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.
Bibliographical notePublisher Copyright:
© 2021 Taylor & Francis.
- adults with disabilities
- Home-and-community-based services
- long-term services and supports
- medicaid waiver
- older adults
- self-rated health
PubMed: MeSH publication types
- Journal Article