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  • Taube, ElinLund University,Lunds universitet,Allmänmedicin och klinisk epidemiologi,Forskargrupper vid Lunds universitet,Family Medicine and Clinical Epidemiology,Lund University Research Groups,Center for Primary Health Care Research; Department of Clinical Sciences in Malmö; Faculty of Medicine; Lund University; Malmö Sweden;Swedish Institute for Health Sciences; Lund University; Lund Sweden (author)

Loneliness and health care consumption among older people

  • Article/chapterEnglish2014

Publisher, publication year, extent ...

  • 2014-05-14
  • John Wiley & Sons,2014
  • printrdacarrier

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  • LIBRIS-ID:oai:DiVA.org:mau-56537
  • https://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-56537URI
  • https://doi.org/10.1111/scs.12147DOI
  • https://lup.lub.lu.se/record/4455248URI

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  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Few studies have investigated loneliness in relation to health care consumption among frail older people. The aim of this study was to examine loneliness, health-related quality of life (HRQoL), and health complaints in relation to health care consumption of in- and outpatient care among frail older people living at home. The study, with a cross-sectional design, comprised a sample of 153 respondents aged from 65 years (mean age 81.5 years) or older, who lived at home and were frail. Data was collected utilising structured interviews in the respondent's home assessing demographic data, loneliness, HRQoL and health complaints. Patient administrative registers were used to collect data on health care consumption. Loneliness was the dependent variable in the majority of the analyses and dichotomised. For group comparisons Student′s t-test, Mann–Whitney U-test and Chi-square test were used. The results showed that 60% of the respondents had experienced loneliness during the previous year, at least occasionally. The study identified that lonely respondents had a lower HRQoL (p = 0.022), with a higher total number of reported health complaints (p = 0.001), and used more outpatient services including more acute visits at the emergency department, compared to not lonely respondents (p = 0.026). Multiple linear regression analysis showed that a depressed mood was independently associated to total use of outpatient care (B = 7.4, p < 0.001). Therefore, it might not be loneliness, per se, that is the reason for seeking health care. However, reasons for using health care services are difficult to determine due to the complex situation for the frail older person. To avoid emergency department visits and to benefit the well-being of the frail older person, interventions targeting the complex health situation, including loneliness, are suggested.

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  • Kristensson, JimmieLund University,Lunds universitet,Äldres hälsa och personcentrerad vård,Forskargrupper vid Lunds universitet,Older people's health and Person-Centred care,Lund University Research Groups,Swedish Institute for Health Sciences; Lund University; Lund Sweden;Department of Health Sciences; Faculty of Medicine; Lund University; Lund Sweden(Swepub:lu)info-jkr (author)
  • Sandberg, MagnusLund University,Lunds universitet,Äldres hälsa och personcentrerad vård,Forskargrupper vid Lunds universitet,Older people's health and Person-Centred care,Lund University Research Groups,Swedish Institute for Health Sciences; Lund University; Lund Sweden;Department of Health Sciences; Faculty of Medicine; Lund University; Lund Sweden(Swepub:lu)med-mgs (author)
  • Midlöv, PatrikLund University,Lunds universitet,Allmänmedicin och samhällsmedicin,Forskargrupper vid Lunds universitet,Family Medicine and Community Medicine,Lund University Research Groups,Center for Primary Health Care Research; Department of Clinical Sciences in Malmö; Faculty of Medicine; Lund University; Malmö Sweden(Swepub:lu)klin-pmi (author)
  • Jakobsson, UlfLund University,Lunds universitet,Allmänmedicin och klinisk epidemiologi,Forskargrupper vid Lunds universitet,Family Medicine and Clinical Epidemiology,Lund University Research Groups,Center for Primary Health Care Research; Department of Clinical Sciences in Malmö; Faculty of Medicine; Lund University; Malmö Sweden(Swepub:lu)cvv-uja (author)
  • Allmänmedicin och klinisk epidemiologiForskargrupper vid Lunds universitet (creator_code:org_t)

Related titles

  • In:Scandinavian Journal of Caring Sciences: John Wiley & Sons29:3, s. 435-4430283-93181471-6712

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Taube, Elin
Kristensson, Jim ...
Sandberg, Magnus
Midlöv, Patrik
Jakobsson, Ulf
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MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
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Scandinavian Jou ...
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Malmö University
Lund University

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