Depressive symptoms and use of health services among older adults in Israel

Abstract Background: The prevalence of depressive symptoms has been steadily increasing in recent years, however middle aged and older adults was less likely to use mental health services. The aims of this study were to 1) examine the cross-sectional and longitudinal relationships between depressive symptoms and health services utilization among Chinese middle-aged and older adults; and 2) evaluate whether there exists a rural-urban difference in such relationships. Methods: Data was obtained from China Health and Retirement Longitudinal Study (CHARLS) in 2013 and 2015, a nationally representative survey of 13,551 adults aged 45 years and above in China. Multivariate logistic regression analyses were conducted to assess the cross-sectional and longitudinal relationship between depressive symptoms and health services utilization in the whole sample, and urban and rural subsamples respectively. Results: Depressive symptoms were positively associated with a greater likelihood of outpatient and inpatient health services utilization. In addition, the relationships between depressive symptoms and health service use were consistent across rural and urban settings, indicating the robustness of such findings across geographic areas. Conclusions: Findings indicate that depressive symptoms are significantly associated with both in-patient and out-patient health service utilization among Chinese adults. Screening for depressive symptoms needs to be incorporated in these care settings in China.

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Depressive symptoms and health service utilization among Chinese middle-aged and older adults: a national population-based longitudinal survey

International Journal of Mental Health Systems ◽

10.1186/s13033-020-00421-3 ◽

2021 ◽

Vol 15 (1) ◽

Author(s):

Jing Guo ◽

Dexia Kong ◽

Liming Fang ◽

Yingxue Zhu ◽

Bo Zhang

Keyword(s):

Older Adults ◽

Depressive Symptoms ◽

Health Service ◽

Health Services ◽

Service Utilization ◽

Health Service Utilization ◽

Health Services Utilization ◽

Middle Aged ◽

Cross Sectional ◽

Services Utilization

Abstract Objectives This study aimed to (1) examine the cross-sectional and longitudinal relationships between depressive symptoms and health services utilization among Chinese middle-aged and older adults; and (2) evaluate whether there exists a rural–urban difference in such relationships. Methods Data was obtained from China Health and Retirement Longitudinal Study (CHARLS) in 2013 and 2015, a nationally representative survey of 13,551 adults aged 45 years and above in China. Results Depressive symptoms were positively associated with a greater likelihood of outpatient and inpatient health services utilization. This association was consistent across rural and urban settings, indicating the robustness of such findings across geographic areas. Conclusions Findings indicate that depressive symptoms are significantly associated with both in-patient and out-patient health service utilization among Chinese adults. Screening for depressive symptoms needs to be incorporated in these care settings in China.

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Hearing loss and use of health services: a population-based cross-sectional study among Finnish older adults

BMC Geriatrics ◽

10.1186/s12877-016-0356-5 ◽

2016 ◽

Vol 16 (1) ◽

Cited By ~ 4

Author(s):

Tuija M. Mikkola ◽

Hannele Polku ◽

Päivi Sainio ◽

Päivikki Koponen ◽

Seppo Koskinen ◽

...

Keyword(s):

Older Adults ◽

Hearing Loss ◽

Health Services ◽

Population Based ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Use Of Health Services

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Use of Health Services for Psychological Distress Symptoms among Community-Dwelling Older Adults

Canadian Journal on Aging / La Revue canadienne du vieillissement ◽

10.1017/s0714980809090011 ◽

2009 ◽

Vol 28 (01) ◽

pp. 51 ◽

Cited By ~ 7

Author(s):

Michel Préville ◽

Helen-Maria Vasiliadis ◽

Richard Boyer ◽

Maria Goldfarb ◽

Karine Demers ◽

...

Keyword(s):

Older Adults ◽

Psychological Distress ◽

Health Services ◽

Community Dwelling ◽

Distress Symptoms ◽

Community Dwelling Older Adults ◽

Use Of Health Services

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Socioeconomic determinants of access to health services among older adults: a systematic review

Revista de Saúde Pública ◽

10.1590/s1518-8787.2017051006661 ◽

2017 ◽

Vol 51 (0) ◽

Cited By ~ 9

Author(s):

Ana Paula Santana Coelho Almeida ◽

Bruno Pereira Nunes ◽

Suele Manjourany Silva Duro ◽

Luiz Augusto Facchini

Keyword(s):

Systematic Review ◽

Older Adults ◽

Health Services ◽

Developed Countries ◽

The United States ◽

Inclusion Criteria ◽

Access To Health Services ◽

Socioeconomic Characteristics ◽

Unequal Access ◽

Use Of Health Services

ABSTRACT OBJECTIVE The objective of this study was to analyze the association between the socioeconomic characteristics and the access to or use of health services among older adults. METHODS This is a systematic review of the literature. The search has been carried out in the databases PubMed, LILACS and Web of Science, without restriction of dates and languages; however we have included only articles published in Portuguese, English, and Spanish. The inclusion criteria were: observational design, socioeconomic factors as variables of interest in the analysis of the access to or use of health services among older adults, representative sample of the target population, adjustment for confounding factors, and no selection bias. RESULTS We have found 5,096 articles after deleting duplicates and 36 of them have been selected for review after the process of reading and evaluating the inclusion criteria. Higher income and education have been associated with the use and access to medical appointments in developing countries and some developed countries. The same association has been observed in dental appointments in all countries. Most studies have shown no association between socioeconomic characteristics and the use of inpatient and emergency services. We have identified greater use of home visits in lower-income individuals, with the exception of the United States. CONCLUSIONS We have observed an unequal access to or use of health services in most countries, varying according to the type of service used. The expansion of the health care coverage is necessary to reduce this unequal access generated by social inequities.

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Falling, Health Status, and the Use of Health Services by Older Adults

Medical Care ◽

10.1097/00005650-199207000-00002 ◽

1992 ◽

Vol 30 (7) ◽

pp. 587-597 ◽

Cited By ~ 61

Author(s):

Fredric D. Wolinsky ◽

Robert J. Johnson ◽

John F. Fitzgerald

Keyword(s):

Older Adults ◽

Health Status ◽

Health Services ◽

Use Of Health Services

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The Relationship Between Depressive Symptoms and Health Services Utilization in U.S. Chinese Older Adults

The Gerontologist ◽

10.1093/geront/gny010 ◽

2018 ◽

Vol 59 (3) ◽

pp. 447-455 ◽

Cited By ~ 5

Author(s):

Dexia Kong ◽

Mengting Li ◽

Jinjiao Wang ◽

Joan K Davitt ◽

Xinqi Dong

Keyword(s):

Older Adults ◽

Depressive Symptoms ◽

Health Services ◽

Health Services Utilization ◽

Chinese Older Adults ◽

Services Utilization ◽

The Relationship

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Food Insecurity is Directly Associated with the Use of Health Services for Adverse Health Events among Older Adults

Journal of Nutrition ◽

10.1093/jn/nxaa286 ◽

2020 ◽

Vol 150 (12) ◽

pp. 3152-3160

Author(s):

Ariella K-L Spitzer ◽

Marisa P R Shenk ◽

James G Mabli

Keyword(s):

Older Adults ◽

Health Services ◽

Food Insecurity ◽

Skilled Nursing Facility ◽

Emergency Department Visits ◽

Health Events ◽

Adverse Health ◽

Nationally Representative ◽

Adverse Health Events ◽

Use Of Health Services

ABSTRACT Background In 2018, 14.3 million US households experienced food insecurity, which has been linked to negative health outcomes such as depression and anxiety, diabetes, and hypertension. This connection is particularly important for older adults, who are at greater risk than younger adults for developing certain health conditions. Objective We estimated the association between food insecurity and the use of health services for adverse health events over a 12-mo observation period following survey interview for a nationally representative group of older adults participating in the congregate meal (CM) and home-delivered meal (HDM) programs. Methods We analyzed data from the Nutrition Services Program (NSP) Outcomes Survey matched to Medicare claims and enrollment data in 2015–2016 for a nationally representative sample of 626 CM or HDM recipients ages 67 y and older. We used logistic regression analysis controlling for demographic characteristics, prior health events, and geography to estimate the association between food insecurity and use of health services, including emergency department visits, inpatient stays, skilled nursing facility stays, and home healthcare episodes. We used ordinary least squares regression analysis to estimate the association between food insecurity and Medicare spending. Results Food insecurity was associated with an average increased likelihood of using health services for adverse health events of 16% (95% CI: 1%, 32%) for HDM participants. Food insecurity was associated with an average increased likelihood of emergency department visits of 24% (95% CI: 6%, 41%) for CM participants and 20% (95% CI: 5%, 36%) for HDM participants. There was no observed increase in likelihood of using the other health services. Food-insecure participants were less likely to have a skilled nursing facility stay. Conclusions Food insecurity is associated with an increased likelihood of use of health services for adverse health events in older adult participants in meal service programs.

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