Neighborhood Disorder, Social Ties, and Preventive Healthcare Utilization among Urban-Dwelling Older Adults
Autor: | Swapnali Chavan, Ashley Vowels, Kenzie Latham-Mintus |
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Rok vydání: | 2020 |
Předmět: |
Male
medicine.medical_specialty Urban Population Influenza vaccine 03 medical and health sciences Social support 0302 clinical medicine Residence Characteristics Environmental health Preventive Health Services Odds Ratio medicine Humans Interpersonal Relations 030212 general & internal medicine Aged Preventive healthcare Aged 80 and over Community and Home Care 030505 public health business.industry Middle Aged Patient Acceptance of Health Care Social Participation medicine.disease Interpersonal ties Pneumonia Logistic Models Healthcare utilization Female Geriatrics and Gerontology 0305 other medical science business Gerontology Cholesterol screening |
Zdroj: | Journal of Aging and Health. 32:1387-1398 |
ISSN: | 1552-6887 0898-2643 |
Popis: | Objectives: This research examines whether perceived neighborhood disorder influences the use of preventive healthcare services (i.e. influenza vaccine, pneumonia vaccine, cholesterol screening, colonoscopy, and dental care) by older adults and whether social ties buffer the potential adverse effects of perceived neighborhood disorder. Methods: Using data from the 2012 wave of the Health and Retirement Study, binary logistic regression was used to generate odds ratio estimates of preventive healthcare use in the past 2 years. Results: We find that greater levels of neighborhood disorder were associated with fewer dental care visits net of social and health factors. Regular participation in four or more social activities was associated with decreased odds of restricted use and increased odds of receiving a pneumonia vaccine and colonoscopy. Discussion: This research provides evidence that perceived neighborhood disorder may act as a barrier for specific preventive healthcare services and highlights the need for targeted intervention. |
Databáze: | OpenAIRE |
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