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Predictors of health and human services use by persons with dementia and their family caregivers

Author

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  • Toseland, Ronald W.
  • McCallion, Philip
  • Gerber, Todd
  • Banks, Steve

Abstract

The aim of this study was to identify predictors of the use of health and human services by community residing persons with dementia and their family caregivers. Telephone interviews were conducted with a sample of 608 primary caregivers of community residing persons with dementia who were randomly selected from a state-wide dementia registry. The Anderson Behavioral Model of Health Care Use was used as the analytic framework. Hierarchical ordinary least squares regression models were developed to analyze predictors of health and human services use. Predisposing, enabling, and need variables explained 40.9% of the variance in service use, 29.8% of the variance in health service use, and 38.1% of the variance in the use of human services. Enabling variables explained more variance in the use of health and human services than did need or predisposing variables. In contrast to the health services utilization literature that points to the importance of need variables, the results of this study lend support to findings in the caregiving literature that indicate that enabling variables are at least as important as need variables in predicting the use of community services by family caregivers of persons with dementia.

Suggested Citation

  • Toseland, Ronald W. & McCallion, Philip & Gerber, Todd & Banks, Steve, 2002. "Predictors of health and human services use by persons with dementia and their family caregivers," Social Science & Medicine, Elsevier, vol. 55(7), pages 1255-1266, October.
    • Handle: RePEc:eee:socmed:v:55:y:2002:i:7:p:1255-1266
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    Citations

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    Cited by:

    1. Exel, Job van & Graaf, Gjalt de & Brouwer, Werner, 2007. "Care for a break? An investigation of informal caregivers' attitudes toward respite care using Q-methodology," Health Policy, Elsevier, vol. 83(2-3), pages 332-342, October.
    2. Ya-Mei Chen, 2014. "Differences in Outcomes of Caregiver Support Services for Male and Female Caregivers," SAGE Open, , vol. 4(3), pages 21582440145, August.
    3. Chen, Ya-Mei & Hedrick, Susan C. & Young, Heather M., 2010. "A pilot evaluation of the Family Caregiver Support Program," Evaluation and Program Planning, Elsevier, vol. 33(2), pages 113-119, May.
    4. Allan K. Nkwata & Ming Zhang & Xiao Song & Bruno Giordani & Amara E. Ezeamama, 2022. "Toxic Psychosocial Stress, Resiliency Resources and Time to Dementia Diagnosis in a Nationally Representative Sample of Older Americans in the Health and Retirement Study from 2006–2016," IJERPH, MDPI, vol. 19(4), pages 1-18, February.
    5. van Exel, Job & Moree, Marjolein & Koopmanschap, Marc & Goedheijt, Trudy Schreuder & Brouwer, Werner, 2006. "Respite care--An explorative study of demand and use in Dutch informal caregivers," Health Policy, Elsevier, vol. 78(2-3), pages 194-208, October.
    6. Shanshan Wang & Daphne Sze Ki Cheung & Angela Yee Man Leung & Patricia M. Davidson, 2020. "Factors associated with caregiving appraisal of informal caregivers: A systematic review," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(17-18), pages 3201-3221, September.

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