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Loneliness and health care consumption among older people.

Taube, Elin LU ; Kristensson, Jimmie LU ; Sandberg, Magnus LU ; Midlöv, Patrik LU and Jakobsson, Ulf LU (2015) In Scandinavian Journal of Caring Sciences 29(3). p.435-443
Abstract
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... (More)
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. (Less)
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organization
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type
Contribution to journal
publication status
published
subject
in
Scandinavian Journal of Caring Sciences
volume
29
issue
3
pages
435 - 443
publisher
Wiley-Blackwell
external identifiers
  • pmid:24826811
  • wos:000359867700005
  • scopus:84939469387
ISSN
1471-6712
DOI
10.1111/scs.12147
language
English
LU publication?
yes
id
3b0a4a39-d980-4a91-8971-ca0252489bf1 (old id 4455248)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/24826811?dopt=Abstract
date added to LUP
2014-06-04 19:20:22
date last changed
2017-07-23 03:07:46
@article{3b0a4a39-d980-4a91-8971-ca0252489bf1,
  abstract     = {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 &lt; 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.},
  author       = {Taube, Elin and Kristensson, Jimmie and Sandberg, Magnus and Midlöv, Patrik and Jakobsson, Ulf},
  issn         = {1471-6712},
  language     = {eng},
  number       = {3},
  pages        = {435--443},
  publisher    = {Wiley-Blackwell},
  series       = {Scandinavian Journal of Caring Sciences},
  title        = {Loneliness and health care consumption among older people.},
  url          = {http://dx.doi.org/10.1111/scs.12147},
  volume       = {29},
  year         = {2015},
}