Influencing Self-Reported Health Among Rural Low-Income Women Through Health Care and Social Service Utilization: A Structural Equation Model

Tiffany Bice-Wigington, Catherine Huddleston-Casas

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Using structural equation modeling, this study examined the mesosystemic processes among rural low-income women, and how these processes subsequently influenced self-reported health. Acknowledging the behavioral processes inherent in utilization of health care and formal social support services, this study moved beyond a behavioral focus by shifting attention to the affective and cognitive processes within the mesosystem. Findings from this study demonstrate that behavioral processes alone did not have a direct significant effect on self-reported health problems over time. However, by shifting attention to the affective and cognitive processes, a missing link between service utilization and future reported health emerged.

Original languageEnglish (US)
Pages (from-to)417-434
Number of pages18
JournalJournal of Family Social Work
Volume15
Issue number5
DOIs
StatePublished - Oct 2012

Keywords

  • formal social support
  • health care access
  • health disparities
  • intersetting knowledge
  • low-income women
  • multisetting participation
  • rural

ASJC Scopus subject areas

  • Development
  • Sociology and Political Science

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