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Centre for Policy on Ageing | |
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| Illness experience and illness representation among older adults with hypertension | | Author(s) | Elise A G Duwe, Breanna M Holloway, Jessie Chin, Daniel G Morrow |
| Journal title | Health Education Journal, vol 77, no 4, June 2018 |
| Publisher | Sage, June 2018 |
| Pages | pp 412-429 |
| Source | http://www.journals.sagepub.com/home/hej |
| Keywords | Hypertension ; Self care capacity ; Living in the community ; Emotions ; Attitude ; Health [elderly] ; Information needs ; Correlation ; United States of America. |
| Annotation | This correlational study investigated how 293 independently living, community-based older adults' representations of hypertension related to their illness experience (years of illness), health literacy and self-rated health. The authors measured health literacy (Short Test of Functional Health Literacy in Adults, S-TOFHLA), hypertension knowledge (Hypertension Knowledge Questionnaire), and self-rated health and illness representation (IR by Brief Illness Perception Questionnaire, BIPQ). Confirmatory factor analysis divided illness representation (IR) into cognitive (chronicity, understanding and control) and emotional (more concern, higher impact of illness on affect) dimensions. Ordinary least-squares regression analyses demonstrated that more years of education, more hypertension knowledge, longer duration of hypertension and natural cause beliefs predicted cognitive IR, while fewer years of education, less hypertension knowledge and behavioural cause beliefs (e.g. diet and exercise) predicted emotional IR. More years of education, emotional IR and belief in natural versus psychosocial causes of hypertension were associated with better self-rated health. More years of illness provides older adults with the opportunity to develop an understanding of their condition. More years of education is associated with a lower emotional impact of illness, perhaps through the development of coping strategies. Emotional IR is more important than cognitive IR in predicting self-rated health. Intervening to promote better health outcomes and self-care should take place not only through health education but also through social support and health care access. The study was funded by the US National Institutes of Health. (RH). |
| Accession Number | CPA-180622204 A |
| Classmark | CQQ: CA: K4: DL: DP: CC: UV:IK: 49: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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