Changes in Self-Rated Health During the Transition to Retiring Living Among Medicare Managed-Care Recipients.
Changes in Self-Rated Health During the Transition to Retiring Living Among Medicare Managed-Care Recipients.
复制标题
DOI：
10.1080/02763893.2015.1129383
复制
发表时间：
2016
影响因子：
--
通讯作者：
Thielke S
中科院分区：
文献类型：
--
作者：
Lea C;Quiñones A;Whitson H;Bynum J;Thielke S
进入退休社区可能会因为健康状况的变化而加速或带来变化。我们假设进入退休社区将与自我评估健康(SRH)的下降相关，但与健康相关的因素将缓解这种联系。我们分析了联邦医疗保险健康结果调查队列3中58,272名参与者的数据。个人在2000年和2002年回答了有关生活状况的问题。那些进入退休社区的人与那些没有进入社区的人进行了比较。主要结果是SRH的改变。我们创建了调整和未调整的模型。在2000至2002年间，2520人(4.4%)进入退休社区。那些搬家的人和那些没有搬家的人在SRH的平均变化上没有实质性差异。在调整和未调整的模型中，搬家与SRH的变化没有显著关联。在一项按SRH分层的分析中，只有那些SRH最好的人在搬家期间SRH显著下降。对于大多数人来说，SRH基本上保持稳定，无论他们是否进入退休社区。这些发现反对环境背景是老年人自我感觉健康状况的主要决定因素。
Moving into a retirement community may be precipitated by or bring about changes in health status. We hypothesized that moving into a retirement community would be associated with a decline in self-rated health (SRH), but that health-related factors would mitigate this association. We analyzed data from 58,272 participants in Cohort 3 of the Medicare Health Outcome Survey. Individuals answered questions regarding living status in 2000 and 2002. Those who moved into a retirement community were compared with those who did not. The primary outcome was change in SRH. We created adjusted and unadjusted models. 2,520 (4.4%) individuals moved into retirement communities between 2000 and 2002. There were no substantial differences in the mean change in SRH between those who moved and those who did not. In adjusted and unadjusted models, moving was not significantly associated with changes in SRH. In an analysis stratified by SRH, only those with the best SRH had a significant decline in SRH during the move. SRH mainly remained stable for most people regardless of moving into a retirement community. These findings argue against environmental context being a main determinant of self-perceived health status among older adults.