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Exploring Family Caregiver Services: Variations in Utilization Patterns and Barriers to Access among Diverse Ethnic Groups. Julian Chow 1 , Erica Auh 1 , Nancy Giunta 1 , and Andrew Scharlach 1. Annual Meeting of the Society for Social Work and Research Miami, FL, January 14, 2005.
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Exploring Family Caregiver Services: Variations in Utilization Patterns and Barriers to Access among Diverse Ethnic Groups Julian Chow1, Erica Auh1, Nancy Giunta1, and Andrew Scharlach1 Annual Meeting of the Society for Social Work and Research Miami, FL, January 14, 2005 1 Center for the Advanced Study of Aging Services - University of California, Berkeley
Center for the Advanced Study of Aging Services Mission: • Improving services for the elderly through research, collaboration and education Current projects include: • Strategic Plan for an Aging CA (SB910) • Family Caregiver Support Program • LTC Insurance and Quality Assurance • LTC Integration and Case Management • Consortium for Social Work Training in Aging
Overview • Literature Review • Research Questions • Method • Results • Discussion & Implication
Literature Review • Lower level of formal service use among minority CGs compared with White CGs (yet, inconclusive) • Disparities in types of formal service use between minority and White CGs • Comparison between White and non-White CGs in most studies
Research Questions • Do racial/ethnic CGs use services differently from White? • Do racial/ethnic groups rely on different sources of service? • Do they use different types of services? • How do they see barriers to service use?
Method • Random Digit Dialing • Respondent caring for someone over age 50 • Surveys conducted in English and Spanish • Interview lasted approx. 30 minutes • N = 1,643
Demographic Gender (n=1,559) Age** (n=1, 529) * p<0.05; ** p<0.01
Demographics (cont’d) Marital Status** (n=1,435) Children < 18 Living in Household** (n=1,555)
Demographics (cont’d) Education** (n=1,552) 2001 Household Income** (n=1,359)
Demographics (cont’d) Country of Origin** (n=1,323)
Total Number of Service Use * p<0.05; ** p<0.01
Result of Post Hoc Test (Tukey HSD) * p<0.05; ** p<0.01
Formal & Informal Service Use * p<0.05; ** p<0.01
Ratio of Formal and Informal within One’s Service Use** * p<0.05; ** p<0.01
Service Use by Type * p<0.05; ** p<0.01
Service Use by Type (cont’d) * p<0.05; ** p<0.01
Service Use by Source * p<0.05; ** p<0.01
Barriers to Service Use * p<0.05; ** p<0.01
Barriers to Service Use (cont’d) * p<0.05; ** p<0.01
Discussion • Ethnic differences in total number of service use • Differences in sources • Some groups are more likely to rely on one source
Discussion (cont’d) • Different ethnic groups use different types of services • In-home respite, education, and information are most widely used across group • But sources of help seem to matter • Ethnic groups identify different barriers
Implication • Provide culturally specific services • Outreach to minority, especially immigrant, communities • Provide resources for the informal support network
Thank You! Center for the Advanced Study of Aging Services University of California, Berkeley http://cssr.berkeley.edu/aging