Title of article :
Potentially traumatic events and serious life stressors are prospectively associated with frequency of doctor visits and overnight hospital visits
Author/Authors :
Gawronski، نويسنده , , Katerina A.B. and Kim، نويسنده , , Eric S. and Miller، نويسنده , , Laura E.، نويسنده ,
Issue Information :
روزنامه با شماره پیاپی سال 2014
Abstract :
AbstractObjective
tive lifetime exposure to potentially traumatic events and serious life stressors has been linked with both mental and physical health problems; however, less is known about the association between exposure to potentially traumatic events and serious life stressors with health care use. We investigated whether a higher number of potentially traumatic events and serious life stressors were prospectively associated with an increased number of doctor visits and nights spent in the hospital.
s
ipants were drawn from the Health and Retirement Study, a prospective and nationally representative study of adults aged 50 + in the United States (n = 7168). We analyzed the data using a generalized linear model with a gamma distribution and log link.
s
er number of potentially traumatic events and serious life stressors were associated with an increased number of doctor visits and nights spent in the hospital. On a 10-point scale, each additional potentially traumatic event or serious life stressor was associated with an 8% increase in doctor visits after controlling for sociodemographic factors (RR = 1.08, 95% CI = 1.06–1.11; p < .001). Each additional potentially traumatic event or serious life stressor was also associated with an 18% increase in the number of nights spent in the hospital after controlling for sociodemographic factors (RR = 1.18, 95% CI = 1.10–1.27; p < .001).
sion
re to potentially traumatic events and serious life stressors is associated with increased doctor visits and nights spent in the hospital, which may have important implications for the current standard of care.
Keywords :
Stressor , Trauma , Doctor visits , health care utilization , Lifetime trauma
Journal title :
Journal of Psychosomatic Research
Journal title :
Journal of Psychosomatic Research