Does greater frequency of contact with general physicians reduce feelings of mastery in older adults?
Does greater frequency of contact with general physicians reduce feelings of mastery in older adults?
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DOI：
10.1093/geronb/62.4.p226
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发表时间：
2007-07-01
影响因子：
6.2
通讯作者：
Streiner, David L.
中科院分区：
文献类型：
--
作者：
Cairney, John;Coma, Laurie A.;Streiner, David L.
在这项研究中，我们测试罗丹的假说的一个方面，关于年龄相关的下降掌握：与医疗保健部门的频繁接触对掌握的影响。我们进行了横截面和纵向多元回归分析，以检查全科医生（GP）访问掌握的效果。在横断面分析中，更多的GP访问与较低的掌握相关，但当身体健康进入分析时，这种关系大大减弱。这些结果在纵向分析中得到了证实。因此，全科医生访问掌握的效果似乎是显着混淆的身体健康问题。这些研究结果直接关注远离与医疗保健部门接触的作用，影响感知掌握和身体健康状况的重要性，作为一个原因和潜在的后果，随着年龄的变化，在感知控制。
In this study, we test one aspect of Rodin's hypothesis concerning age-related decline in mastery: The effect of frequent contact with the health care sector on mastery. We conducted cross-sectional and longitudinal multiple regression analyses to examine the effect of general physician (GP) visits on mastery. In the cross-sectional analyses, a higher number of GP visits is associated with lower mastery, but this relationship is substantially weakened when physical health is entered into the analysis. These results are confirmed in the longitudinal analysis. The effect of GP visits on mastery thus appears to be significantly confounded by physical health problems. These findings direct attention away from the role of contact with the health care sector in influencing perceived mastery and toward the importance of physical health status as both a cause and potential consequence of changes in perceived control with age.