Health and Community-Based Service Use

Responses from personal interviews with a random sample of 2,178 adults aged 60 years and older living in their homes in eastern North Carolina were used to examine the effects of predisposing, enabling, and need indicators on differences in the use of health and community-based services separately for African American and White elders. Health services include primary care visits and visits to specialists. Community-based services were categorized into personal care services and financial assistance. Logistic regression analyses were done in an attempt to explain why African American elders are more likely than are Whites to use both kinds of community-based services, are less likely than are Whites to use specialty care, and whether there are differences by race in the use of primary care physicians. Results indicate that the odds of using financial assistance and medical care vary by race according to selected predisposing, enabling, and need characteristics. There is little difference by race, however, in the use of financial assistance services. The implications of the findings are discussed.