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Research on Aging
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Factors Affecting Utilization of Health Services and Home- and Community-Based Care Programs by Older Taiwanese in the United States

Tsuann Kuo

University of California, Los Angeles

Fernando M. Torres-Gil

University of California, Los Angeles

This article examines factors that affect the utilization of health care services and home- and community-based care (HCBC) programs by older Taiwanese, a rapidly growing and newly arrived immigrant group. Currently, knowledge about the health status and utilization of health-related services among newly arrived Asians is limited. This article analyzed data from the 1994 Southern California Taiwanese American Elderly Survey (n = 240) based on a modified Andersen behavioral model that included both cultural and structural variables. Significant variables included health needs, cultural beliefs, and socioeconomic and structural variables; however, variables predicting utilization of health services and HCBC programs were different. Implications for both gerontological research and practice include the following: (1) Future programs addressing service utilizations by older Taiwanese should be culturally sensitive and consider family as a unit of intervention, and (2) more multidisciplinary research should explore how cultural and structural variables contribute to service utilization among newly arrived elderly Asian immigrants.

Research on Aging, Vol. 23, No. 1, 14-36 (2001)
DOI: 10.1177/0164027501231002
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