The Application of a Health Service Utilization Model to a Low Income, Ethnically Diverse Sample of Women

A model for health care utilization was applied to a sample of low income women. Demographic Predisposing, Psychosocial Predisposing, Illness Level, and Enabling indicators were examined separately for African American (n = 266), Anglo American (n = 200), and Mexican American (n = 210) women. Structural Equation Modeling revealed that for African American and Anglo American women, Illness Level, the only significant path to Utilization, had a mediating effect on Psychosocial Predisposing indicators. The model for Mexican Americans was the most complex with Enabling indicators affecting Illness Level and Utilization. Psychosocial Predisposing indicators were mediated by Illness Level and Enabling indicators which both directly affected Utilization. Implications of the results for future research are addressed.

Grantor dc:publisher

University of North Texas

Year dc:date

2000

Author dc:creator

• Keenan, Lisa A.

Contributors dc:contributor

• Marshall, Linda L.
• Guarnaccia, Charles A.
• Eve, Susan Brown

• Poor women -- Medical care -- United States.
• health care utilization
• low income women
• Illness Level
• Anglo American

Statement dc:rights

• Use restricted to UNT Community
• Copyright
• Keenan, Lisa A.
• Copyright is held by the author, unless otherwise noted. All rights reserved.

Language dc:language

English

Identifier

oclc: 47357400
untcat: b2303474
https://digital.library.unt.edu/ark:/67531/metadc2570/
ark: ark:/67531/metadc2570

OAI identifier oai:identifier

info:ark/67531/metadc2570