Full Citation
Title: Cultural Differences in the Intended Use of Long-Term Care Services in the United States: The Role of Family Ties
Citation Type: Journal Article
Publication Year: 2022
ISBN:
ISSN: 1079-5014
DOI: 10.1093/geronb/gbab035
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PMCID:
PMID:
Abstract: Objectives In the light of an increasingly diverse older population in the United States, there is an ongoing discussion how cultural factors contribute to individual long-term care (LTC) needs and service use. This study empirically assesses whether the level of acculturation and cultural differences in the importance of the family shape foreign-born immigrants’ intention to use certain LTC services. Methods We correlated immigrants’ intention to use certain LTC services to the cultural strength of family ties that prevails in their region of origin. We used data from the National Health Interview Survey and the World Values Survey/European Values Study for analysis. Multinomial logit models were estimated and predisposing, enabling, and need factors were controlled for. Estimations were weighted to account for the sampling structure and sensitivity analyses were conducted. Results Immigrants from cultures with stronger family ties are significantly more likely to intend the use of LTC options that include the family. Furthermore, immigrants are less likely to intend the use of exclusively family care when having lived in the United States for a longer time. Discussion We conclude that cultural differences in family ties shape immigrants’ intention to use certain LTC services. If policy makers aim at increasing the provision of specific LTC services or support to family caregivers, there should be a careful evaluation of demand-side factors in an increasingly culturally diverse society.
Url: https://academic.oup.com/psychsocgerontology/article/77/1/201/6154268
User Submitted?: Yes
Authors: Diederich, Freya; König, Hans-Helmut; Brettschneider, Christian
Periodical (Full): The Journals of Gerontology: Series B
Issue: 1
Volume: 77
Pages: 201-211
Data Collections: IPUMS Health Surveys - NHIS
Topics: Aging and Retirement, Family and Marriage, Migration and Immigration
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