Economic and Social Research Institute, Dublin, Ireland; The Irish Longitudinal Study on Ageing (TILDA), Dublin, Ireland.
The Irish Longitudinal Study on Ageing (TILDA), Dublin, Ireland.
Prev Med. 2019 Mar;120:107-112. doi: 10.1016/j.ypmed.2018.12.029. Epub 2019 Jan 18.
There is extensive empirical evidence that personality is associated with many outcomes and behaviours, such as educational outcomes, labour market participation, savings behaviour, health behaviours, physical health status and mortality. Use of preventive healthcare services (e.g., vaccinations, screening, etc.) is a potential pathway explaining the link between personality and health, and is an important component of healthy ageing. We examine the association between personality traits (the 'Big Five') and a variety of preventive healthcare utilisation measures in the older population. Using data from the Irish Longitudinal Study on Ageing (TILDA), we estimate Poisson models of preventive healthcare utilisation (influenza vaccination, blood cholesterol test, breast lump check, mammogram, prostate examination, prostate-specific antigen (PSA) test). We find that openness to experience is a significant predictor of breast lump check and mammogram in women aged 65+ after adjustment for other confounders and multiple hypothesis testing. While uptake of many preventive healthcare services remains below national recommendations for the older population, with the exception of breast lump checks and mammograms for women aged 65+, we find little evidence to link this heterogeneity in uptake to personality.
有大量的经验证据表明，人格与许多结果和行为有关，例如教育成果、劳动力市场参与、储蓄行为、健康行为、身体健康状况和死亡率。预防性医疗保健服务的使用（例如接种疫苗、筛查等）是解释人格与健康之间联系的潜在途径，也是健康老龄化的重要组成部分。我们研究了人格特质（“五大”）与老年人群中各种预防性医疗保健利用措施之间的关系。我们使用爱尔兰老龄化纵向研究（TILDA）的数据，估计了预防性医疗保健利用的泊松模型（流感疫苗接种、血液胆固醇测试、乳房肿块检查、乳房 X 光检查、前列腺检查、前列腺特异性抗原（PSA）测试）。我们发现，在调整了其他混杂因素和多次假设检验后，开放性体验对 65 岁以上女性的乳房肿块检查和乳房 X 光检查具有显著预测作用。虽然许多预防性医疗保健服务的利用率仍低于国家对老年人群的建议，除了 65 岁以上女性的乳房肿块检查和乳房 X 光检查外，我们几乎没有发现证据表明这种利用率的异质性与人的个性有关。
