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Please use this identifier to cite or link to this item: http://hdl.handle.net/1807/19040

Title: Massage Therapy Visits By The Aged: Testing a Modified Andersen Model
Authors: Willison, Kevin Donald
Advisor: Myers, Ted
Department: Dalla Lana School of Public Health
Keywords: Andersen Model
Massage Therapy
Issue Date: 18-Feb-2010
Abstract: Growing evidence suggests that chronic health conditions and disability act as reliable predictors of complementary/ alternative medicine (CAM) use. Such use may have the potential for some to increase independence and quality of life. Moreover, research indicates that older people are significant consumers of CAM services. Yet, understanding profiles of older individuals of these services continues to remain under researched. Here, a widely used type of CAM was considered – massage therapy (MT). Towards better understanding MT user profiles, this study tested a modified version of the Andersen Health Behavior Model to help ascertain if it is useful towards understanding factors associated with massage therapy (MT) utilization. Respondents represented an elderly sample (aged 60+) that resided within a large urban city in Ontario Canada (Toronto). Eligible respondents at the time of the study were non-institutionalized and self-reported having one of more current chronic illness conditions which they have had for six months or more, and had been diagnosed by a medical doctor. Using a quantitative method, retrospective data were gathered using a pre-tested English-only mail questionnaire, developed specifically for this study. Data were gathered over a period of 6 months, between late 2000 to mid 2001. Bivariate analysis suggests that inequity exists whereby the ability to access massage therapy varies according to one’s socioeconomic status. This is further supported using backwards step-wise regression analysis, whereby one’s total annual household income was a strong predictor of MT use status. One’s CAM-related health and social network as well as having back problems also emerged as strong predictors of MT use. Overall findings suggest that a modified Andersen model as used in this study does have utility in relation to helping to identify potential factors associated with the utilization of massage therapy. Based on regression analysis, findings here suggest, for example, that those with higher incomes are 1.5 times more likely to use MT. This provides support that there are existing inequities regarding access to rehabilitation-oriented health care services. With population aging and rising numbers of people needing restorative and rehabilitation services, study findings will increasingly have important public health as well as health care policy related implications.
URI: http://hdl.handle.net/1807/19040
Appears in Collections:Doctoral
Dalla Lana School of Public Health - Doctoral theses

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