Elders' use of home care services varies globally. The authors tested the relationship of cultural/ethnic, contextual, and social structural factors with elders' use of home care services in the United States. Fifty-seven non-Hispanic White or "Anglo" and 56 Mexican American elders participated. Use of services significantly correlated with Anglo and Mexican American elders' cultural/ethnic and contextual factors. Perceived need and service awareness were the two factors that were significant for both groups and that the authors believe would be amenable to change in future transcultural nursing interventions to decrease use of services disparities.

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