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Journal of Aging and Health, Vol. 14, No. 1, 3-23 (2002)
DOI: 10.1177/089826430201400101

Service Utilization among Disabled Puerto Rican Elders and Their Caregivers

Does Acculturation Play a Role?

Vanessa CalderÓn-Rosado, PhD

National Center on Women and Aging

Allison Morrill, PhD

New England Research Institutes

Bei-Hung Chang, ScD

Center for Health Quality, Outcomes and Economic Research

Sharon Tennstedt, PhD

Institutes for Studies on Aging

Objective:This study examined the relationship between language acculturation of disabled Puerto Rican elderly and their caregivers, their length of residence in mainland United States, and the utilization of formal services. Methods:Language acculturation was measured by language use, understanding, and preferences. The sample of this study consisted of 194 dyads of disabled Puerto Rican elders 60 years and older, and their primary caregivers in an urban center in the northeast. Results:Length of residence in the United States, but not language acculturation, of the disabled Puerto Rican elder and the caregiver was related to elder’s use of formal services. Caregivers, whose own children were born in Puerto Rico as opposed to mainland United States, were more likely to use formal services. Discussion:Language acculturation, although a commonly used measure of acculturation, may be of decreasing importance in explaining service utilization, as bilingual services become increasingly available. Practice implications are discussed.


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