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Are sisters doing it (all) for thems...

Buchanan Turner, Carlene.

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Are sisters doing it (all) for themselves? Elderly Black women and healthcare decision making.

紀錄類型:	書目-語言資料,印刷品 : Monograph/item
正題名/作者:	Are sisters doing it (all) for themselves? Elderly Black women and healthcare decision making./
作者:	Buchanan Turner, Carlene.
面頁冊數:	153 p.
附註:	Source: Dissertation Abstracts International, Volume: 70-08, Section: A, page: 3209.
Contained By:	Dissertation Abstracts International70-08A.
標題:	African American Studies. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3369038
ISBN:	9781109308310

Are sisters doing it (all) for themselves? Elderly Black women and healthcare decision making.
Buchanan Turner, Carlene.

Are sisters doing it (all) for themselves? Elderly Black women and healthcare decision making. - 153 p.

Source: Dissertation Abstracts International, Volume: 70-08, Section: A, page: 3209.

Thesis (Ph.D.)--City University of New York, 2009.

This dissertation examines the effects of health values on the decisions made by elderly Black women to use self-care methods and homecare services. The research is grounded in the healthicization or wellness promotion paradigm, which prescribes behavioral or lifestyle changes for previously biomedically defined events.

ISBN: 9781109308310Subjects--Topical Terms:

1669123
African American Studies.

Are sisters doing it (all) for themselves? Elderly Black women and healthcare decision making.
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500 $a Adviser: Juan Battle.
502 $a Thesis (Ph.D.)--City University of New York, 2009.
520 $a This dissertation examines the effects of health values on the decisions made by elderly Black women to use self-care methods and homecare services. The research is grounded in the healthicization or wellness promotion paradigm, which prescribes behavioral or lifestyle changes for previously biomedically defined events.
520 $a The dissertation consists of both quantitative and qualitative research. The quantitative component focuses on a sample of Black women over 70 years old (N= 642) from the 2000 NHI Second Longitudinal Study on Aging dataset. The qualitative component analyzes ten in-depth interviews with respondents from Southern Maryland used to supplement the quantitative findings.
520 $a Although the quantitative and qualitative analyses resulted in complementary findings, there were some important differences. First, the results from the Multiple Regression demonstrate that, for elderly Black women, health values explained a fair amount of the variance in equipment self-care (R2 of .199); equipment self-care also contributes more to the independence of elderly Black women than behavioral and environmental self-care (which accounted for 8.4 and 1.0 percent of the variance respectively).
520 $a Secondly, structural equation modeling (SEM) was used to establish causality among the three major constructs of the research in order to make inferences about the sample population. For example, the SEM findings revealed that elderly Black women with positive self-values are less likely to practice traditional self-care, while those who practiced self-care were more dependent on homecare services.
520 $a Finally, the interviews helped to illustrate the findings from the quantitative analysis. Specifically, elderly Black women choose to practice self-care to maintain their independence, and believe they are personally responsible for maintaining a healthy lifestyle.
520 $a Two major policy implications were derived from this study. First, while the personal responsibility crusade in healthcare is important, clients from marginalized populations should not be deprived of public healthcare programs if they choose not to participate in this trend. Second, greater flexibility should be allowed the elderly client in deciding how to spend homecare subsidies from local Respite programs.
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