Stressful life events and physician utilization. 1988

N Krause
Health Gerontology Program, School of Public Health, University of Michigan, Ann Arbor 48109-2029.

The primary purpose of this study was to determine if the literature on stress and coping could be useful for studying patterns of physician utilization among older adults. It was hypothesized that elderly people with strong social support systems would be less likely to visit a physician in times of high stress than would older adults who receive less social support. This hypothesis was partially confirmed by the data. The second goal of this study was to determine whether or not locus of control beliefs buffer the effects of stress on physician use. The data suggest that elderly persons with internal locus of control beliefs make fewer visits to the doctor's office in times of high stress than do those individuals with an external locus of control orientation. It should be noted that this study did not assess changes in physician use through time and that information on stress was gathered 18 months prior to the gathering of information on physician utilization.

UI MeSH Term Description Entries
D008016 Life Change Events Those occurrences, including social, psychological, and environmental, which require an adjustment or effect a change in an individual's pattern of living. Life Course,Life Crises,Life Crisis,Life Experiences,Course, Life,Crisis, Life,Event, Life Change,Experience, Life,Life Change Event,Life Courses,Life Experience
D008297 Male Males
D009819 Office Visits Visits made by patients to health service providers' offices for diagnosis, treatment, and follow-up. Office Visit,Visit, Office,Visits, Office
D010820 Physicians Individuals licensed to practice medicine. Physician
D012044 Regression Analysis Procedures for finding the mathematical function which best describes the relationship between a dependent variable and one or more independent variables. In linear regression (see LINEAR MODELS) the relationship is constrained to be a straight line and LEAST-SQUARES ANALYSIS is used to determine the best fit. In logistic regression (see LOGISTIC MODELS) the dependent variable is qualitative rather than continuously variable and LIKELIHOOD FUNCTIONS are used to find the best relationship. In multiple regression, the dependent variable is considered to depend on more than a single independent variable. Regression Diagnostics,Statistical Regression,Analysis, Regression,Analyses, Regression,Diagnostics, Regression,Regression Analyses,Regression, Statistical,Regressions, Statistical,Statistical Regressions
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D001601 Bereavement Refers to the whole process of grieving and mourning and is associated with a deep sense of loss and sadness. Bereavements
D012944 Social Support Support systems that provide assistance and encouragement to individuals with physical or emotional disabilities in order that they may better cope. Informal social support is usually provided by friends, relatives, or peers, while formal assistance such as COMMUNITY SUPPORT is provided by churches, groups, etc. Perceived Social Support,Social Care,Online Social Support,Care, Social,Online Social Supports,Perceived Social Supports,Social Support, Online,Social Support, Perceived,Social Supports, Online,Social Supports, Perceived,Support, Online Social,Support, Perceived Social,Support, Social,Supports, Perceived Social

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