Problem statement: This study was designed to identify predictors of the use of home health care services by elders in different ethnic groups. Approach: A cross-sectional study was conducted with convenient sample of Anglo elders (N = 57), Mexican American elders (N = 56) and elders in South Korea (N = 83). Hierarchical multiple regression analysis was conducted. Results: The need for home health care services was the significant predictor of home care service use for Anglo (Adjusted R2 = 0.164; R2 change = 0.176; F-change (1,56) = 11.93; p = 0.001); service awareness and low education were significant predictors for Mexican American (Adjusted R2 = 0.332; R2 change = 0.068; F-change (1,48) = 5.22; p = 0.027). Service awareness and elders living alone were significant predictors for South Korean elders (Adjusted R2 = 0.112; R2 change = 0.050; F-change (1,80) = 4.58; p = 0.035). Conclusion: The results of the study suggested that effective interventions for home health care services should focus on elders