Predicting Different Types of Service Use By the Elderly: The Strength of the Behavioral Model and the Value of Interaction Terms

This study compared the ability of logistic regression models (with and without interaction terms) to predict the following four measures of service use: in-home, financial, community, and any service use. A representative sample of more than 4,000 older adults provided data for the study via teleph...

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Bibliographic Details
Published inJournal of applied gerontology Vol. 19; no. 3; pp. 284 - 303
Main Authors Calsyn, Robert J., Winter, Joel P.
Format Journal Article
LanguageEnglish
Published Thousand Oaks, CA Sage Publications 01.09.2000
Sage
SAGE PUBLICATIONS, INC
Subjects
Activities of Daily Living
Aging
Biological and medical sciences
Community Services
Elderly
Geriatrics
Health Care Services
Health Care Utilization
Home Health Care
Medical sciences
Mental health
Organization of mental health. Health systems
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Services
Social psychiatry. Ethnopsychiatry
Social Services Utilization
Studies
United States
North America
America
Human
Use
Prediction
Mental health
Sex
Health service
Social assistance
Logistic regression
Theoretical model
At home
Evolution
Elderly
Age
Public health
Financial assistance
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Summary:This study compared the ability of logistic regression models (with and without interaction terms) to predict the following four measures of service use: in-home, financial, community, and any service use. A representative sample of more than 4,000 older adults provided data for the study via telephone interviews. Policy and practice implications of the study results were (a) the behavioral model predicted any service use and in-home service use moderately well; need variables explained about half of the variance, with predisposing and enabling variables explaining the remainder; (b) the behavioral model did not explain much of the variance of the use of financial assistance or community services; and (c) although most of the interaction hypotheses in this study were not supported, interactions involving activities of daily living or instrumental activities of daily living needs with living situation and income helped explain which older adults were most likely to use services.
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ISSN:0733-4648
1552-4523
DOI:10.1177/073346480001900303