Unmet needs for supportive: Services a comparison of rural and urban older adults

Hong Li

Research output: Contribution to journalArticlepeer-review


This study examined residence differences in unmet needs for seven commonly used supportive services including respite/adult day care, personal care, homemaker, home-delivered/congregate meals, transportation, home modification, and assistive devices services. Data were extracted from the 1999 National Long-Term Care Survey and included 848 caregivers of an adult who was over 65 years old, was community dwelling, and used one or more supportive services. Over one-third of caregivers reported that supportive services provided did not meet the needs of old adults. The prevalence rate of unmet needs differs across the seven supportive services. Using multivariate logistic regression tests, rural versus urban differences in unmet needs were found for personal care, homemaker, and assistive devices services. Rural older adults were less likely to experience unmet needs for these services than their urban counterparts.

Original languageEnglish (US)
Pages (from-to)19-39
Number of pages21
JournalJournal of Social Service Research
Issue number3
StatePublished - Jul 26 2006


  • Older adults
  • Rural/urban differences
  • Supportive services
  • Unmet needs

ASJC Scopus subject areas

  • Social Sciences (miscellaneous)
  • Sociology and Political Science


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