Age Differences in Determinants of Self-Rated Health among Recipients of Publicly Funded Home-and-Community-Based Services

被引：4

作者：

Duan, Yinfei ^{[1
]}

Shippee, Tetyana P. ^{[2
]}

Baker, Zackary G. ^{[3
]}

Olsen Baker, Mary ^{[4
,5
]}

机构：

[1] Univ Minnesota, Sch Nursing, 7-135 Weaver Densford Hall 308,Harvard St SE, Minneapolis, MN 55455 USA

[2] Univ Minnesota, Sch Publ Hlth, Div Hlth Policy & Management, Minneapolis, MN USA

[3] Univ Minnesota, Sch Publ Hlth, Div Hlth Policy & Management, Minneapolis, MN USA

[4] Minnesota Dept Human Serv, Aging & Adult Serv Div, Qual Assurance & Informat Unit, St Paul, MN USA

[5] Minnesota Board Aging, St Paul, MN USA

来源：

JOURNAL OF AGING & SOCIAL POLICY | 2023年 / 35卷 / 03期

关键词：

Home-and-community-based services; self-rated health; older adults; adults with disabilities; long-term services and supports; medicaid; medicaid waiver; OLDER-ADULTS; SOCIAL SUPPORT; UNITED-STATES; MOOD; PARTICIPATION; MORTALITY; SYMPTOMS; RELIABILITY; INCLUSION; NETWORKS;

D O I：

10.1080/08959420.2021.1930815

中图分类号：

R4 [临床医学]; R592 [老年病学];

学科分类号：

1002 ; 100203 ; 100602 ;

摘要：

This research examined determinants of self-rated health (SRH) of publicly funded home-and-community-based services (HCBS) recipients and tested if the effects of determinants differ between older recipients and younger recipients with disabilities. Using Minnesota's data of 2015-2016 National Core Indicators - Aging and Disabilities survey (n = 3,426), this study revealed that functional status and community inclusion had both direct and indirect effects on SRH, with negative mood as a mediator. Community inclusion had a more pronounced effect on SRH in younger recipients than in older recipients. HCBS should address psychosocial needs and be tailored for recipients of different age groups.

引用

页码：374 / 392

页数：19

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