Extension of the Behavioral Model of Healthcare Utilization with Ethnically Diverse, Low-Income Women

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Article on the extension of the behavioral model of healthcare utilization with ethnically diverse, low-income women.

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13 p.

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Keenan, Lisa A.; Marshall, Linda L. & Eve, Susan Brown Winter 2002.

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Article on the extension of the behavioral model of healthcare utilization with ethnically diverse, low-income women.

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13 p.

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Abstract: OBJECTIVE: Psychosocial vulnerabilities were added to a model of healthcare utilization. This extension was tested among low-income women with ethnicity addressed as a moderator. DESIGN: Structured interviews were conducted at 2 points in time, approximately 1 year apart. The constructs of psychosocial vulnerability, demographic predisposing, barriers, and illness were measured by multiple indicators to allow use of Structural Equation Modeling to analyze results. The models were tested separately for each ethnic group. SETTING: Community office. PARTICIPANTS: African-American (N = 266), Euro-American (N = 200), and Mexican-American (N = 210) women were recruited from the Dallas Metropolitan area to participate in Project. HOW: Health Outcomes of Women, a multi-year, multi-wave study. Face-to-face interviews were conducted with this sample. Participants had been in heterosexual relationships for at least 1 year, were between 20 and 49 years of age, and had incomes less than 200% of the national poverty level. MAIN OUTCOME MEASURES: Healthcare utilization, defined as physician visits and general healthcare visits. RESULTS: Illness mediated the effect of psychosocial vulnerability on healthcare utilization for African Americans and Euro-Americans. The model for Mexican Americans was the most complex. Psychosocial vulnerability on illness was partially mediated by barriers, which also directly affected utilization. CONCLUSIONS: Psychosocial vulnerabilities were significant utilization predictors for healthcare use for all low-income women in this study. The final models for the 2 minority groups, African Americans and Mexican Americans, were quite different. Hence, women of color should not be considered a homogeneous group in comparison to Euro-Americans.

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  • Ethnicity and Disease, 2002, Arlington: International Society on Hypertension in Blacks, pp. 111-123

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  • Publication Title: Ethnicity and Disease
  • Volume: 12
  • Issue: 1
  • Page Start: 111
  • Page End: 123
  • Pages: 13
  • Peer Reviewed: Yes

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Materials from the UNT community's research, creative, and scholarly activities and UNT's Open Access Repository. Access to some items in this collection may be restricted.

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  • Winter 2002

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  • Dec. 4, 2014, 2:16 p.m.

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Keenan, Lisa A.; Marshall, Linda L. & Eve, Susan Brown. Extension of the Behavioral Model of Healthcare Utilization with Ethnically Diverse, Low-Income Women, article, Winter 2002; [Arlington, Virginia]. (digital.library.unt.edu/ark:/67531/metadc461755/: accessed April 24, 2018), University of North Texas Libraries, Digital Library, digital.library.unt.edu; crediting UNT College of Arts and Sciences.