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Journal of Aging and Health
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Medline Plus Health Information
*Arthritis
*Heart Diseases
*High Blood Pressure
*Joint Disorders
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Self-Care among Older Adults

An Analysis of the Objective and Subjective Illness Contexts

Leslie McDonald-Miszczak, PhD

Simon Fraser University; Western Washington University

Andrew V. Wister, PhD

Gloria M. Gutman, PhD

Simon Fraser University

Objectives: The authors hypothesize that older adults diagnosed with arthritis showa greater reliance on objective factors in their self-care behaviors, whereas those diagnosed with heart problems or hypertension demonstrate a greater reliance on more general belief-laden factors. Methods: A total of 794 older adults (mean age = 69.3) who were professionally diagnosed with arthritis, heart problems, or hypertension completed a telephone survey about a number of aspects of their illness condition and their general well-being. Results: The results from the hierarchical regression analyses indicate that objective factors and illness-specific beliefs are better predictors of self-care behavior in the arthritis group, whereas general beliefs (e.g., self-efficacy and general well-being) are better predictors of such behavior in the heart problems and hypertension groups. Discussion: The analyses support the authors’ hypothesis. The results are discussed in the context of expanding the Health Belief Model of self-care.

Journal of Aging and Health, Vol. 13, No. 1, 120-145 (2001)
DOI: 10.1177/089826430101300106


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