Wolinsky F D, Johnson R J
Department of Medicine, Indiana University School of Medicine.
J Gerontol. 1992 Jan;47(1):S8-16. doi: 10.1093/geronj/47.1.s8.
Using data from the LSOA, we examined the relationship between widowhood, health status, and the use of health services. Controlling for the characteristics specified in the behavioral model, a cross-sectional assessment of the 2,354 respondents widowed at baseline showed that regardless of how the recency of widowhood is modeled, it is not related to any measure of health status, and it is only marginally associated with two measures of health services utilization: nursing home placement and death. A prospective assessment of the 4,113 respondents reinterviewed at follow-up produced similar results. Becoming widowed did not alter previous reports of health status, nor prior patterns of physician or hospital utilization. Being widowed did, however, significantly increase the likelihood of being placed in a nursing home. For the 14 respondents who were both widowed and placed in a nursing home after baseline, the sequence is always widowhood first, and then nursing home placement.
利用来自低层超级输出区域（LSOA）的数据，我们研究了丧偶、健康状况与医疗服务使用之间的关系。在控制行为模型中指定的特征后，对基线时丧偶的2354名受访者进行的横断面评估显示，无论如何对丧偶时间进行建模，它与任何健康状况指标均无关联，仅与两种医疗服务利用指标存在微弱关联：养老院安置和死亡。对随访时重新接受访谈的4113名受访者进行的前瞻性评估得出了类似结果。丧偶并未改变之前报告的健康状况，也未改变之前看医生或住院的模式。然而，丧偶确实显著增加了被安置在养老院的可能性。对于基线后既丧偶又被安置在养老院的14名受访者来说，顺序总是先丧偶，然后是养老院安置。
