Factors Affecting Utilization of Health Services and Home- and Community-Based Care Programs by Older Taiwanese in the United States

Tsuann Kuo · Fernando M. Torres-Gil

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Migration, Health and Trauma Aging, Elder Care, and Social Issues Migration, Identity, and Health

Abstract

This article examines factors that affect the utilization of health care services and home- and community-based care (HCBC) programs by older Taiwanese, a rapidly growing and newly arrived immigrant group. Currently, knowledge about the health status and utilization of health-related services among newly arrived Asians is limited. This article analyzed data from the 1994 Southern California Taiwanese American Elderly Survey ( n = 240) based on a modified Andersen behavioral model that included both cultural and structural variables. Significant variables included health needs, cultural beliefs, and socioeconomic and structural variables; however, variables predicting utilization of health services and HCBC programs were different. Implications for both gerontological research and practice include the following: (1) Future programs addressing service utilizations by older Taiwanese should be culturally sensitive and consider family as a unit of intervention, and (2) more multidisciplinary research should explore how cultural and structural variables contribute to service utilization among newly arrived elderly Asian immigrants.

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References

1995Revisiting the Behavioral Model and Access to Medical Care: Does it Matter?1994Health Care Utilization, Family Context, and Adaptation Among Immigrants to the United States 1991Racial Differences in Health and Health Care Service Utilization in Later Life: The Effect of Socioeconomic Status 1990Aging and health: perspectives on gender, race, ethnicity, and class 1985Asian/Pacific American Elderly: Mortality Differentials, Health Status, and Use of Health Services 1995Picture Imperfect: Hidden Problems Among Asian Pacific Islander Elderly 1994Money Isn't Everything 1994Health Services Utilization Among Older Adults: Conceptual, Measurement, and Modeling Issues in Secondary Analysis

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