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Age Differences in Lay Conceptions of Health and Self-Care Responses to Illness

Published online by Cambridge University Press:  29 November 2010

Alexander Segall
Alexander Segall
Affiliation:
University of Manitoba
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Abstract

This paper explores lay health care beliefs and practices. More specifically, the research tests the hypothesis that traditional “popular” health beliefs and self care practices are most likely to be found among older persons. Data were obtained through personal interviews with a randomly selected cross-sectional sample of 524 residents of Winnipeg, Canada. Statistical analysis was intended to assess the relationship between age and lay health care beliefs and practices, and to evaluate the relative explanatory power of age compared to other sociodemographic factors; self-reported health status; and medical care contact. The results suggest that the relationship between age and lay conceptions of health and self-care responses to illness is a rather complex one. Furthermore, respondents' age alone explained little of the variance in any of the dependent measures. Finally, this study revealed that although lay self-care beliefs and behaviour exist, they are not limited to older persons.

Résumé

Cet article examine les pratiques et croyances détenues par les profanes au niveau des soins de santé. Plus particulièrement, cette étude teste l'hypothèse qui prétend que les croyances “populaires” et les pratiques de soins individuels traditionnelles sont plus répandues chez les personnes âgées. Les données proviennent d'entretiens personnels menés auprès d'un échantillon prélevé au hasard et comportant un total de 524 résidents de la ville de Winnipeg au Canada. Le but de l'analyse de statistique était d'évaluer le lien entre l'âge et les diverses pratiques et croyaqnces populaires au chapitre des soins de la santé. Un second objectif était d'examiner l'importance relative de l'âge en comparaison avec d'autres facteurs socio-démographiques; une évaluation personnelle sur la condition de santé; et le rapport avec le monde de la médecine. Les résultats indiquent que la relation entre l'âge, les concepts sur la santé, et les traitements personnels administrés en cas de maladie s'avère plutôt complexe. De plus, l'âge propre des participants explique pauvrement les différences qui existent entre les mesures tributaires. Finalement, l'étude révèle que les croyances et les pratiques au niveau des soins de santé personnels n'existent pas uniquement chez les individus d'âge mûr.

Keywords

agehealthself-care
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 6 , Issue 1 , Spring/printemps 1987 , pp. 47 - 65
Copyright
Copyright © Canadian Association on Gerontology 1987

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References

REFERENCES

Auerbach, MI et al. (1979) “Health care in a selected urban elderly population: Utilization patterns and perceived needs”. The Gerontologist, 17, 341–346.CrossRefGoogle Scholar
Blazer, DG and Houpt, JL (1979) “Perception of poor health in the healthy older adult”. Journal of the American Geriatrics Society, 27, 330–334.CrossRefGoogle ScholarPubMed
Blumhagen, D (1980) “Hyper-tension: A folk illness with a medical name”. Culture, Medicine and Psychiatry, 1, 197–227.CrossRefGoogle Scholar
Branch, L et al. (1981) “Toward understanding elders' health service utilization”. Journal of Community Health, 7, 80–92.CrossRefGoogle ScholarPubMed
Butler, RN et al. (1979) “Self-care, self-help, and the elderly”. International Journal of Aging and Human Development, 10, 95–119.CrossRefGoogle ScholarPubMed
Cockerham, WC, Sharp, K & Wilcox, JA (1983) “Aging and perceived health status”. Journal of Gerontology, 38, 249–355.CrossRefGoogle ScholarPubMed
DeFriese, GH and Woomert, A (1983) “Self-care among U.S. elderly: Recent developments”. Research on Aging, 5, 3–23.CrossRefGoogle Scholar
Dean, K (1981) “Self-care responses to illness: A selected review”. Social Science and Medicine, 15A, 673–687.Google Scholar
Ferraro, KF (1980) “Self-ratings of health among the old and the old-old”. Journal of Health and Social Behavior, 21, 377–383.CrossRefGoogle ScholarPubMed
Fillenbaumm, GG (1979) “Social context and self-assessments of health among the elderly”. Journal of Health and Social Behavior, 20, 45–51.CrossRefGoogle Scholar
Haug, M (1981) “Age and medical care utilization patterns”. Journal of Gerontology, 36, 103–111.CrossRefGoogle ScholarPubMed
Haug, M and Lavin, B(1982)“Self-care and the elderly: An empirical assessment”.Paper presented at the Xth World Congress of the International Sociological Association,Mexico City.Google Scholar
Haug, M(1984)“Doctor-patient relationships and their impact on elderly self-care”.Paper presented at the 37th Annual Meeting of the Gerontological Society of America,San Antonio, Texas.Google Scholar
Helman, CG (1978) “Feed a cold, starve a fever—folk models of infection in an English suburban community, and their relation to medical treatment”. Culture, Medicine and Psychiatry, 2, 107–137.CrossRefGoogle Scholar
Kleiman, MB and Clemente, F (1976) “Support for the medical profession among the aged”. International Journal of Health Services, 6, 295–299.CrossRefGoogle ScholarPubMed
LaRue, A et al. (1979) “Health in old age: How do physicians' ratings and self-ratings compare?” Journal of Gerontology, 34, 687–691.CrossRefGoogle ScholarPubMed
Leventhal, EA (1984) “Aging and the perception of illness”. Research on Aging, 6, 119–135.CrossRefGoogle ScholarPubMed
Levin, LS, Katz, AH & Hoist, E (1976) Self-Care: Lay Initiatives in Health. New York: Prodist.Google Scholar
Levin, LS and Idler, EL (1981) The Hidden Health Care System: Mediating Structures and Medicine. Cambridge, Mass.: Ballinger Publishing Company.Google Scholar
Linn, BS and Linn, MW (1980) “Objective and self-assessed health in the old and very old”. Social Science and Medicine, 14A, 311–315.Google ScholarPubMed
Maddox, GL (1962) “Some correlates of differences in self-assessment of health status among the elderly”. Journal of Gerontology, 17, 180–185.CrossRefGoogle ScholarPubMed
Maddox, GL and Douglass, EB (1973) “Self-assessment of health: A longitudinal study of elderly subjects”. Journal of Health and Social Behavior, 14, 87–93.CrossRefGoogle Scholar
Moen, E (1978) “The reluctance of the elderly to accept help”. Social Problems, 25, 293–303.CrossRefGoogle Scholar
Mossey, J et al. (1981) “The Manitoba longitudinal study on aging: Description and methods”. The Gerontologist, 21, 551–557.CrossRefGoogle Scholar
Mossey, J and Shapiro, E (1982) “Self-rated health: A predictor of mortality among the elderly”. American Journal of Public Health, 72, 800–808.CrossRefGoogle Scholar
Namazi, K, Haug, M & Wykle, ML(1985)“Elderly self reliance and use of self-care”.Paper presented at a Symposium on Health and Illness Behavior in Middle and Late Life, American Sociological Association Annual Meeting,Washington, D.C.Google Scholar
Nuttbrock, L and Kosberg, JI (1980) “Images of the physician and help-seeking behavior of the elderly: A multivariate assessment”. Journal of Gerontology, 35, 241–248.CrossRefGoogle ScholarPubMed
Rinzler, C (1979) The Dictionary of Medical Folklore. New York: Ballantine Books.Google Scholar
Roos, NP and Shapiro, E (1981) “The Manitoba longitudinal study on aging: Preliminary findings on health care utilization by the elderly”. Medical Care, 19, 644–657.CrossRefGoogle ScholarPubMed
Snider, EL (1980) “Awareness and use of health services by the elderly”. Medical Care, 18, 1177–1182.CrossRefGoogle ScholarPubMed
Stenback, A et al. (1978) “Illness and health behavior in septuagenarians”. Journal of Gerontology, 33, 57–61.CrossRefGoogle ScholarPubMed
Stoller, EP (1984) “Self-assessments of health by the elderly: The impact of informal assistance”. Journal of Health and Social Behavior, 25, 260–270.CrossRefGoogle ScholarPubMed
Tissue, T (1972) “Another look at self-rated health among the elderly” Journal of Gerontology, 27, 91–94.CrossRefGoogle Scholar
Wolinsky, FD et al. (1983) “Health services utilization among the non-institutionalized elderly”. Journal of Health and Social Behavior, 24, 325–337.CrossRefGoogle Scholar
Youmans, EG (1974) “Age group, health and attitudes”. The Gerontologist, 14, 249–254.CrossRefGoogle ScholarPubMed