This research sought to identify the determinants of nonuse and high use of physician services and assess whether or not patterns of nonuse and high use changed over time. The population of interest was a group of elderly unmarried women who participated in the Longitudinal Retirement History Survey from 1969 to 1979. Andersen and Newman's (2) health care services utilization model served as the conceptual framework for this research. Of specific interest was the relationship between age strata and health care behavior. Age proved to be a stratifying variable within the health care delivery system. Over the ten year survey period, the health care behavior of preretirement and postretirement nonusers and high users differed significantly. A decline in nonuse was also associated with the transition years. This finding could be attributed to the "near poor" becoming eligible for Medicare. In any event, these data show that utilization of physician services is likely to increase among some unmarried women in their middle 60's.

From 1970 to 1980 nonadjacent counties in Texas experienced an increase in net migration of 9.4 percent, significantly different from the 11.8 percent decrease experienced the previous decade. This study utilized the ecological perspective to study this redistribution pattern in Texas' nonadjacent counties between 1970 and 1980. Sustenance organization, defined as sustenance differentiation (the functional organization of sustenance activities and the dispersion of workers across these functional categories) and the mode of sustenance organization (the combinations of various sustenance activities) was identified as the primary independent variable. In addition, three secondary independent variables were included in the analysis (population per square mile, metropolitan dominance, and the percent who work outside the county of residence).

Final report on a research study on the use of psychoactive prescription and nonprescription medicines and alcohol use among middle-aged and older adults.

Compilation of essays that address the topic of aging from a wide variety of perspectives and provide a basis for the discussion of housing issues concerning the elderly in the coming century. Indexes start on page 423 (authors) and 431 (subjects).