Influencing Self-Reported Health Among Rural Low-Income Women Through Health Care and Social Service Utilization: A Structural Equation Model Page: 417
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Journal o/FamvilySocial Work, 15:417-1 1. 20121Routledge
Copyright (' Taylor & Francis Group. LLC Taylor&Francis Group
ISSN: 1052-2158 print/1540-4072 online
Influencing Self-Reported Health Among
Rural Low-Income Women Through
Health Care and Social Service Utilization:
A Structural Equation Model
Sephen F. Auslin Staltae niersily, Nacogdoches, Texas
Itaers/i/ of Pebraska, Lincoln, Nebraska
Using structural equation modeling, this study examined the
mesosystemic processes among rural low-income women, and
how these processes subsequently influenced self'reported health.
Acknowledging the behavioral processes inherent in utilization of
health care and formal social support services, this study moved
beyond a behavioral focus by shifting attention to the affective
and cognitive processes within the mesosystem. Findings from this
study demonstrate that behavioral processes alone did not have a
direct significant effect on self-reported health problems over time.
However, by shifting attention to the affective and cognitive
processes, a missing link between service utilization and future
reported health emerged.
KEYWORDS rural, low-income women, health care access,
formal social support, health disparities, intersetting knowledge,
Research demonstrates that the incidence, prevalence, morbidity, and
mortality rates for disease in rural populations is significantly higher than
in the general population, leading to disparities in health among rural
residents (Gamm, Hutchison, Dabney, & Dorsey, 2003). Further, among rural
populations, the susceptibility to health problems and overall well-being
Address correspondence to Tiffany Bice-Wigington. School of Social Work, Stephen F.
Austin State University, .O. Box 0104, SFA Station, 420 East Starr Avenue. Nacogdoches,
TX 75962. E-mail: firstname.lastname@example.org
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Bice-Wigington, Tiffany & Huddleston-Casas, Catherine A. Influencing Self-Reported Health Among Rural Low-Income Women Through Health Care and Social Service Utilization: A Structural Equation Model, article, November 2, 2012; [New York, New York]. (digital.library.unt.edu/ark:/67531/metadc488176/m1/1/: accessed January 23, 2019), University of North Texas Libraries, Digital Library, digital.library.unt.edu; crediting UNT College of Public Affairs and Community Service.