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Research on Aging
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Attitudinal Influences on the Elderly's Use of Assistance

Linda S. Noelker

The Benjamin Rose Institute

Amasa B. Ford

Case Western Reserve University

Atwood D. Gaines

Case Western Reserve University

Marie R. Haug

Case Western Reserve University

Paul K. Jones

Case Western Reserve University

Kurt C. Stange

Case Western Reserve University

Zak Mefrouche

Case Western Reserve University

This research examines the use of informal and formal assistance with personal and instrumental activities of daily living and the amount received by a randomly selected sample of urban older persons. A modified version of the Andersen behavioral model is used to organize explanatory factors that include the elderly's attitudes toward service use and filial expectations. Findings underscore the important influence of attitudes on assistance use in contrast to self-designated race, which had no influence either independently or in interaction with attitudinal variables. Elderly persons more likely to receive assistance were women of older age with lower incomes, who expressed more concerns about using services and were more physically disabled. Those receiving larger amounts of help had fewer concerns about using formal services and lived with their primary caregivers.

Research on Aging, Vol. 20, No. 3, 317-338 (1998)
DOI: 10.1177/0164027598203003
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