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Related Experiment Videos

Rural-urban differences in service use for memory-related problems in older adults.

N R Chumbler1, M Cody, B M Booth

  • 1Geriatric Center of Excellence, North Florida/South Georgia Veterans Health System, USA. chumbler@hpe.ufl.edu

The Journal of Behavioral Health Services & Research
|May 8, 2001
PubMed
Summary

Older rural adults face challenges accessing care for memory issues. Rural residents were less likely to use primary care physicians for memory problems compared to urban residents.

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Area of Science:

  • Gerontology
  • Rural Health
  • Healthcare Access

Background:

  • Rural areas often have fewer healthcare providers and greater travel burdens.
  • Older adults with memory-related problems may face unique barriers to care access.
  • Understanding rural-urban disparities in healthcare utilization is crucial for this demographic.

Purpose of the Study:

  • To investigate rural-urban differences in primary care physician (PCP) and mental health specialist (MHS) service use for memory-related problems.
  • To analyze these differences in the general older adult population and in a subset of those with cognitive impairment.

Main Methods:

  • Utilized a full sample of older adults and a subset of impaired respondents.
  • Compared the probability of service use between rural and urban older adults.

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  • Examined utilization of PCPs and MHS for memory-related issues.

    • Main Results:

    • In the full sample, rural older adults were less likely to use PCPs for memory problems (OR=0.66, p=.06).
    • This disparity was more pronounced in the impaired subgroup (OR=0.26, p=.02).
    • No significant rural-urban differences were found in MHS use for memory-related problems.

    Conclusions:

    • Significant disparities exist in primary care access for memory-related issues among older rural adults.
    • Barriers to care for memory problems appear more pronounced for impaired rural older adults.
    • Further research is needed to identify the specific causes of these access gaps.