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Titolo:
Assessing the association of walking with health services use and costs among socioeconomically disadvantaged older adults
Autore:
Perkins, AJ; Clark, DO;
Indirizzi:
Indiana Univ, Ctr Aging Res, Regenstrief Inst Hlth Care, Indianapolis, IN 46202 USA Indiana Univ Indianapolis IN USA 46202 h Care, Indianapolis, IN 46202 USA
Titolo Testata:
PREVENTIVE MEDICINE
fascicolo: 6, volume: 32, anno: 2001,
pagine: 492 - 501
SICI:
0091-7435(200106)32:6<492:ATAOWW>2.0.ZU;2-4
Fonte:
ISI
Lingua:
ENG
Soggetto:
RANDOMIZED CONTROLLED TRIAL; DISEASE RISK-FACTORS; NUTRITION EXAMINATION SURVEY; PHYSICAL-ACTIVITY SCALE; 3RD NATIONAL-HEALTH; ALL-CAUSE MORTALITY; CARDIOVASCULAR-DISEASE; LEISURE-TIME; PRIMARY-CARE; PUBLIC-HEALTH;
Keywords:
walking; health services use; health expenditures; older adults; socioeconomic factors;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
56
Recensione:
Indirizzi per estratti:
Indirizzo: Perkins, AJ 1050 Wishard Blvd,RG-6, Indianapolis, IN 46202 USA 1050 Wishard Blvd,RG-6 Indianapolis IN USA 46202 IN 46202 USA
Citazione:
A.J. Perkins e D.O. Clark, "Assessing the association of walking with health services use and costs among socioeconomically disadvantaged older adults", PREV MED, 32(6), 2001, pp. 492-501

Abstract

Background. The costs of physical inactivity are beginning to be recognized. Research to pinpoint these costs will provide needed information for researchers and policy-makers to develop cost-effective physical activity promotion programs. We present the association of walking with health services use and costs within a sample of 695 older, urban primary care patients. Methods, A survey provided most data, but utilization and cost data were obtained from a medical records system. Multivariate models were developed to assess the association of walking with health services use and costs, adjusting for sociodemographic characteristics, chronic disease, health status, and previous utilization. Results. Thirty-eight percent of respondents reported walking 0 minutes per week, 49% walked 1 to 119 minutes, and 13% walked 120 minutes or more. Inthe multivariate analyses, a report of walking 120 or more minutes was associated with a lower risk of emergency room visit and hospital stay in the subsequent year. No association was found between walking and primary care visits and total cost. Conclusion. These analyses suggest an association of walking 120 minutes or more with decreased emergency room visits (OR = 0.5, P = 0.046) and hospital stays (OR = 0.6, P = 0.034), This suggests that physical activity promotion among socioeconomically disadvantaged older adults has the potential to provide cost savings. This will not be known, however, until physical activity can be promoted and maintained among these adults. (C) 2001 American Health Foundation and Academic Press.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/04/20 alle ore 04:53:59