| Titre : | Marital status and health care utilization. (1995) |
| Auteurs : | I.M.A. JOUNG ; J.P. MACKENBACH ; J.B.W. VAN DER MEER ; Erasmus univ Rotterdam. Dep public health. DR Rotterdam. NLD |
| Type de document : | Article |
| Dans : | International journal of epidemiology (vol. 24, n° 3, 1995) |
| Pagination : | 569-575 |
| Langues: | Anglais |
| Mots-clés : | Service soins & consultation ; Utilisation service ; Epidémiologie ; Etat matrimonial ; Homme ; Europe |
| Résumé : | [BDSP. Notice produite par INIST Dg9iXR0x. Diffusion soumise à autorisation]. Our study aimed at answering the questions : 1) To what extent are differences in health care utilization by marital status due to confounding by socio-demographic variables other than age and sex ? and 2) To what extent are these differences due to differences in health status by marital status ? Methods. For the analyses we used the baseline data from the Longitudinal Study on Socio-Economic Differences in the Utilization of Health Services. Our study population consisted of 2662 people from the Netherlands, aged 25-74 years. People with diabetes mellitus, chronic non-specific lung diseases, heart conditions and back complaints were overrepresented. Results. We found that educational level is an important confounder of the relationship between health care utilization and marital status. In addition differences in health status to a considerable extent explain the higher utilization of health services of widowed and divorced people, but not the lower utilization of the never married. After control for confounding and health status there still were unexplained differences in health care utilization by marital status : e.g. the divorced were more frequently hospitalized than married people. Conclusions. There are differences in health care utilization by marital status which are not due to confounding by other socio-demograp. |
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