Published online by Cambridge University Press: 14 November 2008
This study develops and tests a causal model of social service use by USA Puerto Rican elderly. Andersen and Newman's Health Framework was employed to classify and test a model of social service use by a national random sample of mainland USA Puerto Rican elderly. The findings indicate that 7 of the original 27 variables (i.e. need for social services, awareness, functional literacy, functional ability, mobility, income and contact with friends and neighbours) accounted for 43% of the variance in use. Counter to our theoretical assumption the need factor accounted for more variance than the enabling factor. Moreover, the predisposing factor and informal support variables were important predictors of utilisation.
1 Andersen, R. and Newman, J.Societal and individual determinants of medical care utilisation in the United States. Milbank Memorial Fund Quarterly, 51 (1973), 95–124.CrossRefGoogle Scholar
2 Andersen, R. and Aday, L.Access to medical care in the U.S.: realised and potential. Medical Care, 16 (1978), 533–546.CrossRefGoogle Scholar
3 Berki, S. and Kooashigawa, B.Socioeconomic and need determinants of Ambulatory care use: Path analysis of the 1970 Health Interview Survey Data, Medical Care, 15 (1976), 97–98.Google Scholar
4 Wan, T.Use of health services by the elderly in low income communities. Milbank Memorial Fund Quarterly, 60 (1982), 82–107.CrossRefGoogle ScholarPubMed
5 Wright, R., Borg, W. and Creecy, R.Health care utilisation among the elderly: a causal analysis. Journal of Social Service Research, 3, 3 (1980), 253–265.CrossRefGoogle Scholar
6 McKinlay, J.Some approaches and problems in the study of the use of services -An overview. Journal of Health and Social Behaviour, 13 (1972), 369–382.CrossRefGoogle Scholar
7 Mindel, C. and Wright, R. Jr, The use of social services by black and white elderly: the role of social support systems. Journal of Gerontological Social Work, 4, 3 (1982), 107–128.CrossRefGoogle Scholar
8 Wan, T. and O'Dell, B.Factors affecting the use of social and health services among the elderly. Ageing and Society 1 (1981), 95–115.CrossRefGoogle Scholar
9 Starrett, R., Mindel, C. and Wright, R. Jr, Influence of support systems on the use of social services by the Hispanic elderly. Social Work Research and Abstracts, 19 (1983). 35–40.CrossRefGoogle ScholarPubMed
10 Coulton, C. and Frost, A.Use of social and health service by the elderly. Journal of Health and Social behavior, 23 (1982), 330–339.CrossRefGoogle ScholarPubMed
11 Wan, T. T. H. and Arling, G.Differential use of health and social services among disabled elderly. Research on Aging, 5, 3, (1983), 411–431.CrossRefGoogle Scholar
12 Wan, T. T. H.Functionally disabled elderly: health status, social support and use of health services. Research on Aging, 9, 1, (1987), 61–78.CrossRefGoogle ScholarPubMed
13 McCaslin, R. and Calvert, W.Social indicators in black and white: Some ethnic considerations in delivery of service to the elderly. Journal of Gerontology, 30 (1975), 60–66.CrossRefGoogle ScholarPubMed
14 Downing, J.The older person in crisis: An exploratory study of 250 older persons. The Gerontologist, 17 5 (1977), 28–29.Google Scholar
15 Wright, Borg and Creecy, , 1980, op. cit.Google Scholar
16 Battistella, R.Limitations in use of the concept of psychological readiness to initiate health care. Medical Care, 6 (1988), 308–319.CrossRefGoogle Scholar
17 Harris, L. & Associates. The Myth and Reality of Ageing in America. Washington, D.C.: National Council on Ageing, 1975.Google Scholar
18 Lowry, L.Social Work with the Ageing. New York: Harper & Row, 1979.Google Scholar
19 Cantor, M. and Mayer, M.Factors in differential utilisation of services by the urban elderly. The Gerontologist, 15 (1975), 97–98.Google Scholar
20 McKinlay, J., op. cit.Google Scholar
21 Ward, R.Services for older people: An integrated framework for research. Journal of Health and Social Behaviour, 18 (1977), 61–70.CrossRefGoogle Scholar
22 German, P.Characteristics and health behaviour of the aged population. The Gerontologist, 15 (1975), 327–332.CrossRefGoogle ScholarPubMed
23 Wright, R., Creecy, R. & Borg, W.The black elderly and their use of health care services: a causal analysis. Journal of Gerontological Social Work, 2 (1979), 11–28.CrossRefGoogle Scholar
24 Hess, B. and Markson, E.An introduction to Social Gerontology: Ageing and Old Age. New York: Macmillan, (1980).Google Scholar
25 Mindel, & Wright, , op. cit.Google Scholar
26 Wolinksy, F.Assessing the effects of predisposing, enabling, and illness-morbidity characteristics on health service utilisation. Journal of Health and Social Behaviour, 19 (1978), 384–396.Google Scholar
27 Ward, , op. cit.Google Scholar
28 Andersen, and Newman, , op. cit.Google Scholar
29 Wan, and O'Dell, , op. cit.Google Scholar
30 Mindel, and Wright, , op. cit.Google Scholar
31 Coulton, and Frost, , op. cit.Google Scholar
32 Starren, Mindel and Wright, (1983), op. cit.Google Scholar
33 Andersen, and Newman, , op. cit.Google Scholar
34 Wan, and O'Dell, , op. cit.Google Scholar
35 Mindel, and Wright, , op. cit.Google Scholar
36 Coulton, and Frost, , op. cit.Google Scholar
37 Starrett, Mindel and Wright, (1983), op. cit.Google Scholar
38 Wan, and Arling, , op. cit.Google Scholar
39 Wan, (1987), op. cit.Google Scholar
40 Lacayo, C.A National Study to Assess the Services of the Hispanic Elderly. Washington, D.C.: Library of Congress, (1980), No. 81–66632.Google Scholar
41 . Schumm, W., Southerly, W. and Figley, C.Stumbling block or stepping stone: path analysis in family studies. Journal of Marriage and the Family, 42 (1980), 251–262.CrossRefGoogle Scholar
42 Andersen, and Newman, (1973), op. cit.Google Scholar
43 Wan, and O'Dell, , op. cit.Google Scholar
44 Mindel, and Wright, , op. cit.Google Scholar
45 Starrett, Mindel and Wright, (1983), op. cit.Google Scholar
46 Mindel, and Wright, , op. cit.Google Scholar
47 Wan, and O'Dell, , op. cit.Google Scholar
48 Starrett, Mindel and Wright, (1983), op. cit.Google Scholar
49 Mindel, and Wright, , op. cit.Google Scholar
50 Starrett, Mindel and Wright, (1983), op. cit.Google Scholar
51 Wan, and O'Dell, , op. cit.Google Scholar
52 Mindel, and Wright, , op. cit.Google Scholar
53 Wan, and O'Dell, , op. cit.Google Scholar
54 Starrett, Mindel and Wright, (1983), op. cit.Google Scholar