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. 2019 Sep 7;76(1):141–151. doi: 10.1093/geronb/gbz112

Table 2.

Cluster Rating Averages and Ranks for Factors That Affect AIE Health Care, by AIE and Professional Stakeholder Participants

Impact on AIE health Prevalence among AIEs Changeability Total
AIE Professional AIE Professional AIE Professional AIE Professional
Cluster theme (# in Figure 1) Ratinga Rank Ratinga Rank Ratinga Rank Ratinga Rank Ratinga Rank Ratinga Rank Rank score Rank score
Insecurity from Lack of Knowledge (#2) 7.56 3 8.15 1 7.60 3 7.80 1 5.35 2 5.10 4 8 6
Tribal/National Policy (#9) 7.75 1 7.73 9 7.98 1 7.49 4 4.89 9 4.79 7 11 20
Accessibility and Transportation Barriers (#8) 7.51 4 7.79 8 7.43 7 7.46 5 5.30 3 5.12 2 14 15
Provider Issues and Relationships (#5) 7.72 2 7.86 7 7.53 5 7.35 7 4.98 7 5.07 5 14 19
Health-Related Self-Efficacy (#7) 7.20 8 8.17 2 7.47 6 7.73 2 5.47 1 5.20 1 15 5
Family and Emotional Challenges (#6) 7.17 9 7.95 5 7.83 2 7.54 3 5.23 4 4.52 9 15 17
Limited Availability of Services (#3) 7.50 5 8.15 3 7.57 4 7.31 9 4.91 8 4.76 8 17 20
Difficulties Obtaining and Using Insurance (#1) 7.28 7 7.93 6 7.36 8 7.34 8 5.12 5 4.92 6 20 20
Scheduling Challenges (#4) 7.37 6 7.94 4 7.35 9 7.45 6 5.09 6 5.12 3 21 13

Note. AIE = American Indian elder.

aRatings were completed on a 10-point scale (1–10), with higher scores indicating more impact on AIE health, greater prevalence among AIEs, or easier changeability, respectively