lnu.sePublikasjoner
Endre søk
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Self-rated health and educational level among elderly with depressive and physical disorders
Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för medicin och optometri (MEO).ORCID-id: 0000-0002-4064-3815
Linköpings universitet.
Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för kemi och biomedicin (KOB).
Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för medicin och optometri (MEO). (eHälsoinstitutet ; eHealth Institute)ORCID-id: 0000-0002-4295-7201
Vise andre og tillknytning
(engelsk)Manuskript (preprint) (Annet vitenskapelig)
Abstract [en]

Aim: Poor self-rated health (SRH) among elderly has been suggested to be more closely related to mental than to physical disorders. The aim was to investigate the association between SRH in elderly and depressive and physical disorders in relation to age, sex and educational level.

Methods: A cross-sectional study was conducted using a questionnaire sent to a randomised Swedish sample of individuals aged 65-80 years with a response rate of 67% (n= 6659). SRH in relation to age, sex, education, depressive symptoms, hypertension, diabetes and asthma was calculated by univariate and multivariate logistic regressions analyses.

Results: There was an association between good SRH and not feeling depressed (OR 9.4), to not having hypertension (OR 1.6), diabetes (OR 2.8), or asthma (OR 2.1). SRH was rated as less good with higher age. SRH was rated as better with higher educational levels and men rated their health as better than women did. The association to depressive symptoms, hypertension, diabetes and asthma were lower with higher educational level and varied with sex.

Conclusion: Poor SRH in elderly was associated with depressive symptoms, hypertension, diabetes and asthma with the strongest association to depressive symptoms. Thus, SRH might serve as a valuable complement to other diagnostic methods in the health care of the elderly, as it also can provide health information beyond classical risk factors or medical history.

Emneord [en]
Asthma, Depression, Diabetes, Education, Elderly, Hypertension, Self-rated health
HSV kategori
Forskningsprogram
Naturvetenskap, Biomedicinsk vetenskap
Identifikatorer
URN: urn:nbn:se:lnu:diva-30339OAI: oai:DiVA.org:lnu-30339DiVA, id: diva2:663408
Tilgjengelig fra: 2013-11-11 Laget: 2013-11-11 Sist oppdatert: 2017-01-19bibliografisk kontrollert
Inngår i avhandling
1. Patient characteristic, perceived health and drug prescription in primary care
Åpne denne publikasjonen i ny fane eller vindu >>Patient characteristic, perceived health and drug prescription in primary care
2013 (engelsk)Doktoravhandling, med artikler (Annet vitenskapelig)
Alternativ tittel[sv]
Individuella faktorer, skattad hälsa och läkemedelsförskrivning inom primärvård
Abstract [en]

Patients have increased demands for information and involvement in decision-making including drug selection.  At the same time, society needs to limit costs, e.g. for subsidized drugs, thus entailing a challenge to in particular primary care. The overall aim of this thesis was to describe different factors influencing drug prescription in primary care and perceived health.

In a register study, the actual costs of prescribed subsidized drugs at five health care centers (HCCs) in areas of varying socioeconomic status (SES) were compared to the assigned drug budget. It revealed that HCCs with many citizens in the catchment area with low SES showed a deficit at year’s end. HCCs in areas with citizens with a higher SES showed a surplus.

In another register study, the prescription of drugs at lower or higher price levels for the diagnoses of chronic obstructive bronchitis, depression, diabetes and osteoporosis was studied. Drug prescription was then compared with individual factors for age, sex, education, income and country of birth, and whether the care provider was private or public. It was found that certain individual and provider factors appear to influence the prescribing of drugs of different price levels.

To investigate patient involvement in the decision to start long-term drug treatment, respondents who had recently begun taking medication were interviewed. The study showed that patient participation was important, but that participation implied different things to different patients. One view was that participation could be achieved without sharing the decision-making process, whereas another view was that participation was more or less willingness to become involved in decision-making. Prerequisites for patient participation were knowledge in the relevant area and trust in the physician.

A fourth study examined how individuals aged 65-80 years rated their health. The study showed that health was assessed much lower in respondents with depressive symptoms compared to those without corresponding symptoms. Health was also assessed as worse for people with hypertension and in those treated with drugs for depression and hypertension. Health was perceived as better in the younger age groups, in individuals with higher educational levels, and for men. 

Drug prescription in primary care is controlled, in addition to medical necessity, by economic constraints, and that patients need an opportunity to influence decisions about their care and treatment. However, economic constraints make it difficult for physicians to support patients in their choice of medication. This may influence patient adherence to medication.

sted, utgiver, år, opplag, sider
Växjö: Linnaeus University Press, 2013. s. 72
Serie
Linnaeus University Dissertations ; 136/2012
HSV kategori
Forskningsprogram
Naturvetenskap, Biomedicinsk vetenskap
Identifikatorer
urn:nbn:se:lnu:diva-25640 (URN)978-91-87427-29-9 (ISBN)
Disputas
2013-05-29, N2007 Västergård, Smålandsgatan 26a, Kalmar, 09:43 (svensk)
Opponent
Veileder
Tilgjengelig fra: 2013-05-23 Laget: 2013-05-14 Sist oppdatert: 2017-05-30bibliografisk kontrollert

Open Access i DiVA

Fulltekst mangler i DiVA

Personposter BETA

Semark, BirgittaTågerud, SvenPetersson, GöranPeterson, Ulla

Søk i DiVA

Av forfatter/redaktør
Semark, BirgittaTågerud, SvenPetersson, GöranPeterson, Ulla
Av organisasjonen

Søk utenfor DiVA

GoogleGoogle Scholar

urn-nbn

Altmetric

urn-nbn
Totalt: 218 treff
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf