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Gender differences in physician and dental visits among very old persons
Stockholm University, Faculty of Social Sciences, Department of Social Work. (Socialgerontologiska forskningsgruppen, Aging Research Center)
Karolinska institutet, Aging Research Center. (Socialgerontologiska forskningsgruppen, Aging Research Center)
Stockholm University, Faculty of Social Sciences, Department of Social Work. (Socialgerontologiska forskningsgruppen, Aging Research Center)
(English)Manuscript (preprint) (Other academic)
Abstract [en]

Objectives. To analyze gender differences in care utilization and correlates to utilization among very old people for visits to physicians and dentists.

Methods. Based on non-institutionalized respondents in SWEOLD, a nationally represen­tative interview survey of persons aged 77+ (n=529).

Results: There were no gender differences in physician visits but men were more likely to have visited the dentist than women. Marriage was positively associated with visits to the physician and the dentist for men. Higher education was positively associated with physician visits for men and with dentist visits for women. Men with impaired mobility were less likely to report physician visits than men without mobility problems.

Discussion: Unmarried men may be at a disadvantage for both dental and physician care. Given women’s poorer physical and dental health status, they may be disadvantaged both regarding visits to physician and dentist.

Keyword [en]
gender differences, health care, dental care, elderly population
National Category
Social Work
Research subject
Social Work
Identifiers
URN: urn:nbn:se:su:diva-55280OAI: oai:DiVA.org:su-55280DiVA: diva2:402208
Available from: 2011-03-07 Created: 2011-03-07 Last updated: 2011-03-16Bibliographically approved
In thesis
1. Gender Matters: Differences and change in disability and health among our oldest women and men
Open this publication in new window or tab >>Gender Matters: Differences and change in disability and health among our oldest women and men
2011 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

This thesis investigates gender differences in health and how they have changed between 1992 and 2002 among very old people. It explores gender differences in the association between disability and health, and gender differences in care utilization among our oldest old people. The studies are based on nationally representative data of the population in Sweden aged 77 and older (SWEOLD).

 Results from Study I showed that women generally had more health problems than men. Analyses of change between 1992 and 2002 showed increased prevalence rates for both sexes, especially women. However, women’s reporting of poor global self-rated health did not increase. There were no gender differences and there was no change over time in activities of daily living (ADL). Several health indicators seem to be developing differently for women and men.

 Study II showed that associations between ADL disability and other health indicators changed between 1992 and 2002, with several health problems and functional limitations becoming less disabling over time. This trend was especially true for women, while for men, the findings were mixed.

 Study III found no gender differences in physician visits and dental visits, despite women’s worse health and dental status. Marriage was associated with more physician visits for men and dentist visits for women. Results imply that women and unmarried older adults may have unmet health-care needs.

 Study IV examined whether the increase in life expectancy at age 65 observed between 1992 and 2002 consisted of years with or without musculoskeletal pain. Results showed that total years without pain decreased for both women and men, but more so for women. Women also had more years with pain added to life.

 The results of this thesis suggest an increase of health problems, but not disability, in the oldest Swedish population. However, gender variations in the findings highlight the importance of analyzing health trends separately for women and men.

Place, publisher, year, edition, pages
Stockholm: Department of Social Work, Stockholm University, 2011. 90 p.
Series
Stockholm studies in social work, ISSN 0281-2851 ; 29
Keyword
oldest old, gender differences, health trends, disability, care utilization, healthy life expectancy, Sweden
National Category
Social Work
Research subject
Social Work
Identifiers
urn:nbn:se:su:diva-55282 (URN)978-91-7447-253-0 (ISBN)
Public defence
2011-04-08, Aula Svea, Socialhögskolan, Sveaplan, Stockholm, 09:00 (Swedish)
Opponent
Supervisors
Note
At the time of the doctoral defense, the following papers were unpublished and had a status as follows: Paper 2: In press. Paper 3: Manuscript. Paper 4: Submitted.Available from: 2011-03-17 Created: 2011-03-07 Last updated: 2011-03-17Bibliographically approved

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