Health behavior and family adaptation: Predicting utilization among Native Americans
Abstract
The objectives of this study were to examine the interactions of family and health variables for non-reservation Native Americans, test the application of relevant theories to Native American health care utilization, and discuss implications for future research and policy. Structural equation models of Native American health care utilization were developed using data from the 1987 National Medical Expenditures Survey. The sample included 127 non-reservation Native Americans. A model based on Andersen's behavioral model of health care utilization and the Family Adaptation and Response (FAAR) model was used to predict health care utilization. Results of the study indicate that gender, age, and level of illness influenced utilization. However, neither family income levels nor the belief construct were related to amount of utilization. Although difficulties were encountered in the measurement of some family constructs, the findings suggested the importance of pursuing the addition of family variables to health care utilization models.
Degree
Ph.D.
Advisors
Lewis, Purdue University.
Subject Area
Families & family life|Personal relationships|Sociology|Minority & ethnic groups|Sociology
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