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Exploring the correlates of self-care coping strategies among the elderly with functional status limitations.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Exploring the correlates of self-care coping strategies among the elderly with functional status limitations./
Author:	Huang, Kuo-Cherh.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 1998,
Description:	146 p.
Notes:	Source: Dissertations Abstracts International, Volume: 60-03, Section: B.
Contained By:	Dissertations Abstracts International60-03B.
Subject:	Public health. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9837546
ISBN:	9780591911268

Exploring the correlates of self-care coping strategies among the elderly with functional status limitations.
Huang, Kuo-Cherh.

Exploring the correlates of self-care coping strategies among the elderly with functional status limitations. - Ann Arbor : ProQuest Dissertations & Theses, 1998 - 146 p.

Source: Dissertations Abstracts International, Volume: 60-03, Section: B.

Thesis (Dr.P.H.)--University of Pittsburgh, 1998.

This item must not be sold to any third party vendors.

Self-care has been portrayed as the basic or primary level of health care. There is an affirmation that self-care contributes to the prevention of chronic illness and the maintenance of functional health. However, little is known about the range and nature of existing self-care practices. The purpose of the present study was to identify the range of self-care strategies used by an elderly population to deal with functional status limitations, and to explore the nature and strength of the association between all of the variables measured. The data were drawn from the National Survey of Self-Care and Aging: Baseline, 1990-1991. The survey included a national probability sample of 3,485 noninstitutionalized Medicare beneficiaries. A conceptual model had been formulated to explore the associations among demographic characteristics, socioeconomic resources, decrements in functional status, perception of health status, stressful life events and self-care coping strategies (i.e., changes in behavior, changes in environment, use of special devices, use of over the counter medications and doing nothing). Stepwise multiple regression, hierarchical regression and logistic regression analyses were preformed to identify predictors of self-care activities. The findings suggest that demographic and socioeconomic factors, in general, appeared not to be consistently related to self-care activities. The prevailing predictors of the patterns of self-care coping strategies were decrements in functional status and the presence of stressful life events. The likelihood of engaging in self-care activities, rather than doing nothing, increased as the severity of functional disability increased. If stressful life events had ever happened to the elderly, then they were more likely to adopt some types of self-care strategies. Limitations of the study and policy implications were identified and discussed. Future research directions were suggested on the basis of the research.

ISBN: 9780591911268Subjects--Topical Terms:

534748
Public health.
Subjects--Index Terms:

Coping

Exploring the correlates of self-care coping strategies among the elderly with functional status limitations.
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520 $a Self-care has been portrayed as the basic or primary level of health care. There is an affirmation that self-care contributes to the prevention of chronic illness and the maintenance of functional health. However, little is known about the range and nature of existing self-care practices. The purpose of the present study was to identify the range of self-care strategies used by an elderly population to deal with functional status limitations, and to explore the nature and strength of the association between all of the variables measured. The data were drawn from the National Survey of Self-Care and Aging: Baseline, 1990-1991. The survey included a national probability sample of 3,485 noninstitutionalized Medicare beneficiaries. A conceptual model had been formulated to explore the associations among demographic characteristics, socioeconomic resources, decrements in functional status, perception of health status, stressful life events and self-care coping strategies (i.e., changes in behavior, changes in environment, use of special devices, use of over the counter medications and doing nothing). Stepwise multiple regression, hierarchical regression and logistic regression analyses were preformed to identify predictors of self-care activities. The findings suggest that demographic and socioeconomic factors, in general, appeared not to be consistently related to self-care activities. The prevailing predictors of the patterns of self-care coping strategies were decrements in functional status and the presence of stressful life events. The likelihood of engaging in self-care activities, rather than doing nothing, increased as the severity of functional disability increased. If stressful life events had ever happened to the elderly, then they were more likely to adopt some types of self-care strategies. Limitations of the study and policy implications were identified and discussed. Future research directions were suggested on the basis of the research.
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