STRESSFUL LIFE EVENTS AND USE OF PHYSICIAN SERVICES AMONG THE ELDERLY - THE MODERATING ROLE OF PET OWNERSHIP

被引:262
作者
SIEGEL, JM [1 ]
机构
[1] UNIV CALIF LOS ANGELES, SCH PUBL HLTH, DIV BEHAV SCI & HLTH EDUC, LOS ANGELES, CA 90024 USA
关键词
D O I
10.1037/0022-3514.58.6.1081
中图分类号
B84 [心理学];
学科分类号
04 ; 0402 ;
摘要
The physician utilization behavior of 938 Medicare enrollees in a health maintenance organization was prospectively followed for 1 year. With demographic characteristics and health status at baseline controlled for, respondents who owned pets reported fewer doctor contacts over the 1-year period than respondents who did not own pets. Furthermore, pets seemed to help their owners in times of stress. The accumulation of prebaseline stressful life events was associated with increased doctor contacts during the study year for respondents without pets. This relationship did not emerge for pet owners. Owners of dogs, in particular, were buffered from the impact of stressful life events on physician utilization. Additional analyses showed that dog owners in comparison to owners of other pets spent more time with their pets and felt that their pets were more important to them. Thus, dogs more than other pets provided their owners with companioship and an object of attachment.
引用
收藏
页码:1081 / 1086
页数:6
相关论文
共 34 条
[1]   RELATIONSHIP BETWEEN LIFE CRISES AND MENTAL DETERIORATION IN OLD AGE [J].
AMSTER, LE ;
KRAUSS, HH .
INTERNATIONAL JOURNAL OF AGING & HUMAN DEVELOPMENT, 1974, 5 (01) :51-55
[2]   MEDICAL AND PSYCHIATRIC DETERMINANTS OF OUTPATIENT MEDICAL UTILIZATION [J].
BARSKY, AJ ;
WYSHAK, G ;
KLERMAN, GL .
MEDICAL CARE, 1986, 24 (06) :548-560
[3]   DEPRESSIVE SYMPTOMS IN RELATION TO PHYSICAL HEALTH AND FUNCTIONING IN THE ELDERLY [J].
BERKMAN, LF ;
BERKMAN, CS ;
KASL, S ;
FREEMAN, DH ;
LEO, L ;
OSTFELD, AM ;
CORNONIHUNTLEY, J ;
BRODY, JA .
AMERICAN JOURNAL OF EPIDEMIOLOGY, 1986, 124 (03) :372-388
[4]   THERAPEUTIC ROLES OF CAT MASCOTS WITH A HOSPITAL-BASED GERIATRIC POPULATION - STAFF SURVEY [J].
BRICKEL, CM .
GERONTOLOGIST, 1979, 19 (04) :368-372
[5]   THE EPIDEMIOLOGIC EVIDENCE FOR A RELATIONSHIP BETWEEN SOCIAL SUPPORT AND HEALTH [J].
BROADHEAD, WE ;
KAPLAN, BH ;
JAMES, SA ;
WAGNER, EH ;
SCHOENBACH, VJ ;
GRIMSON, R ;
HEYDEN, S ;
TIBBLIN, G ;
GEHLBACH, SH .
AMERICAN JOURNAL OF EPIDEMIOLOGY, 1983, 117 (05) :521-537
[6]  
COHEN S, 1985, PSYCHOL BULL, V98, P310, DOI 10.1037//0033-2909.98.2.310
[7]  
Cohen S., 1984, HDB PSYCHOL HLTH, P253, DOI DOI 10.1387/IJDB.082595MG
[8]   SYMPTOMS OF DEPRESSION IN 2 COMMUNITIES [J].
COMSTOCK, GW ;
HELSING, KJ .
PSYCHOLOGICAL MEDICINE, 1976, 6 (04) :551-563
[9]  
FRERICHS RS, 1981, AM J EPIDEMIOL, V13, P691
[10]  
FRIEDMANN E, 1980, PUBLIC HEALTH REP, V95, P307