Satisfaction with aging and use of preventive health services

Kim, Eric S.; Moored, Kyle; Giasson, Hannah L.; Smith, Jacqui

doi:10.1016/j.ypmed.2014.09.008

Cited by 42 publications

(35 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In one study of community-dwelling older adults, those who held more negative views of aging were less likely to believe in the importance of discussing age-related issues such as depression, arthritis, and memory impairment with their doctors (40). On the other hand, older adults with positive self-perceptions of aging are more likely to use preventive health services (e.g., cholesterol tests, mammograms, prostate exams) (41). Thus, improving self-perceptions of aging may be important in not just promoting health but also encouraging older adults to be more proactive in seeking care.…”

Section: Discussionmentioning

confidence: 99%

Positive Self-Perceptions of Aging and Lower Rate of Overnight Hospitalization in the US Population Over Age 50

2017

Self Cite

View full text Add to dashboard Cite

Objective The aging of the Baby Boomer generation has led to an unprecedented rise in the number of U.S. adults reaching old age, prompting an urgent call for innovative and cost-effective ways to address the increasing health care needs of the aging population. Studying the role of psychosocial factors on health care utilization could offer insight into how to minimize hospitalizations among older adults. Methods We use prospective data from a subsample of 4,735 participants (mean age (SD) = 69 (8.79) years; 61% women) from the Health and Retirement Study, a nationally representative study of U.S. adults over age 50, to examine the association between self-perceptions of aging and self-reported overnight hospitalizations after adjusting for a comprehensive list of sociodemographic, health-related, and behavioral factors. Results Over the four-year follow-up, there were a total of 5,196 overnight hospitalizations, and 44% of the sample reported being hospitalized overnight at least once. After adjusting for sociodemographic factors, each standard deviation increase in positive self-perceptions of aging was associated with a lower rate of overnight hospitalization (IRR, 0.75 [95% CI, 0.71–0.80]; p < .001). After dividing respondents into quartiles of self-perceptions of aging, we observed a dose-response relationship with individuals in higher quartiles showing increasingly lower rates of overnight hospitalization. Conclusions Positive self-perceptions of aging are associated with a lower rate of hospitalization among older adults over 4 years. Future research should examine the factors that contribute to older adults’ self-perceptions of aging and explore the pathways through which attitudes towards aging influence the use of health care resources.

show abstract

Section: Discussionmentioning

confidence: 99%

Positive Self-Perceptions of Aging and Lower Rate of Overnight Hospitalization in the US Population Over Age 50

2017

Self Cite

View full text Add to dashboard Cite

show abstract

“…The remaining 3 questions were used in other studies: “So far, I am satisfied with the way I am aging,” “The older I get the more I have to stop doing things that I liked,” and “Getting older has brought with it many things that I do not like.” Following the instructions provided by the HRS, a composite mean score was calculated after reverse‐scoring relevant items (range 1‐6), so that a higher score indicated more positive SPA. It has adequate criterion validity by its associations with health status, loneliness, and preventive health service use . Self‐perceptions of aging measured in 2008 and 2012 were used in this study ( α = .81‐.82).…”

Section: Methodsmentioning

confidence: 99%

“…It has adequate criterion validity by its associations with health status, loneliness, 49 and preventive health service use. 50 Self-perceptions of aging measured in 2008 and 2012 were used in this study (α = .81-.82).…”

Section: Self-perceptions Of Agingmentioning

confidence: 99%

Self‐perceptions of aging mediate the longitudinal relationship of hopelessness and depressive symptoms

Gum

Ayalon

2017

Int J Geriat Psychiatry

View full text Add to dashboard Cite

As hypothesized, change in self-perceptions of aging partially mediated the relationship of hopelessness with depressive symptoms 6 years later. Findings are consistent with a conceptualization of hopelessness as broad negative expectations about the future that may contribute to negative self-perceptions of aging and subsequent changes in depressive symptoms. Reducing hopelessness, increasing hope, and improving self-perceptions of aging have potential to reduce and prevent depressive symptoms for older adults. Future research should examine the mechanisms of these interrelationships and other aging outcomes.

show abstract

“…While health insurance and economic access may be important factors in countries like Mexico [ 22 ], in the US, where preventive services for older adults are covered by Medicare, determinants of preventive service use among older adults include gender [ 4 ], race/ethnicity [ 23 ], depressive symptoms [ 24 ], health literacy, geographic isolation [ 25 ], as well as provider recommendation [ 26 ]. Greater aging satisfaction has been shown to be associated with greater use of preventive services [ 27 ]. Further investigation is required for understanding how the different predictors including self-efficacy may interplay in the final decision to access preventive care or participate in a preventive behavior; theoretical models include self-efficacy as an intermediate factor in the relationship between health literacy and health behavior [ 28 ].…”

Section: Introductionmentioning

confidence: 99%

The preventive services use self-efficacy (PRESS) scale in older women: development and psychometric properties

Jacob

Lo‐Ciganic

Simkin‐Silverman

et al. 2016

BMC Health Serv Res

View full text Add to dashboard Cite

BackgroundPreventive services offered to older Americans are currently under-utilized despite considerable evidence regarding their health and economic benefits. Individuals with low self-efficacy in accessing these services need to be identified and provided self-efficacy enhancing interventions. Scales measuring self-efficacy in the management of chronic diseases exist, but do not cover the broad spectrum of preventive services and behaviors that can improve the health of older adults, particularly older women who are vulnerable to poorer health and lesser utilization of preventive services. This study aimed to evaluate the psychometric properties of a new preventive services use self-efficacy scale, by measuring its internal consistency reliability, assessing internal construct validity by exploring factor structure, and examining differences in self-efficacy scores according to participant characteristics.MethodsThe Preventive Services Use Self-Efficacy (PRESS) Scale was developed by an expert panel at the University of Pittsburgh Center for Aging and Population Health - Prevention Research Center. It was administered to 242 women participating in an ongoing trial and the data were analyzed to assess its psychometric properties. An exploratory factor analysis with a principal axis factoring approach and orthogonal varimax rotation was used to explore the underlying structure of the items in the scale. The internal consistency of the subscales was assessed using Cronbach’s alpha coefficient.ResultsThe exploratory factor analysis defined five self-efficacy factors (self-efficacy for exercise, communication with physicians, self-management of chronic disease, obtaining screening tests, and getting vaccinations regularly) formed by 16 items from the scale. The internal consistency of the subscales ranged from .81 to .94. Participants who accessed a preventive service had higher self-efficacy scores in the corresponding sub-scale than those who did not.ConclusionsThe 16-item PRESS scale demonstrates preliminary validity and reliability in measuring self-efficacy in the use of preventive services among older women. It can potentially be used to evaluate the impact of interventions designed to improve self-efficacy in the use of preventive services in community-dwelling older women.

show abstract

Satisfaction with aging and use of preventive health services

Cited by 42 publications

References 41 publications

Positive Self-Perceptions of Aging and Lower Rate of Overnight Hospitalization in the US Population Over Age 50

Positive Self-Perceptions of Aging and Lower Rate of Overnight Hospitalization in the US Population Over Age 50

Self‐perceptions of aging mediate the longitudinal relationship of hopelessness and depressive symptoms

The preventive services use self-efficacy (PRESS) scale in older women: development and psychometric properties

Contact Info

Product

Resources

About