Self-perceptions of aging and perceived barriers to care: reasons for health care delay
Open accessAbstract
Background and Objectives: Self-perceptions of aging (SPA), or attitudes toward one's aging experience, have been linked to health through multiple pathways. Few studies, however, have investigated how older adults' views on aging influence their care-seeking behaviors. Research Design and Methods: Using two independent subsamples from the Health and Retirement Study (2011 Health Care Mail Survey: N = 2,866; 2013 Health Care and Nutrition Study: N = 2,474), logistic regression and negative binomial regression were used to examine the association between SPA and health care delay over the next 12 months. Subsequently, we used latent class analysis to identify subgroups reporting different reasons for delay. With multinomial logistic regression, we then examined if, compared with the no delay group, SPA differentiated membership in the delay subgroups. Results: In both samples, more negative aging self-perceptions were associated with a higher likelihood of health care delay and more perceived barriers to care, after adjusting for predisposing, enabling, and need factors. Latent class analysis revealed three subgroups characterized by different reasons for delay: (a) limited health care access, (b) too busy to go to the doctor, and (c) dislike of going to the doctor. In fully adjusted models, individuals with more negative SPA were more likely to belong to "limited-access" and "dislike" subgroups compared with the no delay group. Discussion and Implications: SPA may affect decision-making processes regarding whether to seek care for worrisome symptoms. Efforts to promote more positive SPA may encourage older adults to be more proactive in addressing their health care needs.
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Many of our findings are also consistent with general themes relating to medication use in older people found in previous studies.
“Many of our findings are also consistent with general themes relating to medication use in older people found in previous studies. They include negative self-perceptions of ageing with declining health, more perceived barriers to care [88–90] and high levels of general inappropriate prescribing in residential homes [91].”
From Stakeholders' views on the use of psychotropic medication in older people: a systematic review (2022) · cites this paper as [88]
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O idadismo estrutural refletindo no período pandêmico e na saúde da pessoa idosa
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Perception and coping with aging among middle-aged women: a qualitative study
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- Authors
- Sun, J. K., & Smith, J.
- Affiliations
- Department of Psychology,
- University of Michigan (US)
- Corresponding author
- Sun, Jennifer K.
- Venue
- The Gerontologist
- Publisher
- Oxford University Press (OUP)
- Published
- 2017-06-19
- Volume
- 57
- Issue
- suppl_2
- Pages
- S216-S226
- ISSN
- 0016-9013 (ISSN-L)
- 1758-5341
- PMC
- PMC5881713
- OpenAlex
- W2739277534
- Cited by
- 85
- References
- 35
- Citations by year
- 2026: 6 · 2025: 16 · 2024: 8 · 2023: 15 · 2022: 12 · 2021: 10 · 2020: 13 · 2019: 4 · 2017: 1
- FWCI
- 8.85
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The Gerontologist (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Aging (U01AG009740)
- Topics
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Aging and Gerontology Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Social Sciences › Health › Health disparities and outcomes
- Keywords
- self-perception of aging, delayed care, care-seeking behavior, older adults, health care access, attitudes toward aging
- MeSH terms
- Aged, Aging, Attitude to Health, Female, Health Services Accessibility, Humans, Male, Middle Aged, Patient Acceptance of Health Care, Self Concept, Logistic Models
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