The association among knowledge of and confidence in home health care services, acculturation, and family caregivers’ relationships to older adults of Mexican descent

Janice D. Crist, Mary Lee Montgomery, Alice Pasvogel, Linda R. Phillips, Evangeline M. Ortiz-Dowling

Research output: Contribution to journalArticle

Abstract

The purposes of this study were to examine the relationships among knowledge of and confidence in health care services (HHCS), acculturation, characteristics of family caregivers of Mexican descent, and differences by caregivers’ relationship (spouse or adult child). A sample of Mexican-descent older adults and their caregivers was recruited (n = 74 dyads) in Arizona. Each participant completed questionnaires on knowledge, confidence, and acculturation. There were moderate but significant associations among higher Anglo Orientation with Knowledge and with Confidence. Fear of HHCS was positively associated with higher Anglo Orientation and English Language Preference; and negatively associated with Mexican Orientation and Spanish Language Preference. For Spouse caregivers, Fear of HHCS was positively correlated with higher Anglo Orientation and English Language Preference; for Offspring caregivers, Fear of HHCS was negatively correlated with Mexican Orientation and Spanish Language Preference. Results support assessing caregiver cohort and socio-cultural context to decrease HHCS use disparities by Mexican-descent caregiving families.

Original languageEnglish (US)
Pages (from-to)689-695
Number of pages7
JournalGeriatric Nursing
Volume39
Issue number6
DOIs
StatePublished - Nov 2018

Keywords

  • Acculturation
  • Elders of Mexican descent
  • Family caregiving
  • Healthcare disparities
  • Home health care services

ASJC Scopus subject areas

  • Gerontology

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