Abstract
Although evidence suggests that the morbidity and mortality of Latino elders (of any Hispanic ancestry) are similar to those of non-Latino whites, Latinos have higher rates of disability. Little is known about influences on the use of in-home health services designed to assist disabled Latino elders. We examine the effects of various cultural and structural factors on the use of visiting nurse, home health aide, and homemaker services. Data are from the Commonwealth Fund Commission's 1988 national survey of 2,299 Latinos aged 65 and older. Mexican-American elders are less likely than the average Latino to use in-home health services despite similar levels of need. Structural factors including insurance status are important reasons, but acculturation is not pertinent. Physicians should not assume that Latino families are taking care of their disabled elders simply because of a cultural preference. They should provide information and advice on the use of in-home health services when an older Latino patient is physically disabled.
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Selected References
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- Andersen R. M., Giachello A. L., Aday L. A. Access of Hispanics to health care and cuts in services: a state-of-the-art overview. Public Health Rep. 1986 May-Jun;101(3):238–252. [PMC free article] [PubMed] [Google Scholar]
- Greene V. L., Monahan D. J. Comparative utilization of community based long term care services by Hispanic and Anglo elderly in a case management system. J Gerontol. 1984 Nov;39(6):730–735. doi: 10.1093/geronj/39.6.730. [DOI] [PubMed] [Google Scholar]
- Greene V. L., Ondrich J. I. Risk factors for nursing home admissions and exits: a discrete-time hazard function approach. J Gerontol. 1990 Nov;45(6):S250–S258. doi: 10.1093/geronj/45.6.s250. [DOI] [PubMed] [Google Scholar]
- Holmes D., Teresi J., Holmes M. Differences among black, Hispanic, and white people in knowledge about long-term care services. Health Care Financ Rev. 1983 Winter;5(2):51–67. [PMC free article] [PubMed] [Google Scholar]
- Morrisey M. A., Sloan F. A., Valvona J. Shifting Medicare patients out of the hospital. Health Aff (Millwood) 1988 Winter;7(5):52–64. doi: 10.1377/hlthaff.7.5.52. [DOI] [PubMed] [Google Scholar]
- Pappas G., Gergen P. J., Carroll M. Hypertension prevalence and the status of awareness, treatment, and control in the Hispanic Health and Nutrition Examination Survey (HHANES), 1982-84. Am J Public Health. 1990 Dec;80(12):1431–1436. doi: 10.2105/ajph.80.12.1431. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Perez-Stable E. J., McMillen M. M., Harris M. I., Juarez R. Z., Knowler W. C., Stern M. P., Haynes S. G. Self-reported diabetes in Mexican Americans: HHANES 1982-84. Am J Public Health. 1989 Jun;79(6):770–772. doi: 10.2105/ajph.79.6.770. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ries P. Americans assess their health: United States, 1987. Vital Health Stat 10. 1990 Mar;(174):1–63. [PubMed] [Google Scholar]
- Ries P. Health of black and white Americans, 1985-87. Vital Health Stat 10. 1990 Jan;(171):1–114. [PubMed] [Google Scholar]
- Sirrocco A. Nursing home characteristics: 1986 inventory of long-term care places. Vital Health Stat 14. 1989 Mar;(33):1–32. [PubMed] [Google Scholar]
- Trevino F. M., Moss A. J. Health indicators for Hispanic, black, and white Americans. Vital Health Stat 10. 1984 Sep;(148):1–88. doi: 10.1037/e530302009-001. [DOI] [PubMed] [Google Scholar]
- Wells K. B., Golding J. M., Hough R. L., Burnam M. A., Karno M. Acculturation and the probability of use of health services by Mexican Americans. Health Serv Res. 1989 Jun;24(2):237–257. [PMC free article] [PubMed] [Google Scholar]
- Wolinsky F. D., Aguirre B. E., Fann L. J., Keith V. M., Arnold C. L., Niederhauer J. C., Dietrich K. Ethnic differences in the demand for physician and hospital utilization among older adults in major American cities: conspicuous evidence of considerable inequalities. Milbank Q. 1989;67(3-4):412–449. [PubMed] [Google Scholar]