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Research Library

The HMinfo Research Library contains an in-depth collection of materials on home modifications and related subjects.

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Unmet Needs for Formal Home and Community Services among African American and White Older Adults: The Forsyth County Aging Study

Journal of Applied Gerontology

Author: Jackson, S. A., Mittelmark, M. B.
Type: Journal Article
Year: 1997


Using Ronald Andersen & John F. Newman's model of health services utilization, factors associated with unmet needs for formal home & community services were evaluated cross-sectionally in 354 community-dwelling African American & white older adults, ages 75+, in Forsyth County, NC, drawing on questionnaire data. Unmet needs for services were associated with inadequate transportation, use of mobility aids (eg, canes, walkers, wheelchairs), & activities of daily living limitations among both African Americans & whites. Older whites reported low instrumental support (ie, availability of daily help with bathing, dressing, etc) & were less likely to have a daily caregiver. The predictive ability of the Andersen- model varied slightly by race. Although comparable in terms of specificity (ie, identifying those without unmet needs), the model was more sensitive to older African Americans than whites. Findings provide evidence & a rationale for a more extensive assessment of unmet needs for services than is provided by consideration of functional limitations alone.

Further Details

Full Title: Journal of Applied Gerontology
Pages: 298-316
Volume: 16
Issue: 3
Accession Number: 8.5.03
Keywords: North America, older, assistive device, assessment
Reads: 285