Social Theory & Health

, Volume 9, Issue 2, pp 183–202

A critical review of theoretical frameworks for health service use among older immigrants in the United States

  • Sunha Choi
Original Article

Abstract

Research on older immigrants’ health service use in the United States is important for making intelligent plans for and delivering services to this population. However, despite the growing importance of the topic, there has been little discussion in the literature regarding the comparative merits of different theoretical approaches in explaining health service use behavior among older immigrants in the host country. In this article, cognitive models, dynamic approaches and the health behavioral model are discussed in relation to their applications to the older immigrant population. Considering systemic barriers to health service use among older immigrants in the United States, which are beyond an individual level, this article proposes a modified Andersen model to explain health behaviors among older immigrants, based on its comprehensiveness. The model's flexibility also allows the incorporation of key concepts from cognitive models and the Network Episode Model that are relevant to the target population.

Keywords

older immigrants Andersen model access to care health service use health behavior United States 

References

  1. Aday, L.A. and Andersen, R.M. (1998) Models of health care utilization and behavior. In: P. Armitage and T. Colton (eds.) Encyclopedia of Biostatistics. New York: Wiley, pp. 1841–1845.Google Scholar
  2. Aday, L.A. and Awe, W.C. (1997) Health services utilization models. In: D.S. Gochman (ed.) Handbook of Health Behavior Research I: Personal and Social Determinants. New York: Plenum, pp. 153–172.Google Scholar
  3. Ahmad, W.I.U. and Walker, R. (1997) Asian older people: Housing, health, and access to services. Aging and Society 17: 141–165.CrossRefGoogle Scholar
  4. Ajzen, I. (1985) From intentions to actions: A Theory of Planned Behavior. In: J. Kuhl and J. Beckman (eds.) Action-control: From Cognition to Behavior. Heidelberg, Germany: Springer, pp. 11–39.CrossRefGoogle Scholar
  5. Ajzen, I. (1991) The Theory of Planned Behavior. Organizational Behavior and Human Decision Processes 50: 179–211.CrossRefGoogle Scholar
  6. Ajzen, I. and Fishbein, M. (1980) Understanding Attitudes and Predicting Social Behavior. Englewood Cliffs, NJ: Prentice-Hall.Google Scholar
  7. Akamigbo, A. and Wolinsky, F.D. (2006) Reported expectations for nursing home placement among older adults and their role as risk factors for nursing home admissions. Gerontologist 46 (4): 464–473.CrossRefGoogle Scholar
  8. Andersen, R.M. (1968) A Behavioral Model of Families’ Use of Health Services. Chicago, IL: Center for Health Administration Studies.Google Scholar
  9. Andersen, R.M. (1995) Revisiting the behavioral model and access to medical access: Does it matter? Journal of Health and Social Behavior 36: 1–10.CrossRefGoogle Scholar
  10. Andersen, R.M., Harada, N., Chiu, V. and Makinodan, T. (1995) Application of the behavioral model to health studies of Asian and Pacific Islander Americans. Asian American and Pacific Islander Journal of Health 3 (2): 128–141.Google Scholar
  11. Andersen, R.M., Yu, H., Wyn, R., Davidson, P.L., Brown, E.R. and Teleki, S. (2002) Access to medical care for low-income persons: How do communities make a difference? Medical Care Research and Review 59 (4): 384–411.CrossRefGoogle Scholar
  12. Angel, R.J., Angel, J.L. and Markides, K.S. (2002) Stability and change in health insurance among older Mexican Americans: Longitudinal evidence from the Hispanic established populations for epidemiologic study of the elderly. American Journal of Public Health 92 (8): 1264–1271.CrossRefGoogle Scholar
  13. Brownell, P. and Fenley, R.C. (2009) Older adult immigrants in the United States: Issues and services. In: F. Chang-Muy and E.P. Congress (eds.) Social Work with Immigrants and Refugees: Legal Issues, Clinical Skills and Advocacy. New York: Springer Publishing Company, pp. 277–307.Google Scholar
  14. Burnette, D. and Mui, A.C. (1999) Physical utilization by Hispanic elderly persons: National perspective. Medical Care 37 (4): 362–374.CrossRefGoogle Scholar
  15. Bush, P.J. and Iannotti, R.J. (1988) Pathways to health behavior. In: D.S. Gochman (ed.) Health Behavior: Emerging Research Perspectives. New York: Plenum, pp. 87–102.CrossRefGoogle Scholar
  16. Choi, S. (2006) Insurance status and health service utilization among newly-arrived older immigrants. Journal of Immigrant and Minority Health 8 (2): 149–161.CrossRefGoogle Scholar
  17. Choi, S. (2007) Longitudinal Changes in Health Service Use among Older Foreign-born Individuals. Dissertation Abstracts International 68 (6A): 2654. (UMI No. AAT 3268018).Google Scholar
  18. Choi, S., Morrow-Howell, N. and Proctor, E. (2006) Configuration of services used by depressed older adults. Aging & Mental Health 10 (3): 240–249.CrossRefGoogle Scholar
  19. Davidson, P.L., Andersen, R.M., Wyn, R. and Brown, E.R. (2004) A framework for evaluating safety-net and other community-level factors on access for low-income populations. Inquiry 41: 21–38.Google Scholar
  20. Fix, M.E. and Passel, J.S. (2001) U.S. Immigration at the Beginning of the 21st Century. Testimony before the Subcommittee on Immigration and Claims. Washington, DC: Urban Institute.Google Scholar
  21. Floyd, D.L., Prentice-Dunn, S. and Rogers, R.W. (2000) A meta-analysis of research on Protection Motivation Theory. Journal of Applied Social Psychology 30: 407–429.CrossRefGoogle Scholar
  22. Friedland, R.B. and Pankaj, V. (1997) Welfare Reform and Elderly Legal Immigrants. Washington, DC: National Academy on Aging.Google Scholar
  23. Gochman, D.S. (1997a) Health behavior research: Definitions and diversity. In: D.S. Gochman (ed.) Handbook of Health Behavior Research I: Personal and Social Determinants. New York: Plenum, pp. 3–20.Google Scholar
  24. Gochman, D.S. (1997b) Personal and social determinants of health behavior: An integration. In: D.S. Gochman (ed.) Handbook of Health Behavior Research I: Personal and Social Determinants. New York: Plenum, pp. 381–400.Google Scholar
  25. Greenward, H.P., O'Keefe, S. and Dicamillo, M. (2004) The importance of public sector health care in an underserved population. Journal of Health and Human Services Administration 10: 142–157.Google Scholar
  26. Harvir, L.M. (1995) But Will They Use It? Social Service Utilization by Rural Elderly. New York: Garland.Google Scholar
  27. Hastings, S.N., George, L.K., Fillenbaum, G.G., Park, R.S., Burchett, B.M. and Schmader, K.E. (2008) Does lack of social support lead to more ED visits for older adults? American Journal of Emergency Medicine 26 (4): 454–461.CrossRefGoogle Scholar
  28. Honda, K. (2004) Factors associated with colorectal cancer screening among the US urban Japanese population. American Journal of Public Health 94 (5): 815–822.CrossRefGoogle Scholar
  29. Horne, R. and Weinman, J. (1998) Predicting treatment adherence: An overview of theoretical models. In: L.B. Myers and K. Midence (eds.) Adherence to Treatment in Medical Conditions. Amsterdam, the Netherlands: Harwood, pp. 25–50.Google Scholar
  30. Kandula, N.R., Grogan, C.M., Rathouz, P.J. and Lauderdale, D.S. (2004) The unintended impact of welfare reform on the Medicaid enrollment of eligible immigrants. Health Services Research 39 (5): 1509–1526.CrossRefGoogle Scholar
  31. Kirscht, J.P. (1988) The Health Belief Model and predictions of health actions. In: D.S. Gochman (ed.) Health Behavior: Emerging Research Perspectives. New York: Plenum, pp. 27–41.CrossRefGoogle Scholar
  32. Krout, J.A. (1983) Knowledge and use of services by the elderly: A critical review of the literature. International Journal of Aging and Human Development 17 (3): 153–167.CrossRefGoogle Scholar
  33. Kuo, T. and Torres-Gil, F.M. (2001) Factors affecting utilization of health services and home-and community-based care programs by older Taiwanese in the United States. Research on Aging 23 (1): 14–36.CrossRefGoogle Scholar
  34. Lai, D.W.L. and Kalyniak, S. (2005) Use of annual physical examinations by aging Chinese Canadians. Journal of Aging and Health 17 (5): 573–590.CrossRefGoogle Scholar
  35. Leach, M.A. (2009) America's older immigrants: A profile. Generations 32 (4): 34–39.Google Scholar
  36. Leclere, F.B., Jensen, L. and Biddlecom, A.E. (1994) Health care utilization, family context, and adaptation among immigrants to the United States. Journal of Health and Social Behavior 35: 370–384.CrossRefGoogle Scholar
  37. Liou, D. and Contento, I. (2001) Usefulness of psychosocial theory variables in explaining fat-related dietary behavior in Chinese Americans: Association with degree of acculturation. Journal of Nutrition Education 33 (6): 322–331.CrossRefGoogle Scholar
  38. Livingston, G. and Sembhi, S. (2003) Mental health of the aging immigrant population. Advances in Psychiatric Treatment 9: 31–37.CrossRefGoogle Scholar
  39. Lwin, M.O. and Saw, S. (2007) Protecting children from myopia: A PMT perspective for improving health marketing communications. Journal of Health Communication 12 (3): 251–268.CrossRefGoogle Scholar
  40. Maddux, J.E. and DuCharme, K.A. (1997) Behavioral intentions in theories of health behavior. In: D.S. Gochman (ed.) Handbook of Health Behavior Research I: Personal and Social Determinants. New York: Plenum, pp. 133–151.Google Scholar
  41. McKinlay, J.B. (1972) Some approaches and problems in the study of the use of services – An overview. Journal of Health and Social Behavior 13: 115–152.CrossRefGoogle Scholar
  42. Mechanic, D. (1979) Correlates of physician utilization: Why do major multivariate studies of physician utilization find trivial psychological and organizational effects? Journal of Health and Social Behavior 20: 387–396.CrossRefGoogle Scholar
  43. Min, P. (1998) Changes and Conflicts: Korean Immigrant Families in New York. Boston, MA: Ally and Bacon.Google Scholar
  44. Mohseni, M. and Lindstrom, M. (2007) Social capital, trust in the health-care system and self-rated health: The role of access to health care in a population-based study. Social Science & Medicine 64: 1373–1383.CrossRefGoogle Scholar
  45. Mold, J.W., Fryer, G.E. and Thomas, C.H. (2004) Who are the uninsured elderly in the United States? Journal of American Geriatric Society 52: 601–606.CrossRefGoogle Scholar
  46. Moon, A., Lubben, J. and Villa, V. (1998) Awareness and utilization of community long-term care services by elderly Korean and non-Hispanic White Americans. Gerontologist 38 (3): 309–316.CrossRefGoogle Scholar
  47. Nahcivan, N.O. and Secginli, S. (2007) Health beliefs related to breast self-examination in a sample of Turkish women. Oncology Nursing Forum 34 (2): 425–432.CrossRefGoogle Scholar
  48. Pescosolido, B.A. (1998) How people get into mental health services: Stories of choice, coercion and ‘muddling through’ from ‘first-timers’. Social Science & Medicine 46 (2): 275–286.CrossRefGoogle Scholar
  49. Pescosolido, B.A. and Boyer, C.A. (1999) How do people come to use mental health services? Current knowledge and changing perspectives. In: A.V. Horwitz and T.L. Scheid (eds.) A Handbook of Mental Health: Social Contexts, Theories, and Systems. New York: Cambridge University Press, pp. 392–411.Google Scholar
  50. Pescosolido, B.A., Boyer, C.A. and Lubell, K.M. (1999) The social dynamics of responding to mental health problems. In: C.S. Aneshensel and J.C. Phelan (eds.) Handbook of the Sociology of Mental Health. New York: Kluwer Academic/Plenum Publishers, pp. 441–460.Google Scholar
  51. Pescosolido, B.A., Wright, E., Alegria, M. and Vera, M. (1998) Social networks and patterns of use among the poor with mental health problems in Puerto Rico. Medical Care 36 (7): 1057–1072.CrossRefGoogle Scholar
  52. Pourat, N., Ludden, J., Wallas, S.P. and Moon, A. (1999) Predictors of use of traditional Korean healers among elderly Koreans in Los Angeles. Gerontologist 39: 711–719.CrossRefGoogle Scholar
  53. Raudenbush, S.W., Bryk, A.S., Cheong, Y.F., Congdon, R.T. and Toit, M. (2004) HLM 6: Hierarchical Linear and Nonlinear Modeling. Lincolnwood, IL: Scientific Software International.Google Scholar
  54. Richardson, L.D. and Hwang, U. (2001) America′s health care safety net: Intact or unraveling? Academic Emergency Medicine 8 (11): 1056–1063.CrossRefGoogle Scholar
  55. Rogers, R.W. (1975) A Protection Motivation Theory of fear appeals and attitude change. Journal of Psychology 91: 93–114.CrossRefGoogle Scholar
  56. Rogers, R.W. and Prentice-Dunn, S. (1997) Protection Motivation Theory. In: D.S. Gochman (ed.) Handbook of Health Behavior Research I: Personal and Social Determinants. New York: Plenum, pp. 113–132.Google Scholar
  57. Sapp, S.G. and Weng, C. (2007) Examination of the health-belief model to predict the dietary quality and body mass of adults. International Journal of Consumer Studies 31: 189–194.CrossRefGoogle Scholar
  58. Scheppers, E., van Dongen, E., Dekker J., Geertzen, J. and Dekker, J. (2006) Potential barriers to the use of health services among ethnic minorities: A review. Family Practice 23 (3): 325–348.CrossRefGoogle Scholar
  59. Sohn, L. and Harada, N.D. (2004) Time since immigration and health services utilization of Korean-American older adults living in Los Angeles County. Journal of the American Geriatrics Society 52: 1946–1950.CrossRefGoogle Scholar
  60. Strecher, V.J., Champion, V.L. and Rosenstock, I.M. (1997) The Health Belief Model and health behavior. In: D.S. Gochman (ed.) Handbook of Health Behavior Research I: Personal and Social Determinants. New York: Plenum, pp. 71–91.Google Scholar
  61. Treas, J. and Batalova, J. (2007) Older immigrants. In: K.W. Schaie and P. Uhlenberg (eds.) Social Structures: The Impact of Demographic Changes on the Well-being of Older Persons. New York: Springer Publishing Company, pp. 1–24.Google Scholar
  62. Van De Ven, M.O.M., Engels, R.C.M.E., Otten, R. and Van Den Eijnden, R.J.J.M. (2007) A longitudinal test of the Theory of Planned Behavior predicting smoking onset among asthmatic and non-asthmatic adolescents. Journal of Behavioral Medicine 30 (5): 435–445.CrossRefGoogle Scholar
  63. Wan, T.T.H. (1989) The behavioral model of health care utilization by older poeple. In: M.G. Ory and K. Bond (eds.) Aging and Health Care: Social Science and Policy Perspectives. New York: Routledge, pp. 52–77.Google Scholar
  64. Wolinsky, F.D., Aguirre, B.E., Fann, L., Keith, V.M., Arnold, C.L. and Niederhauer, J.C. (1989) Ethnic difference in the demand for physician and hospital utilization among older adults in major American cities: Conspicuous evidence of considerable inequalities. The Milbank Quarterly 67 (3–4): 412–449.CrossRefGoogle Scholar
  65. Wu, Z. and Hart, R. (2002) Social and health factors associated with support among elderly immigrants in Canada. Research on Aging 24 (4): 391–412.CrossRefGoogle Scholar
  66. Yarbrough, S.S. and Braden, C.J. (2001) Utility of Health Belief Model as a guide for explaining or predicting breast cancer screening behaviours. Journal of Advanced Nursing 33 (5): 677–688.CrossRefGoogle Scholar
  67. Yoo, G.J. (2001) Constructing deservingness: Federal welfare reform, supplemental security income, and elderly immigrants. Journal of Aging & Social Policy 13 (4): 17–34.CrossRefGoogle Scholar

Copyright information

© Palgrave Macmillan, a division of Macmillan Publishers Ltd 2011

Authors and Affiliations

  • Sunha Choi
    • 1
  1. 1.Department of Social WorkState University of New York at BinghamtonBinghamtonUSA

Personalised recommendations