Depressive Symptoms, Lack of Physical Activity, and Their Combination Towards Health Care Utilisation Frequency

Depressive symptoms and lack of physical activity are independent factors that lead to higher health care utilisation, often occurring simultaneously. We aimed to assess the effects of depressive symptoms, lack of aerobic physical activity (PA), and the combination of those factors on the probability of using in- and outpatient health care services in men and women. Data from 15,770 people from the nationally representative Austrian Health Interview Survey (AT-HIS) were used. In analysis, depressive symptoms, adjusted for sociodemographic, health related, and lifestyle-related factors were associated with higher odds of outpatient health care utilisation (OR: 1.60; 95% CI: 1.19–2.14) in men and (OR: 2.10; 95%CI: 1.65–2.66) in women, and with higher odds of inpatient health care utilisation (OR: 1.52; 95% CI: 1.09–2.10) in men and (OR: 2.09; 95% CI: 1.64–2.68) in women. However, depressive symptoms were not associated with higher health care utilisation in the fully adjusted models. In men, co-existence of depressive symptoms and lack of health enhancing physical activity (HEPA) was associated with higher odds of using inpatient health care services, compared to the presence of only one or none of the factors. In conclusion, our results show that depressive symptoms are associated with more health care utilisation in both men and women and that the co-existence of both depressive symptoms and lack of HEPA elevated the odds for inpatient health care utilisation in men even more.

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Depression and lack of physical activity as factors leading to higher health care utilisation

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.432 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

T E Dorner ◽

S Haider ◽

I Grabovac ◽

A Rieder

Keyword(s):

Physical Activity ◽

Health Care ◽

Depressive Symptoms ◽

Health Care System ◽

Health Care Utilisation ◽

Health Hazards ◽

Related Factors ◽

Good Opportunity ◽

Care Utilisation ◽

Care System

Abstract Background Depressive symptoms and lack of physical activity (PA) often occur simultaneously, since depression, associated with listlessness can lead to lack of PA, and lack of PA, associated with poor quality of life and health satisfaction can lead to depressive symptoms. Both factors are independent risk factors for a higher health care utilisation. We aimed to assess the effects of the combination of depressive symptoms and lack of aerobic PA on the probability of using in- and outpatient health care services. Methods Data from 15.770 people from the nationally representative Austrian Health Interview Survey from 2014 were used for the analysis. Results In analysis, adjusted for socio-demographic, health related, and lifestyle-related factors, the combination of depressive symptoms and lack of PA were associated with higher odds of outpatient health care utilisation (OR: 1.43; 95%CI: 0.99-2.07) in men and (OR: 2.02; 95%CI: 1.50-2.73) in women, and with higher odds of inpatient health care utilisation (OR: 1.52; 95%CI: 1.02-2.26) in men and (OR: 1.75; 95%CI: 1.28-2.40) in women. Being affected by depressive symptoms alone showed slightly lower, and being affected by lack of PA alone showed clearly lower OR for health care utilisation compared to the combination of the two factors Conclusions Our results show that the combination of depressive symptoms and lack of PA are associated with a higher health care utilisation. Both factors are often neglected health hazards in the health care system and the attendance of affected people could be regarded as opportunity to address those factors properly. Key messages The combination of depressive symtoms and lack of physical activity lead to higher health care utilisation. Addressing those factors in the health care system properly would be a good opportunity to address those important health hazards.

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Physical activity and other health-related factors predict health care utilisation in older adults

Zeitschrift für Gerontologie und Geriatrie ◽

10.1007/s00391-012-0335-1 ◽

2012 ◽

Vol 45 (4) ◽

pp. 290-297 ◽

Cited By ~ 9

Author(s):

M.D. Denkinger ◽

A. Lukas ◽

F. Herbolsheimer ◽

R. Peter ◽

T. Nikolaus

Keyword(s):

Physical Activity ◽

Older Adults ◽

Health Care ◽

Health Care Utilisation ◽

Related Factors ◽

Care Utilisation ◽

Health Related

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Self-reported health problems, health care utilisation and unmet health care needs of elderly men and women in an urban municipality and a rural area of Bhaktapur District of Nepal

The Aging Male ◽

10.3109/13685538.2010.502272 ◽

2010 ◽

Vol 14 (2) ◽

pp. 127-131 ◽

Cited By ~ 6

Author(s):

Dan B. B. Kshetri ◽

William C. S. Smith

Keyword(s):

Health Care ◽

Rural Area ◽

Health Care Utilisation ◽

Health Care Needs ◽

Elderly Men ◽

Care Needs ◽

Men And Women ◽

Care Utilisation ◽

Unmet Health Care Needs ◽

Reported Health

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Primary Caregivers Satisfaction and its Related Factors in Home Health Care Services

International Journal of Gerontology ◽

10.1016/j.ijge.2011.05.001 ◽

2011 ◽

Vol 5 (2) ◽

pp. 107-111 ◽

Cited By ~ 2

Author(s):

Shu-Ping Wei ◽

Shou-Chuan Shih ◽

Shu-Chuan Lin ◽

Chih-Ju Liu ◽

Ying-Wen Lu ◽

...

Keyword(s):

Health Care ◽

Home Health Care ◽

Health Care Services ◽

Primary Caregivers ◽

Home Health ◽

Related Factors ◽

Care Services

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Providing Housing and Care to Elderly Homeless Men and Women in Australia

Care Management Journals ◽

10.1891/cmaj.4.1.23.57472 ◽

2003 ◽

Vol 4 (1) ◽

pp. 23-30 ◽

Cited By ~ 5

Author(s):

Bryan Lipmann

Keyword(s):

Health Care ◽

Health Care Services ◽

The Elderly ◽

Government Agencies ◽

Men And Women ◽

Basic Health ◽

Care Services ◽

Basic Health Care ◽

Adequate Food ◽

Homeless Men

People who are unemployed and who lack the resources to buy adequate food, shelter, or basic health care services face an endless struggle to survive. It is frequently a degrading and humiliating experience. The elderly homeless, who are often frail and sick, are particularly disadvantaged in this struggle. Yet resources are often available to welfare providers to care for the aged homeless. All that is needed is a willingness for providers and government agencies to acknowledge the existence of homelessness among the elderly and be prepared to alleviate the problem.

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Efecto de la estigmatización del VIH/SIDA en usuarios de drogas intravenosas en el acceso a los servicios sanitarios según género

Cuestiones de género de la igualdad y la diferencia ◽

10.18002/cg.v0i5.3790 ◽

2010 ◽

pp. 293

Author(s):

Elizabeth Mora Torres ◽

Yina Lizeth García López ◽

Manuela García de la Hera ◽

María del Carmen Davó

Keyword(s):

Health Care ◽

Health Professionals ◽

Health Care Services ◽

Drug Abusers ◽

Men And Women ◽

Care Services ◽

Lack Of Information ◽

Las Mujeres ◽

Intravenous Drug Abusers ◽

Specific Health

Se ha elaborado un estudio con enfoque cualitativo basado en encuestas semiestructuradas, en el periodo 2007-2008, de usuarios de drogas intravenosas de los Centros de Información y Prevención del Sida. Los profesionales, que atienden de forma esporádica a pacientes VIH los estigmatizan en mayor medida debido a la desinformación, miedo y falta de empatía. Se detecta diferente comportamiento de uso en ex consumidores de drogas. Las mujeres se ajustan más a las normas y son menos conflictivas, se desenganchan más y recaen menos. A las mujeres se les atiende rápidamente en los servicios sanitarios no específicos. Ambos sexos usan estrategias contra la estigmatización.We have performed, in 2007-2008, based upon questionnaires, a qualitative study of intravenous drug abusers from Centres for Information and AIDS prevention. Among health professionals, those who occasionally see AIDS patients do stigmatise them more for lack of information, fear and lack of empathy. Men and women behave differently when they are no longer drug abusers. Women adapt more to the norms, are less conflictive, kick the habit on a larger scale, and relapse less than men. Women are more quickly taken care when accessing non specific health-care services. Both sexes use strategies against stigmatization.

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Sharp Object Injuries of Family Health Workers Working in Primary Health Care Services and Related Factors

10.5152/fnjn.2021.20118 ◽

2021 ◽

Vol 29 (3) ◽

pp. 324-333

Author(s):

Aynur Uysal Toraman ◽

◽

Safak Daghan ◽

Ebru Konal Korkmaz ◽

Esin Ates ◽

...

Keyword(s):

Health Care ◽

Primary Health Care ◽

Health Care Services ◽

Health Workers ◽

Family Health ◽

Related Factors ◽

Sharp Object ◽

Care Services ◽

Primary Health ◽

Primary Health Care Services

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Determinants of utilization of maternal health care services among mothers in Harare, Zimbabwe

10.21203/rs.2.15879/v2 ◽

2019 ◽

Author(s):

Eunice Nyarambi ◽

Paddington Tinashe Mundagowa ◽

Prosper Chonzi ◽

Elizabeth Chadambuka

Keyword(s):

Health Care ◽

Maternal Health ◽

Antenatal Care ◽

Health Care Services ◽

Care Delivery ◽

Maternal Health Care ◽

Health Facilities ◽

Related Factors ◽

Care Services ◽

Maternal Health Care Services

Abstract Background: Provision of quality maternal health care services is an essential component in ensuring a healthy mother-baby dyad both pre- and post-delivery. In Africa, antenatal care, postnatal care, and skilled birth attendances are very low when compared to high-income countries. The continent has a high burden of maternal and infant morbidity as well as mortality rates. According to the Harare Annual Report of 2016, the number of women seeking maternal health care services was gradually declining from 2014 and pregnant women reported various challenges in accessing health care services. Methods: A 1 to 1 case-control study was conducted in Harare West South Western District using pretested interviewer-administered questionnaires. The study was carried out at all three clinics in the district and a total of 73 cases and 73 controls were selected using a systematic random sampling method. Quantitative data were analyzed using Epi Info statistical package and qualitative data was analyzed thematically. Results: The median ages for cases and controls were 29 and 24 years, respectively and the age-group 19 to 24 years constituted the majority of participants (41%). Predictors of utilization of services were young age ( < 24 years), birth order of < 2, maternal and paternal occupation, and religion. Enabling factors included: asking for permission to seek care, absence of transport challenges, a shorter distance to the health facility, affordability of health services, and a higher household income. Besides the shortage of skilled staff at the clinics, mothers endured long waiting hours to be served. The majority of the cases (78.1 %) and controls (72.6%) preferred to be attended by male nurses. Mothers were required to pay a $25 fee for booking and city medical staff rarely visited the clinics. Conclusion: The utilization of maternal health care services in Harare is dependent on the individual, household, and system-related factors. There was a need to articulate policies and design maternal health care programs that target socially and economically marginalized women. Creating women-friendly health facilities with extended hours for the antenatal care, delivery care and post-natal care services for mothers can help to decongest the health facilities.

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