The role of cultural factors on clients' attitudes toward caregiving, perceptions of service delivery, and service utilization.

The purpose of the present study was to gain a better understanding of the role of culture in the use of respite services. Culture was defined in three different ways: (1) ethnicity (African-American, Hispanic/Latino, or White); (2) relationship of the caregiver to the care receiver (spouse, adult-c...

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Published in:Home Health Care Services Quarterly Vol. 21; no. 3/4; pp. 65 - 89
Main Authors: Kosloski K, Schaefer JP, Allwardt D, Montgomery RJV, Karner TX
Format: research tables/charts Journal Article
Published: Taylor & Francis Ltd 2002
Online Access:View this record in EBSCOhost
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      jtl: Home Health Care Services Quarterly
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      dt: 2002
      vid: 21
      iid: 3/4
      pid: 377
      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        106860446
        106860446
        2003107356
        10.1300/j027v21n03_04
        NLM12665072
        106860446
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        atl: The role of cultural factors on clients' attitudes toward caregiving, perceptions of service delivery, and service utilization.
      aug:
        au:
          Kosloski K
          Schaefer JP
          Allwardt D
          Montgomery RJV
          Karner TX
        affil: Gerontology Dept, University of Nebraska at Omaha, Omaha, NE 68182; kkoslosk@mail.unomaha.edu
      sug:
        subj:
          Alzheimer's Disease
          Caregivers Psychosocial Factors
          Culture
          Respite Care Psychosocial Factors
          Attitude Measures
          Bivariate Statistics
          Black Persons
          Conceptual Framework
          Descriptive Statistics
          Family Relations
          Funding Source
          Health Services Accessibility
          Hispanic Americans
          Interviews
          Multiple Regression
          One-Way Analysis of Variance
          P-Value
          Post Hoc Analysis
          Race Factors
          Socioeconomic Factors
          T-Tests
          White Persons
          Human
      ab: The purpose of the present study was to gain a better understanding of the role of culture in the use of respite services. Culture was defined in three different ways: (1) ethnicity (African-American, Hispanic/Latino, or White); (2) relationship of the caregiver to the care receiver (spouse, adult-child, or other); and (3) geographic location (urban or rural). All three of these classifications were significantly related to the use of respite services, even after controlling for elders' income. Two sets of potential intervening variables that might explain the effects of culture on respite use were investigated: caregivers' attitudes and beliefs, and clients' evaluation of aspects of service delivery. When these variables were controlled, the main effects for relationship of the caregiver to the care receiver and geographic location on respite use were no longer significant. The effect of ethnicity on respite use persisted in the presence of these controls, but was greatly diminished. The results suggest specific avenues by which respite providers can increase appropriate service use among caregivers of dementia patients.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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