Homan S M, Haddock C C, Winner C A, Coe R M, Wolinsky F D
J Gerontol. 1986 Nov;41(6):793-6. doi: 10.1093/geronj/41.6.793.
This paper investigated the relationships of widowhood, sex, and labor force participation with the use of ambulatory physician services by elderly adults. Data on 18,441 individuals aged 55 and over were taken from the 1978 Health Interview Survey. Hierarchical regression results indicated that although these three factors are related to physician utilization at the zero- and first-partial levels, only sex remained significant when their two- and three-way interactions and other variables from the behavioral model (including living arrangements) were introduced. This suggests that the effects of widowhood and labor force participation are spurious. Widows are simply more likely to live alone and are less likely to work than widowers; those who live alone and do not work are more likely to use health services (and more of them) than those who live with others and are gainfully employed.
本文研究了老年丧偶、性别和劳动力参与状况与老年人使用门诊医生服务之间的关系。18441名55岁及以上人群的数据取自1978年健康访谈调查。分层回归结果表明,尽管这三个因素在零阶和一阶偏相关水平上与医生利用率有关,但当引入它们的二阶和三阶交互项以及行为模型中的其他变量(包括生活安排)时,只有性别仍然显著。这表明丧偶和劳动力参与状况的影响是虚假的。寡妇比鳏夫更有可能独居且工作可能性更小;独居且不工作的人比与他人同住且有工作的人更有可能(且更多地)使用医疗服务。