ABSTRACT

This research examined determinants of self-rated health (SRH) of publicly funded home-and-community-based services (HCBS) recipients and tested if the effects of determinants differ between older recipients and younger recipients with disabilities. Using Minnesota’s data of 2015–2016 National Core Indicators – Aging and Disabilities survey (n = 3,426), this study revealed that functional status and community inclusion had both direct and indirect effects on SRH, with negative mood as a mediator. Community inclusion had a more pronounced effect on SRH in younger recipients than in older recipients. HCBS should address psychosocial needs and be tailored for recipients of different age groups.

摘要

这项研究检查了公共资助的家庭和社区服务 (HCBS) 接受者的自评健康 (SRH) 的决定因素，并测试了决定因素的影响在年长的接受者和年轻的残疾接受者之间是否不同。使用明尼苏达州 2015-2016 年国家核心指标——老龄化和残疾调查（n = 3,426）的数据，该研究表明，功能状态和社区包容对 SRH 有直接和间接的影响，消极情绪是中介。与年长的接受者相比，社区包容对年轻接受者的 SRH 影响更为显着。HCBS 应解决社会心理需求，并针对不同年龄组的接受者量身定制。