Correlations Among Self-Rated Health, Chronic Disease, and Healthcare Utilization in Widowed Older Adults in Taiwan

Ho, Shu-Hsi

doi:10.1097/jnr.0000000000000248

Cited by 15 publications

(18 citation statements)

References 2 publications

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“…The proportion of self-rated health decline after SD increased signi cantly among women. This was consistent with the ndings of previous studies indicating that widowed older adults have poorer self-rated health [31,32] and that SD negatively affects health [33]. Men exhibited an obvious decline in mobility after SD, whereas the mobility of women improved, indicating a sex difference.…”

Section: Resultssupporting

confidence: 91%

Effect of spousal loss on depression in older adults

Chen¹,

Lee²,

Shiau³

et al. 2020

Preprint

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Background: In addition to increasing the mortality among older adults, spousal death (SD) increases their risk of depression. This study explored the factors affecting depression among widowed older adults to provide health care strategies for successful aging. Methods: A total of 710 adults older than 60 years completed a questionnaire before and after their spouses’ deaths. The survey data included age, sex, ethnic group, education level, financial station socioeconomic status, SD (including time point), smoking status, alcohol consumption, self-rated health status, Center for Epidemiologic Studies Depression Scale score, mobility, and degree of support from relatives and friends. Results: The proportion of participants with depression after SD was 1.7 times that of before SD (P < 0.0001). Worsened mobility (odds ratio [OR] = 1.3, P < 0.01), low self-rated health status (OR = 0.5, P < 0.01), and a high degree of support from relatives and friends (OR = 1.5, P < 0.01) had a significant positive correlation with depression after SD. The proportion of depression that occurred within 6 months after SD was 6.0 times higher than that of depression before SD. Participants who lived alone after losing their spouses who were healthy before their deaths exhibited a significantly increased proportion of depression after their spouses’ deaths. Conclusion: Male sex, spouse’s health, and the period of 6 months after SD are risk factors for depression in older adults. The maintenance of mobility, positive self-rated health status, and a shorter period of depression after a spouse’s death result in more favorable adaptability among women. Social workers or family members should focus on older adults whose spouses died unexpectedly or within the last 6 months. Living with family members after SD can alleviate depression in older adults.

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Section: Resultssupporting

confidence: 91%

Effect of spousal loss on depression in older adults

Chen¹,

Lee²,

Shiau³

et al. 2020

Preprint

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“…The ndings from present study are consistent with the prior studies in Taiwan and India [14,44]. In the light of marital protection hypothesis, we nd found that widowhood and the use of inpatient healthcare services has a strong association for women and there is inconsistency in such association for men [1-3, 44, 46].…”

Section: Discussionsupporting

confidence: 91%

Marital Status, Sex and Utilisation of Healthcare Service Among the Older Adults in India

Hossain¹,

James²,

Rana³

2020

Preprint

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Background: The association between marital status and health status among the elderly has been at the forefront of investigation for a long time. However, the study on the effects of marital status on health care utilisation is limited. This study assesses the association between use of inpatient health services and marital status among older adults in India from the perspective of sex. Methods: Data used in the study have been obtained from the 75th Round of National Sample Survey (NSS) on "Social Consumption: Health" with the sample size of 42,762 individuals aged 60 years or above. The study implements the Andersen's behavioural framework controlling the predisposing, enabling, and need characteristics and uses binary logistic regression models to assess the effect of marital status on inpatient health service. Results: There is a significant difference in inpatient healthcare use between married and widowed elderly by age, educational level, perceived health and mobility for both sexes. The unadjusted regression analysis shows that widowed are more likely to use inpatient health services both for women (OR=1.57; CI 95%= 1.47, 1.68) and men (OR=1.11; CI 95%= 1.02, 1.2). However, after controlling the predisposing, enabling, and need factors, a strong association between healthcare services and marital status has been found for women, but not for men. Widowed women (OR=1.43; CI 95%=1.33, 1.54) are more likely to use inpatient health care than married women. Conclusion: The present study has reported the association between the utilisation of inpatient health services and marital status for the elderly in India. Our study advocates that there is a sex difference in the utilisation of inpatient health services by the marital Status in India. Older widowed women should get more focus on health and elderly policy perspectives.

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“…In 11 of the 21 cross-sectional studies (52.4%) [21, 36, 38, 54, 57, 70, 72, 73, 75, 77], poor SRH was significantly associated with poor outcomes, such as reduced mobility and limitations in activities of daily living (ADL) [63], decreased functionality [37], poorer affective-emotional and social state [46], poor marital status [72], and the presence of other health conditions [51, 71] (Table 2).…”

Section: Resultsmentioning

confidence: 99%

Self-rated health after stroke: a systematic review of the literature

et al. 2019

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Background Self-rated health (SRH) allows for comparison and identification of the health status of various populations. The aim of this study was to conduct a systematic review of the literature to expand the understanding of SRH after stroke. Methods This systematic review was registered with PROSPERO (CRD42017056194) and conducted according to PRISMA guidelines. Studies published until December 2018 that evaluated the SRH of adults with stroke were included. Results Of the 2132 identified studies, 51 were included. Only four studies had experimental designs (7.8%). In 60.7% of the studies, SRH was assessed by variations on direct questions (i.e., general and comparative SRH). Analog visual scales and quality of life instruments were also used to evaluate SRH, but there is no consensus regarding whether they are appropriate for this purpose. The results of cross-sectional and longitudinal studies revealed significant associations between poor SRH and stroke as well as between SRH, function, and disability. The power of SRH to predict stroke mortality is still uncertain. Two interventions (a home-based psychoeducational program concerning stroke health care and family involvement in functional rehabilitation) effectively improved SRH. Conclusions Direct questions are the most common method of evaluating SRH after stroke. Studies reported significant associations between the SRH of individuals with stroke and several relevant health outcomes. However, few experimental studies have evaluated SRH after stroke. Interventions involving health education and family involvement had a significant impact on SRH.

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Correlations Among Self-Rated Health, Chronic Disease, and Healthcare Utilization in Widowed Older Adults in Taiwan

Cited by 15 publications

References 2 publications

Effect of spousal loss on depression in older adults

Effect of spousal loss on depression in older adults

Marital Status, Sex and Utilisation of Healthcare Service Among the Older Adults in India

Self-rated health after stroke: a systematic review of the literature

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