Socio-economic inequalities in health and health service use among older adults in India: results from the WHO Study on Global AGEing and adult health survey

Public Health ◽  
2016 ◽  
Vol 141 ◽  
pp. 32-41 ◽  
Author(s):  
E.M. Brinda ◽  
J. Attermann ◽  
U.G. Gerdtham ◽  
U. Enemark
Keyword(s):  
Older Adults ◽  
Health Service ◽  
Health Survey ◽  
Service Use ◽  
Health Service Use ◽  
Adult Health ◽  
Inequalities In Health ◽  
Global Ageing ◽  
Economic Inequalities

scholarly journals Higher Rates of Untreated Distress in Older Versus Younger Adults With Indolent Lymphoma

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 466-466
Author(s):  
Kelly Trevino ◽  
Peter Martin ◽  
John Leonard
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Service Use ◽  
Mental Health Service Use ◽  
Health Service Use ◽  
Younger Adults

Abstract Indolent lymphomas are incurable but slow-growing cancers, resulting in a large number of older adults living with these diseases. Patients typically live with their illness for years with the knowledge that disease progression is likely. Yet, little is known about psychological distress in this population. This study examined rates of and the relationship between distress and mental health service use in older and younger adults with indolent lymphomas. Adult patients diagnosed with an indolent lymphoma (e.g., follicular lymphoma, marginal zone lymphoma) within the past six months completed self-report surveys of distress (Hospital Anxiety and Depression Scale; HADS) and mental health service use since the cancer diagnosis (yes/no). Descriptive statistics, t-tests, and chi-square analyses were used to examine study questions. The sample (n=84) included 35 patients 65 years or older. Across the entire sample, 21.4% screened positive for distress on the HADS; 58.8% of these patients did not receive mental health services. Older adults reported lower distress levels than younger adults (17.1% v. 24.5%; p=.038). Among younger adults, 50% of distressed patients received mental health services; only 20% of distressed older adults received mental health services. Distress was associated with mental health service use in younger adults (p=.004) but not in older adults (p=.17). Older adults with indolent lymphomas have higher levels of untreated distress than younger adults. Research on the mechanisms underlying these age differences (e.g., stigma toward mental health services, ageism) would inform interventions to increase rates of mental health service use and reduce care disparities due to age.

Factors Associated With Health Service Use Among Older Adults in a Mobile Veterans Program

2020 ◽  
Vol 46 (5) ◽  
pp. 15-22
Author(s):  
Mary Elizabeth Bowen ◽  
Beatrice Gaynor ◽  
Lorraine J. Phillips ◽  
Elizabeth Orsega-Smith ◽  
Angela Lavery ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Service ◽  
Service Use ◽  
Health Service Use ◽  
Factors Associated

scholarly journals Using the Past to Predict the Future: Latent Class Analysis of Patterns of Health Service Use of Older Adults in the Emergency Department

2014 ◽  
Vol 62 (4) ◽  
pp. 711-715 ◽  
Author(s):  
S. Nicole Hastings ◽  
Heather E. Whitson ◽  
Richard Sloane ◽  
Lawrence R. Landerman ◽  
Carolyn Horney ◽  
...  
Keyword(s):  
Older Adults ◽  
Emergency Department ◽  
Health Service ◽  
Latent Class Analysis ◽  
Service Use ◽  
Latent Class ◽  
Health Service Use ◽  
Class Analysis ◽  
The Past ◽  
The Future

Gender and age group differences in suicide risk associated with co-morbid physical and psychiatric disorders in older adults

2016 ◽  
Vol 29 (2) ◽  
pp. 249-257 ◽  
Author(s):  
Helen-Maria Vasiliadis ◽  
Catherine Lamoureux-Lamarche ◽  
Samantha Gontijo Guerra
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Health Service ◽  
Suicide Risk ◽  
Service Use ◽  
The Elderly ◽  
Health Service Use ◽  
Age Group ◽  
Co Morbidity ◽  
Gender And Age

ABSTRACTBackground:It is unclear whether health service use influences the association between psychiatric and physical co-morbidity and suicide risk in older adults.Methods:Controls were older adults (n = 2,494) participating in a longitudinal study on the health of the elderly carried out between 2004 and 2007, in Quebec. The cases were all suicide decedents (n = 493) between 2004 and 2007, confirmed by the Quebec Coroner's office. Multivariate analyses were carried out to test the association between suicide and the presence of psychiatric and physical illnesses controlling for health service use and socio-demographic factors by gender and age group. Interaction terms were also tested between suicide and co-morbidity on outpatient service use.Results:The presence of physical illnesses only, was associated with a reduced risk of suicide across all sex and age groups. The presence of a mental disorder only was associated with an increased risk of suicide overall and specifically in females and those aged 70 to 84 years of age. Suicide risk was lower in those with a psychiatric and physical co-morbidity and consulting mental health services.Conclusions:Increased mental health follow-up in older adults with psychiatric illnesses is needed for the detection of suicidal behavior and reducing suicide risk in males. Further research should focus on the mitigating effect of the presence of physical illnesses on stigma and health service use and the presence of social support in the elderly.

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