Purpose in Life and Positive Health Outcomes Among Older Adults.
Identifieur interne : 000738 ( Main/Exploration ); précédent : 000737; suivant : 000739Purpose in Life and Positive Health Outcomes Among Older Adults.
Auteurs : Shirley Musich [États-Unis] ; Shaohung S. Wang [États-Unis] ; Sandra Kraemer [États-Unis] ; Kevin Hawkins [États-Unis] ; Ellen Wicker [États-Unis]Source :
- Population health management [ 1942-7905 ] ; 2018.
Descripteurs français
- KwdFr :
- Acceptation des soins par les patients (statistiques et données numériques), Connaissances, attitudes et pratiques en santé (MeSH), Dépenses de santé (statistiques et données numériques), Femelle (MeSH), Humains (MeSH), Medicare (USA) (MeSH), Mâle (MeSH), Objectifs (MeSH), Qualité de vie (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), État de santé (MeSH), États-Unis (MeSH), Études transversales (MeSH).
- MESH :
- statistiques et données numériques : Acceptation des soins par les patients, Dépenses de santé.
- Connaissances, attitudes et pratiques en santé, Femelle, Humains, Medicare (USA), Mâle, Objectifs, Qualité de vie, Sujet âgé, Sujet âgé de 80 ans ou plus, État de santé, États-Unis, Études transversales.
English descriptors
- KwdEn :
- Aged (MeSH), Aged, 80 and over (MeSH), Cross-Sectional Studies (MeSH), Female (MeSH), Goals (MeSH), Health Expenditures (statistics & numerical data), Health Knowledge, Attitudes, Practice (MeSH), Health Status (MeSH), Humans (MeSH), Male (MeSH), Medicare (MeSH), Patient Acceptance of Health Care (statistics & numerical data), Quality of Life (MeSH), United States (MeSH).
- MESH :
- statistics & numerical data : Health Expenditures, Patient Acceptance of Health Care.
- Aged, Aged, 80 and over, Cross-Sectional Studies, Female, Goals, Health Knowledge, Attitudes, Practice, Health Status, Humans, Male, Medicare, Quality of Life, United States.
Abstract
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.
DOI: 10.1089/pop.2017.0063
PubMed: 28677991
PubMed Central: PMC5906725
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Wang</name><affiliation wicri:level="2"><nlm:affiliation>1 Advanced Analytics, Optum , Ann Arbor, Michigan.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Michigan</region></placeName><wicri:cityArea>1 Advanced Analytics, Optum , Ann Arbor</wicri:cityArea></affiliation></author><author><name sortKey="Kraemer, Sandra" sort="Kraemer, Sandra" uniqKey="Kraemer S" first="Sandra" last="Kraemer">Sandra Kraemer</name><affiliation wicri:level="2"><nlm:affiliation>2 Medicare and Retirement, UnitedHealthcare Alliances , Minneapolis, Minnesota.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Minnesota</region></placeName><wicri:cityArea>2 Medicare and Retirement, UnitedHealthcare Alliances , Minneapolis</wicri:cityArea></affiliation></author><author><name sortKey="Hawkins, Kevin" sort="Hawkins, Kevin" uniqKey="Hawkins K" first="Kevin" last="Hawkins">Kevin Hawkins</name><affiliation wicri:level="2"><nlm:affiliation>1 Advanced Analytics, Optum , Ann Arbor, Michigan.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Michigan</region></placeName><wicri:cityArea>1 Advanced Analytics, Optum , Ann Arbor</wicri:cityArea></affiliation></author><author><name sortKey="Wicker, Ellen" sort="Wicker, Ellen" uniqKey="Wicker E" first="Ellen" last="Wicker">Ellen Wicker</name><affiliation wicri:level="2"><nlm:affiliation>3 AARP Services, Inc. , Washington, District of Columbia.</nlm:affiliation><country>États-Unis</country><placeName><region type="state">District de Columbia</region></placeName><wicri:cityArea>3 AARP Services, Inc. , Washington</wicri:cityArea></affiliation></author></analytic><series><title level="j">Population health management</title><idno type="eISSN">1942-7905</idno><imprint><date when="2018" type="published">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Cross-Sectional Studies (MeSH)</term><term>Female (MeSH)</term><term>Goals (MeSH)</term><term>Health Expenditures (statistics & numerical data)</term><term>Health Knowledge, Attitudes, Practice (MeSH)</term><term>Health Status (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Medicare (MeSH)</term><term>Patient Acceptance of Health Care (statistics & numerical data)</term><term>Quality of Life (MeSH)</term><term>United States (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Acceptation des soins par les patients (statistiques et données numériques)</term><term>Connaissances, attitudes et pratiques en santé (MeSH)</term><term>Dépenses de santé (statistiques et données numériques)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Medicare (USA) (MeSH)</term><term>Mâle (MeSH)</term><term>Objectifs (MeSH)</term><term>Qualité de vie (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term><term>État de santé (MeSH)</term><term>États-Unis (MeSH)</term><term>Études transversales (MeSH)</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Health Expenditures</term><term>Patient Acceptance of Health Care</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Acceptation des soins par les patients</term><term>Dépenses de santé</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Cross-Sectional Studies</term><term>Female</term><term>Goals</term><term>Health Knowledge, Attitudes, Practice</term><term>Health Status</term><term>Humans</term><term>Male</term><term>Medicare</term><term>Quality of Life</term><term>United States</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Connaissances, attitudes et pratiques en santé</term><term>Femelle</term><term>Humains</term><term>Medicare (USA)</term><term>Mâle</term><term>Objectifs</term><term>Qualité de vie</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>État de santé</term><term>États-Unis</term><term>Études transversales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">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.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28677991</PMID><DateCompleted><Year>2018</Year><Month>10</Month><Day>26</Day></DateCompleted><DateRevised><Year>2018</Year><Month>11</Month><Day>13</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1942-7905</ISSN><JournalIssue CitedMedium="Internet"><Volume>21</Volume><Issue>2</Issue><PubDate><Year>2018</Year><Month>04</Month></PubDate></JournalIssue><Title>Population health management</Title><ISOAbbreviation>Popul Health Manag</ISOAbbreviation></Journal><ArticleTitle>Purpose in Life and Positive Health Outcomes Among Older Adults.</ArticleTitle><Pagination><MedlinePgn>139-147</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1089/pop.2017.0063</ELocationID><Abstract><AbstractText>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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Musich</LastName><ForeName>Shirley</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>1 Advanced Analytics, Optum , Ann Arbor, Michigan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wang</LastName><ForeName>Shaohung S</ForeName><Initials>SS</Initials><AffiliationInfo><Affiliation>1 Advanced Analytics, Optum , Ann Arbor, Michigan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kraemer</LastName><ForeName>Sandra</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>2 Medicare and Retirement, UnitedHealthcare Alliances , Minneapolis, Minnesota.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hawkins</LastName><ForeName>Kevin</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>1 Advanced Analytics, Optum , Ann Arbor, Michigan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wicker</LastName><ForeName>Ellen</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>3 AARP Services, Inc. , Washington, District of Columbia.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>07</Month><Day>05</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Popul Health Manag</MedlineTA><NlmUniqueID>101481266</NlmUniqueID><ISSNLinking>1942-7891</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006040" MajorTopicYN="Y">Goals</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005102" MajorTopicYN="N">Health Expenditures</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007722" MajorTopicYN="Y">Health Knowledge, Attitudes, Practice</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006304" MajorTopicYN="Y">Health Status</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006278" MajorTopicYN="N">Medicare</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010342" MajorTopicYN="N">Patient Acceptance of Health Care</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011788" MajorTopicYN="Y">Quality of Life</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014481" MajorTopicYN="N">United States</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Medicare</Keyword><Keyword MajorTopicYN="Y">Medicare Supplement</Keyword><Keyword MajorTopicYN="Y">health outcomes</Keyword><Keyword MajorTopicYN="Y">older adults</Keyword><Keyword MajorTopicYN="Y">purpose in life</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate 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