Institute of Psychogerontology, Friedrich-Alexander- University of Erlangen-Nuremberg.
German Centre of Gerontology.
Psychol Aging. 2014 Jun;29(2):351-8. doi: 10.1037/a0036248.
Self-perceptions of aging, important indicators of successful aging, are closely linked to health. Previous research has mainly examined the role of individual factors on self-perceptions of aging, but health is partly dependent on contextual factors such as primary care supply. This study therefore examined whether the impact of diseases on self-perceptions of aging is buffered by primary care supply in the district, as it ensures sustained health care continuity. Nationally representative German survey data on health and self-perceptions of aging (N = 4,442, 40-85 years) were linked to primary care supply (general practitioner density in regional districts). Multilevel modeling shows that the impact of disease burden (multiple illnesses) was buffered by primary care supply: Disease burden was less strongly associated with negative self-perceptions of aging in districts with good primary health care supply. This underlines the importance of health care resources for successful aging.
自我衰老感知是成功衰老的重要指标,与健康密切相关。先前的研究主要考察了个体因素对自我衰老感知的作用,但健康在一定程度上取决于环境因素,如初级保健供给。因此,本研究考察了疾病对自我衰老感知的影响是否可以通过地区的初级保健供给得到缓冲,因为初级保健供给可以确保持续的医疗保健连续性。这项研究将德国全国代表性的健康和自我衰老感知调查数据(N=4442,年龄在 40-85 岁)与初级保健供给(地区的全科医生密度)联系起来。多水平模型表明,疾病负担(多种疾病)的影响可以通过初级保健供给得到缓冲:在初级保健供给良好的地区,疾病负担与负面的自我衰老感知的相关性较弱。这凸显了医疗保健资源对成功衰老的重要性。