292987
Using quantitative and qualitative data to explore the utilization of preventive health services among older adults along the Texas-Mexico border
Tuesday, November 5, 2013
: 3:18 p.m. - 3:30 p.m.
Liza Talavera-Garza, PhD,
South Texas Border Health Disparities Center, The University of Texas-Pan American, Edinburg, TX
Suad F. Ghaddar, PhD,
South Texas Border Health Disparities Center, The University of Texas-Pan American, Edinburg, TX
Recent research highlights the underutilization of preventive health services by Medicare recipients, with some minority groups reporting lower rates than non-Hispanic Whites. The purpose of this study is to employ quantitative and qualitative research methods to explore factors related to preventive health services utilization among older adults in a Texas-Mexico border community. Two phases of data collection are utilized. Phase I (completed) included the collection of 195 structured interviews with adults, 65 years of age and older, to examine factors related to their use of preventive health services. Examined factors included self-rated health, mental health, instrumental support, use of a medical home, health literacy, and knowledge of clinical recommendations. Logistic regression analyses revealed that knowledge of clinical recommendations was significantly related to receipt of influenza vaccine (OR:8.03,CI:3.27-19.70, p<.001) and screening for colon (OR:4.12,CI:1.16-14.66, p<.05) and prostate cancer (OR:4.24,CI:1.38-13.03, p<.05). Phase II (planned for March 2013) will include 20 key informant interviews to be conducted with older adults, health professionals, and others with knowledge regarding older adult health. These qualitative interviews will explore individual and structural-level determinants of preventive health service utilization. A grounded theory approach will be used to analyze qualitative data. Phase II findings will be forthcoming. The findings that knowledge regarding clinical recommendations was significantly related to utilization of preventive services in this population and the results of Phase II will be used to develop a culturally- and linguistically-tailored health education curriculum focused on the promotion of preventive health services among older adults residing along the Texas-Mexico border.
Learning Areas:
Diversity and culture
Planning of health education strategies, interventions, and programs
Learning Objectives:
Describe the factors related to the underutilization of preventive health services among older adults along the Texas-Mexico border.
Explain the process of utilizing quantitative and qualitative methods to inform the development of health education curricula for older adults.
Keyword(s): Clinical Prevention Services, Health Education
Presenting author's disclosure statement:Qualified on the content I am responsible for because: I am the principal investigator of the current study. I have previously worked on the development of a culturally-tailored health education curriculum.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.
