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Outpatient health service utilization and associated factors among Iranian older adults: based on Andersen's behavioral model.

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Title: Outpatient health service utilization and associated factors among Iranian older adults: based on Andersen's behavioral model.
Authors: Mohaqeqi Kamal, Seyed Hossein, SoleimanvandiAzar, Neda, Basakha, Mehdi, Ahmadi, Sina, Karimi, Salah Eddin
Source: Educational Gerontology. Jul2022, Vol. 48 Issue 7, p285-297. 13p. 3 Charts.
Subjects: Economic impact, Cross-sectional method, Multiple regression analysis, Health status indicators, Medical care use, Sex distribution, Independent living, Descriptive statistics, Data analysis software, Odds ratio, Outpatient services in hospitals, Educational attainment, Old age
Geographic Terms: Iran
Abstract: The aim of this study was to investigate the prevalence of the utilization of outpatient health services (OHSU) and the related factors among community-dwelling older adults in Tehran, Iran. A cross-sectional study was conducted from October to December 2019 among 1280 older adults aged 60 ≥, living in Tehran. Logistic regression analysis was used to determine the association between factors identified in the framework used in this study (predisposing factors, enabling factors, and need-related factors) and utilization of OHS in the previous month. SPSS Statistics (version 23.0; IBM) was used to analyze the data. The mean age of participants was 70.9 years. The prevalence of OHSU in the previous month was 90.21%. Overall, 59.6% reported good health status and 93.6% had at least one chronic disease. 32.8% of the older adults were satisfied with receiving the latest health services. Multiple logistic regression analyses revealed that the use of health services was higher in males, those with high monthly incomes, those living with a partner, and older adults with higher education. There was a significant association between not using substances and a lower odds of OHSU. Living alone had a significant association with lower odds of health service utilization among older adults. Thus, health care policies need to focus on social support and access to health services for older adults who live alone. Identification and targeting interventions toward older adults who do not utilize health services should be considered by policy makers and the health care system. [ABSTRACT FROM AUTHOR]
Copyright of Educational Gerontology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Outpatient health service utilization and associated factors among Iranian older adults: based on Andersen's behavioral model.
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  Data: <searchLink fieldCode="AR" term="%22Mohaqeqi+Kamal%2C+Seyed+Hossein%22">Mohaqeqi Kamal, Seyed Hossein</searchLink><br /><searchLink fieldCode="AR" term="%22SoleimanvandiAzar%2C+Neda%22">SoleimanvandiAzar, Neda</searchLink><br /><searchLink fieldCode="AR" term="%22Basakha%2C+Mehdi%22">Basakha, Mehdi</searchLink><br /><searchLink fieldCode="AR" term="%22Ahmadi%2C+Sina%22">Ahmadi, Sina</searchLink><br /><searchLink fieldCode="AR" term="%22Karimi%2C+Salah+Eddin%22">Karimi, Salah Eddin</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Educational+Gerontology%22">Educational Gerontology</searchLink>. Jul2022, Vol. 48 Issue 7, p285-297. 13p. 3 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Economic+impact%22">Economic impact</searchLink><br /><searchLink fieldCode="DE" term="%22Cross-sectional+method%22">Cross-sectional method</searchLink><br /><searchLink fieldCode="DE" term="%22Multiple+regression+analysis%22">Multiple regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Health+status+indicators%22">Health status indicators</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care+use%22">Medical care use</searchLink><br /><searchLink fieldCode="DE" term="%22Sex+distribution%22">Sex distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Independent+living%22">Independent living</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Odds+ratio%22">Odds ratio</searchLink><br /><searchLink fieldCode="DE" term="%22Outpatient+services+in+hospitals%22">Outpatient services in hospitals</searchLink><br /><searchLink fieldCode="DE" term="%22Educational+attainment%22">Educational attainment</searchLink><br /><searchLink fieldCode="DE" term="%22Old+age%22">Old age</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Iran%22">Iran</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: The aim of this study was to investigate the prevalence of the utilization of outpatient health services (OHSU) and the related factors among community-dwelling older adults in Tehran, Iran. A cross-sectional study was conducted from October to December 2019 among 1280 older adults aged 60 ≥, living in Tehran. Logistic regression analysis was used to determine the association between factors identified in the framework used in this study (predisposing factors, enabling factors, and need-related factors) and utilization of OHS in the previous month. SPSS Statistics (version 23.0; IBM) was used to analyze the data. The mean age of participants was 70.9 years. The prevalence of OHSU in the previous month was 90.21%. Overall, 59.6% reported good health status and 93.6% had at least one chronic disease. 32.8% of the older adults were satisfied with receiving the latest health services. Multiple logistic regression analyses revealed that the use of health services was higher in males, those with high monthly incomes, those living with a partner, and older adults with higher education. There was a significant association between not using substances and a lower odds of OHSU. Living alone had a significant association with lower odds of health service utilization among older adults. Thus, health care policies need to focus on social support and access to health services for older adults who live alone. Identification and targeting interventions toward older adults who do not utilize health services should be considered by policy makers and the health care system. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of Educational Gerontology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/03601277.2022.2037353
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 13
        StartPage: 285
    Subjects:
      – SubjectFull: Economic impact
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Multiple regression analysis
        Type: general
      – SubjectFull: Health status indicators
        Type: general
      – SubjectFull: Medical care use
        Type: general
      – SubjectFull: Sex distribution
        Type: general
      – SubjectFull: Independent living
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Odds ratio
        Type: general
      – SubjectFull: Outpatient services in hospitals
        Type: general
      – SubjectFull: Educational attainment
        Type: general
      – SubjectFull: Old age
        Type: general
      – SubjectFull: Iran
        Type: general
    Titles:
      – TitleFull: Outpatient health service utilization and associated factors among Iranian older adults: based on Andersen's behavioral model.
        Type: main
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          Name:
            NameFull: Mohaqeqi Kamal, Seyed Hossein
      – PersonEntity:
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            NameFull: SoleimanvandiAzar, Neda
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            NameFull: Basakha, Mehdi
      – PersonEntity:
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            NameFull: Ahmadi, Sina
      – PersonEntity:
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            NameFull: Karimi, Salah Eddin
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          Dates:
            – D: 01
              M: 07
              Text: Jul2022
              Type: published
              Y: 2022
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              Value: 03601277
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              Value: 48
            – Type: issue
              Value: 7
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            – TitleFull: Educational Gerontology
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