Purpose in Life and Positive Health Outcomes Among Older Adults.
Purpose in Life and Positive Health Outcomes Among Older Adults.
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DOI：
10.1089/pop.2017.0063
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发表时间：
2018-04
影响因子：
2.5
通讯作者：
Wicker E
中科院分区：
文献类型：
--
作者：
Musich S;Wang SS;Kraemer S;Hawkins K;Wicker E
生活的目的（PIL）被定义为有目标、方向感和对现在和过去生活有意义的感觉。PIL与老年人的积极健康结果相关，包括更少的慢性疾病、更少的残疾和更低的死亡率。本研究的目的是估计美国退休人员退休计划医疗补助参保者中PIL的患病率，确定相关特征，并测量对选定健康结果的影响。2016年，调查被随机分层抽样；PIL采用7项量表，有5个回答。得分在回答中平均，并分类为低、中、高的PIL水平。对调查结果进行加权，以调整无反应偏差，并对具有全国代表性的人口进行加权。采用多变量回归模型，调整混杂协变量，确定与PIL水平相关的特征以及对医疗保健利用和支出、预防服务依从性和生活质量（QOL）的影响。在加权调查对象（15680名）中，低、中、高PIL水平分别为24.2%、21.1%、54.7%。中高幸福指数的最强特征包括社会支持、心理弹性、信仰依赖、高健康素养和良好的健康状况。中高PIL个体的医疗保健使用率和支出显著降低，预防服务依从性提高，生活质量提高。PIL与改善老年人的心理和身体健康结果密切相关。因此，随着时间的推移，改善和/或维持较高水平的PIL的干预措施可能会促进成功的衰老。
Purpose in life (PIL) is conceptualized as having goals, a sense of direction, and a feeling that there is meaning to present and past life. PIL has been associated with positive health outcomes among older adults, including fewer chronic conditions, less disability, and reduced mortality. The purpose of this study was to estimate the prevalence of PIL among AARP Medicare Supplement insureds, identify associated characteristics, and measure impact on selected health outcomes. In 2016, surveys were sent to a random stratified sample; PIL was measured using a 7-item scale with 5 responses. Scores were averaged across responses and categorized to PIL levels of low, medium, and high. Survey responses were weighted to adjust for nonresponse bias and to weight to a nationally representative population. Multivariate regression models, adjusting for confounding covariates, were utilized to determine characteristics associated with PIL levels and the impact on health care utilization and expenditures, preventive services compliance and quality of life (QOL). Among weighted survey respondents (N = 15,680), low, medium, and high PIL levels were 24.2%, 21.1%, and 54.7%, respectively. The strongest characteristics of medium and high PIL included social support, resilience, reliance on faith, high health literacy, and good health status. Individuals with medium and high PIL had significantly lower health care utilization and expenditures, increased preventive services compliance, and higher QOL. PIL is strongly associated with improved mental and physical health outcomes among older adults. Thus, interventions to improve and/or maintain higher levels of PIL over time may promote successful aging.
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影响因子：
3.1
作者：
Kim, Eric S.;Sun, Jennifer K.;Peterson, Christopher
通讯作者：
Peterson, Christopher
影响因子：
7.6
作者：
COHEN, S;CLARK, MS;SHERROD, DR
通讯作者：
SHERROD, DR
DOI：
10.1097/jgp.0b013e3181d6c259
发表时间：
2010-12
期刊：
The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry
影响因子：
--
作者：
Boyle PA;Buchman AS;Bennett DA
通讯作者：
Bennett DA
影响因子：
3.6
作者：
Bowling, Ann;Iliffe, Steve
通讯作者：
Iliffe, Steve
DOI：
10.1097/01.jgp.0000192489.43179.31
发表时间：
2006-01-01
影响因子：
7.2
作者：
Montross, LP;Depp, C;Jeste, DV
通讯作者：
Jeste, DV