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Titolo:
Psychosocial and health belief variables associated with frequent attendance in primary care
Autore:
Bellon, JA; Delgado, A; Luna, JD; Lardelli, P;
Indirizzi:
Univ Granada, Zaidin Sur Hlth Ctr, Med Sch Family & Community Med, Dept Prevent Med & Biostat, E-18071 Granada, Spain Univ Granada Granada Spain E-18071 Med & Biostat, E-18071 Granada, Spain
Titolo Testata:
PSYCHOLOGICAL MEDICINE
fascicolo: 6, volume: 29, anno: 1999,
pagine: 1347 - 1357
SICI:
0033-2917(199911)29:6<1347:PAHBVA>2.0.ZU;2-6
Fonte:
ISI
Lingua:
ENG
Soggetto:
DISTRESSED HIGH UTILIZERS; SEEK MEDICAL-CARE; GENERAL-PRACTICE; SOCIAL SUPPORT; PSYCHIATRIC-CONSULTATION; SERVICES; MODEL; QUESTIONNAIRE; ATTENDERS; DETERMINANTS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Life Sciences
Citazioni:
64
Recensione:
Indirizzi per estratti:
Indirizzo: Bellon, JA C Libertad 17,Huetor Vega, Granada 18198, Spain C Libertad 17,Huetor Vega Granada Spain 18198 da 18198, Spain
Citazione:
J.A. Bellon et al., "Psychosocial and health belief variables associated with frequent attendance in primary care", PSYCHOL MED, 29(6), 1999, pp. 1347-1357

Abstract

Background. The reasons for high use of primary care, and in particular the role of psychosocial factors, remain unclear. Methods. We identified and interviewed 236 frequent attenders and 420 normal users, matched by age and sex, of a public Health Centre in Granada, Spain. Users were questioned about mental health (GHQ-28), social support (Duke-UNC-11), family dysfunction (family APGAR) and health beliefs (health belief model, locus of health control and medical care expectations). We also measured a set of individual, social and illness variables. Results. Multiple logistic regression analyses showed that mental health was the main factor associated with frequent attender status (odds ratio = 3.1; 2.4-3.9). The association was stronger than that between frequent attender status and perceived illness, and between the former and reported chronic illness. Family dysfunction and perceived susceptibility to and severityof disease were also significantly but more weakly associated with frequent attender status. Affective support was more strongly associated with FA status than was confidant support, but both associations disappeared when mental health and family function were controlled for. Conclusions. Our findings document the association of psychosocial factorsand primary health care use. We suggest that the effective management of mental health problems from a family-based approach may reduce primary health care high use.

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Documento generato il 30/05/20 alle ore 15:04:54