Mexican American (MA) elders are more functionally impaired at younger ages than other elders yet use home care services (HCS) less. To determine the possible reasons, nine questionnaires were completed in Spanish or English by MA elders and caregivers living in southern Arizona (N = 280). Contextual, personal, and attitudinal factors were significantly associated with the use of HCS, and cultural/ethnic factors were significantly associated with confidence in HCS. Interventions should be designed and tested to increase the use of HCS by MA elders by increasing service awareness and confidence in HCS while preserving the expectations of familism and reducing caregiving burden.
Bibliographical noteFunding Information:
The National Institute of Nursing Research supported this research through grant 1 R15 NR009031-01. We thank Dr. Linda Phillips, PhD, RN (Professor and Audrienne H. Moseley Endowed Chair in Nursing, College of Nursing, University of California at Los Angeles); Dr. Darlene Mood, PhD (Professor Emeritus, Wayne State University); Dr. Donald Gelfand, PhD (Professor Emeritus, Wayne State University; Affiliate, Arizona State University; Research Associate, Center on Aging, The University of Arizona); and Dr. Souraya Sidani, PhD, RN (Professor, University of Toronto) for their consultation on design and analysis; the Office of Nursing Research Writers' Group for editorial consultation; and research assistants, specialists, and the ENCASA Community Advisory Council for their language and cultural skills in forming an effective community partnership.