lnu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Self-rated health and educational level among elderly with depressive and physical disorders
Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.ORCID iD: 0000-0002-4064-3815
Linköpings universitet.
Linnaeus University, Faculty of Health and Life Sciences, Department of Chemistry and Biomedical Sciences.
Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry. (eHälsoinstitutet ; eHealth Institute)ORCID iD: 0000-0002-4295-7201
Show others and affiliations
(English)Manuscript (preprint) (Other academic)
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.

Keywords [en]
Asthma, Depression, Diabetes, Education, Elderly, Hypertension, Self-rated health
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Natural Science, Biomedical Sciences
Identifiers
URN: urn:nbn:se:lnu:diva-30339OAI: oai:DiVA.org:lnu-30339DiVA, id: diva2:663408
Available from: 2013-11-11 Created: 2013-11-11 Last updated: 2017-01-19Bibliographically approved
In thesis
1. Patient characteristic, perceived health and drug prescription in primary care
Open this publication in new window or tab >>Patient characteristic, perceived health and drug prescription in primary care
2013 (English)Doctoral thesis, comprehensive summary (Other academic)
Alternative title[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.

Place, publisher, year, edition, pages
Växjö: Linnaeus University Press, 2013. p. 72
Series
Linnaeus University Dissertations ; 136/2012
National Category
Nursing
Research subject
Natural Science, Biomedical Sciences
Identifiers
urn:nbn:se:lnu:diva-25640 (URN)978-91-87427-29-9 (ISBN)
Public defence
2013-05-29, N2007 Västergård, Smålandsgatan 26a, Kalmar, 09:43 (Swedish)
Opponent
Supervisors
Available from: 2013-05-23 Created: 2013-05-14 Last updated: 2017-05-30Bibliographically approved

Open Access in DiVA

No full text in DiVA

Authority records BETA

Semark, BirgittaTågerud, SvenPetersson, GöranPeterson, Ulla

Search in DiVA

By author/editor
Semark, BirgittaTågerud, SvenPetersson, GöranPeterson, Ulla
By organisation
Department of Medicine and OptometryDepartment of Chemistry and Biomedical SciencesDepartment of Health and Caring Sciences
Public Health, Global Health, Social Medicine and Epidemiology

Search outside of DiVA

GoogleGoogle Scholar

urn-nbn

Altmetric score

urn-nbn
Total: 210 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf