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ABSTRACT

The purpose of this project was to examine the relation of perceived health status and health services among the elders

living alone in the Community. A cross-sectional correlation design and purposive sampling were used. Subjects were

recruited from the elders who were over 65 years old and living alone in the community. A total of 94 valid questionnaires

was completed. Data were collected by interviews including the demographic data, perceived health status, and health

service utilization. The results indicated that perceived health status was fair. Health service utilization based on severity

of illness and medicine habits were major predictors of traditional Chinese medicine, explaining 12.9% of variance in the

traditional Chinese medicine. Mobility, self-reported number of illness, and religious belief were major predictors of

Western medicine, explaining 26.6% of variance in the Western medicine. Severity of illness, birthplace, number of children,

and age were major predictors of informal health services used, explaining 24.7% of variance in the informal health

services used. Results of the study can offer healthcare providers further information about perceived health status and

health service utilization among elderly people living alone. Therefore, healthcare providers can design appropriate ser-

vices for the elders living alone in their community. (Tzu Chi Nursing Journal, 2003; 2:2, 66-74.)

Key words: Elders living alone, perceived health status, health services utilization.

Perceived Health Status and Health Services Utilization

Among Elders Living Alone in the Community

Mau-yu Chin • Chii-jun Chiou • Cheng-kuang Shaw • Derfa Lu

Received: March 1, 2003 Revised: March 15, 2003 Accepted: April 15, 2003Address correspondence to: Derfa Lu, Department of Nursing, Tzu Chi University, 701, Section 3, Chung-Yang Road, Hualien970, Taiwan, R. O. C.Tel: (03)8565301 ext. 7088