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Quality of Life Research
Gepubliceerd in: Quality of Life Research 4/2016

01-04-2016

Indicators of resilience and healthcare outcomes: findings from the 2010 health and retirement survey

Auteurs: Amara E. Ezeamama, Jennifer Elkins, Cherie Simpson, Shaniqua L. Smith, Joseph C. Allegra, Toni P. Miles

Gepubliceerd in: Quality of Life Research | Uitgave 4/2016

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Abstract

Objective

To test the hypothesis that higher levels of resilience indicators are associated with lower overall healthcare utilization (HCU) as well as improvements in self-rated health (SRH), we analyzed a representative sample of 4562 adults 50–70 years old enrolled in the US 2010 health and retirement survey.

Methods

Multivariable logistic regression models estimated odds ratios (ORs) and 95 % confidence intervals (CIs) for high versus low resilience in relation to HCU and SRH improvements over 2 years. Resilience indicators included: cumulative lifetime adversity, social support, global mastery and domain-specific mastery. Cumulative lifetime adversity was defined as 0, 1–2, 3–4 or 5+ events. HCU included hospitalization (any vs. none) and physician visits (<20 vs. ≥20) over 2 years.

Findings

Hospitalization odds declined by 25 % (OR 0.75, 95 %CI 0.64–0.86), odds of ≥20 physician visits declined by 47 % (OR 0.53, 95 % CI 0.45–0.63) and the odds of SRH improvement increased by 49 % (OR 1.49, 95 % CI 1.17–1.88) for respondents with high versus low health mastery. Cumulative lifetime adversity manifested a dose-dependent positive relationship with HCU. Specifically, hospitalization odds was, respectively, 25, 80 and 142 % elevated for participants that reported 1–2, 3–4 and 5+ versus 0 lifetime adversities. High versus low global, financial and health mastery, respectively, predicted improved SRH, lower physician’s visits and hospitalizations.

Conclusion

In this sample of adults near or in retirement, resilience predicted lower HCU and improved SRH. Resilience is a dynamic state that can be enhanced in adults with positive impacts on subjective well-being and HCU.
vorige artikel Employment and insurance outcomes and factors associated with employment among long-term thyroid cancer survivors: a population-based study from the PROFILES registry
volgende artikel Long-term effects of goal disturbance and adjustment on well-being in cancer patients
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Metagegevens
Titel
Indicators of resilience and healthcare outcomes: findings from the 2010 health and retirement survey
Auteurs
Amara E. Ezeamama
Jennifer Elkins
Cherie Simpson
Shaniqua L. Smith
Joseph C. Allegra
Toni P. Miles
Publicatiedatum
01-04-2016
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 4/2016
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-015-1144-y

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