other senior services and factors affecting utilization of both among Americans over age 60 in the Health and Retirement Study (HRS). Those using HCBS were more likely to be older, single, Black, lower income, receiving Medicaid, and in worse health. Past use of less traditional senior services, such as exercise classes and help with tax preparation, were found to be associated with current use of HCBS. These findings suggest use of less traditional senior services may serve as a "gateway" to HCBS that can help keep older adults living in the community.
authors.affiliation: a Institute for Social Research , University of Michigan , Ann Arbor , Michigan , USA.
authors.forename: Amanda
authors.initials: A
authors.lastname: Sonnega
authors.affiliation: b Social & Scientific Systems, Inc. , Silver Spring , Maryland , USA.
authors.forename: Kristen
authors.initials: K
authors.lastname: Robinson
authors.affiliation: a Institute for Social Research , University of Michigan , Ann Arbor , Michigan , USA.
authors.forename: Helen
authors.initials: H
authors.lastname: Levy
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003153:Community Health Services / Q000706:statistics & numerical data*; D005260:Female; D006699:Home Care Services / Q000706:statistics & numerical data*; D006801:Humans; D016015:Logistic Models; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D064407:Senior Centers / Q000706:statistics & numerical data; D014481:United States
keywords: Health and Retirement Study (HRS); home and community-based services (HCBS); national data; senior services