Association between self-perceptions of aging, care deferrals, and change in health status among US adults aged ≥ 50 years during the COVID-19 pandemic: A cross-sectional study.

IF 2.5 3区心理学 Q2 PSYCHOLOGY, CLINICAL

Journal of Health Psychology Pub Date : 2025-03-18 DOI:10.1177/13591053251321778

Siddhi Korgaonkar, Prachi Prajapati, Marie Barnard, Swarnali Goswami

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引用次数: 0

Abstract

The study aimed to examine the association between self-perceptions of aging (SPA) and delayed and/or forgone care (DFC) among older adults in the US during the COVID-19 pandemic, and to assess how SPA and DFC are associated with change in self-rated health status. A cross-sectional study of community-dwelling US adults (≥50 years) was conducted using the 2020 Health and Retirement Study data. Two separate multivariable logistic regression models were conducted to assess the study objectives. The final unweighted sample was 4079. Negative SPA were associated with DFC (adjusted odds ratio (aOR): 1.03, 95% CI: 1.01-1.04). DFC and negative SPA were associated with worsened health status compared to respondent's previous interview wave (aOR: 1.44, 95% CI: 1.10-1.87 and aOR: 1.06, 95% CI: 1.04-1.08, respectively). Health promotion efforts should be implemented to foster positive SPA among older adults in the US to encourage timely use of healthcare.

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在COVID-19大流行期间，年龄≥50岁的美国成年人对衰老的自我认知、延迟护理和健康状况变化之间的关联：一项横断面研究

该研究旨在研究2019冠状病毒病大流行期间美国老年人对衰老的自我认知（SPA）与延迟和/或放弃护理（DFC）之间的关系，并评估SPA和DFC如何与自我评估健康状况的变化相关。使用2020年健康与退休研究数据对美国社区居住成年人（≥50岁）进行了横断面研究。采用两个独立的多变量逻辑回归模型来评估研究目标。最终未加权样本为4079。SPA阴性与DFC相关（调整优势比（aOR）： 1.03, 95% CI: 1.01-1.04）。与被调查者之前的访谈相比，DFC和SPA阴性与健康状况恶化有关（aOR分别为1.44,95% CI为1.10-1.87和aOR为1.06,95% CI为1.04-1.08）。健康促进工作应实施，以促进积极的SPA在美国老年人中鼓励及时使用医疗保健。

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来源期刊

Journal of Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

7.50

自引率

3.10%

发文量

期刊介绍： ournal of Health Psychology is an international peer-reviewed journal that aims to support and help shape research in health psychology from around the world. It provides a platform for traditional empirical analyses as well as more qualitative and/or critically oriented approaches. It also addresses the social contexts in which psychological and health processes are embedded. Studies published in this journal are required to obtain ethical approval from an Institutional Review Board. Such approval must include informed, signed consent by all research participants. Any manuscript not containing an explicit statement concerning ethical approval and informed consent will not be considered.