Preferences for family care and lower utilization of formal long-term care services has been a hallmark of the literature concerning chronic illness management among Hispanic/Latino populations (Villa et al., 1993). Use of in-home care services was found by Wallace and Lew-Ting (1992) to be twice as high among Puerto Ricans as other older Hispanic populations, which they suggested might be related to the well-developed network of services in New York City compared to rural areas where many Mexican American elders live. Fewer older Hispanics use nursing home care than other older Americans and those that do are more likely to be younger and more impaired (Villa et al., 1993).


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