Psychological Distress and the Use of Clinical Preventive Services by Community-Dwelling Older Adults

Research output: Contribution to journalArticle

Szu Hsuan Lin, Omolola E. Adepoju, Bita A. Kash, Bethany DeSalvo, Darcy K. McMaughan

In this study, we explored whether psychological distress plays a role in the use of recommended clinical preventive services among community-dwelling older adults. The sample is drawn from respondents 65 years and older who participated in the 2011 Medical Expenditure Panel Survey (MEPS). Logistic regressions with selected covariates were entered in the model to estimate odds ratios (OR) with 95% confidence interval (CI) for the independent effect of psychological distress on the utilization of each of five preventive services. With the exception of breast cancer screening where the uptake of preventive services was significantly lower for older adults with psychological distress (OR = 0.57, p <.001), uptake of other key preventive measures revealed no significant utilization differences between older adults with and without psychological distress. The results suggest that adherence to breast cancer screening guidelines may be increased by improving recognition and treatment of emotional health problems in older women.

Original languageEnglish (US)
Pages (from-to)599-616
Number of pages18
JournalJournal of Applied Gerontology
Volume38
Issue number5
DOIs
StatePublished - May 1 2019

PMID: 28380724

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Psychological Distress and the Use of Clinical Preventive Services by Community-Dwelling Older Adults. / Lin, Szu Hsuan; Adepoju, Omolola E.; Kash, Bita A.; DeSalvo, Bethany; McMaughan, Darcy K.

In: Journal of Applied Gerontology, Vol. 38, No. 5, 01.05.2019, p. 599-616.

Research output: Contribution to journalArticle

Harvard

Lin, SH, Adepoju, OE, Kash, BA, DeSalvo, B & McMaughan, DK 2019, 'Psychological Distress and the Use of Clinical Preventive Services by Community-Dwelling Older Adults' Journal of Applied Gerontology, vol. 38, no. 5, pp. 599-616. https://doi.org/10.1177/0733464817693376

APA

Lin, S. H., Adepoju, O. E., Kash, B. A., DeSalvo, B., & McMaughan, D. K. (2019). Psychological Distress and the Use of Clinical Preventive Services by Community-Dwelling Older Adults. Journal of Applied Gerontology, 38(5), 599-616. https://doi.org/10.1177/0733464817693376

Vancouver

Lin SH, Adepoju OE, Kash BA, DeSalvo B, McMaughan DK. Psychological Distress and the Use of Clinical Preventive Services by Community-Dwelling Older Adults. Journal of Applied Gerontology. 2019 May 1;38(5):599-616. https://doi.org/10.1177/0733464817693376

Author

Lin, Szu Hsuan ; Adepoju, Omolola E. ; Kash, Bita A. ; DeSalvo, Bethany ; McMaughan, Darcy K. / Psychological Distress and the Use of Clinical Preventive Services by Community-Dwelling Older Adults. In: Journal of Applied Gerontology. 2019 ; Vol. 38, No. 5. pp. 599-616.

BibTeX

@article{95b2011220e04180b2b4c47ec87c3488,
title = "Psychological Distress and the Use of Clinical Preventive Services by Community-Dwelling Older Adults",
abstract = "In this study, we explored whether psychological distress plays a role in the use of recommended clinical preventive services among community-dwelling older adults. The sample is drawn from respondents 65 years and older who participated in the 2011 Medical Expenditure Panel Survey (MEPS). Logistic regressions with selected covariates were entered in the model to estimate odds ratios (OR) with 95{\%} confidence interval (CI) for the independent effect of psychological distress on the utilization of each of five preventive services. With the exception of breast cancer screening where the uptake of preventive services was significantly lower for older adults with psychological distress (OR = 0.57, p <.001), uptake of other key preventive measures revealed no significant utilization differences between older adults with and without psychological distress. The results suggest that adherence to breast cancer screening guidelines may be increased by improving recognition and treatment of emotional health problems in older women.",
keywords = "older adults, preventive services, psychological distress",
author = "Lin, {Szu Hsuan} and Adepoju, {Omolola E.} and Kash, {Bita A.} and Bethany DeSalvo and McMaughan, {Darcy K.}",
year = "2019",
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language = "English (US)",
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pages = "599--616",
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issn = "0733-4648",
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RIS

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T1 - Psychological Distress and the Use of Clinical Preventive Services by Community-Dwelling Older Adults

AU - Lin, Szu Hsuan

AU - Adepoju, Omolola E.

AU - Kash, Bita A.

AU - DeSalvo, Bethany

AU - McMaughan, Darcy K.

PY - 2019/5/1

Y1 - 2019/5/1

N2 - In this study, we explored whether psychological distress plays a role in the use of recommended clinical preventive services among community-dwelling older adults. The sample is drawn from respondents 65 years and older who participated in the 2011 Medical Expenditure Panel Survey (MEPS). Logistic regressions with selected covariates were entered in the model to estimate odds ratios (OR) with 95% confidence interval (CI) for the independent effect of psychological distress on the utilization of each of five preventive services. With the exception of breast cancer screening where the uptake of preventive services was significantly lower for older adults with psychological distress (OR = 0.57, p <.001), uptake of other key preventive measures revealed no significant utilization differences between older adults with and without psychological distress. The results suggest that adherence to breast cancer screening guidelines may be increased by improving recognition and treatment of emotional health problems in older women.

AB - In this study, we explored whether psychological distress plays a role in the use of recommended clinical preventive services among community-dwelling older adults. The sample is drawn from respondents 65 years and older who participated in the 2011 Medical Expenditure Panel Survey (MEPS). Logistic regressions with selected covariates were entered in the model to estimate odds ratios (OR) with 95% confidence interval (CI) for the independent effect of psychological distress on the utilization of each of five preventive services. With the exception of breast cancer screening where the uptake of preventive services was significantly lower for older adults with psychological distress (OR = 0.57, p <.001), uptake of other key preventive measures revealed no significant utilization differences between older adults with and without psychological distress. The results suggest that adherence to breast cancer screening guidelines may be increased by improving recognition and treatment of emotional health problems in older women.

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KW - preventive services

KW - psychological distress

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U2 - 10.1177/0733464817693376

DO - 10.1177/0733464817693376

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JO - Journal of applied gerontology : the official journal of the Southern Gerontological Society

T2 - Journal of applied gerontology : the official journal of the Southern Gerontological Society

JF - Journal of applied gerontology : the official journal of the Southern Gerontological Society

SN - 0733-4648

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