%0 Journal Article
%T Factors Associated with Women¡¯s Chronic Disease Management: Associations of Healthcare Frustrations, Physician Support, and Self-Care Needs
%A Matthew Lee Smith
%A Marcia G. Ory
%A SangNam Ahn
%A Toni P. Miles
%J Journal of Aging Research
%D 2013
%I Hindawi Publishing Corporation
%R 10.1155/2013/982052
%X Previous research emphasizes the importance of reducing healthcare frustrations and enhancing physician supports to help patients engage in recommended healthcare regimens. However, less is known about how these factors are associated with aging women¡¯s knowledge about self-care behavior. This study examined the sociodemographics, health indicators, healthcare-related frustrations, and perceptions of physician support associated with middle-aged and older adult females¡¯ self-reported need for help to learn how to take better care of their health. Data were analyzed from 287 females with one or more chronic conditions who completed The National Council on Aging (NCOA) Chronic Care Survey. A logistic regression model was developed. Women who were non-White ( , ) were more likely to need help learning how to better manage their health. Those who had some college education or more ( , ) and lower healthcare-related frustrations ( , ) and perceived to have more physician support ( , ) were less likely to need help learning how to better manage their health. Findings can inform the planning, implementation, assessment, and dissemination of evidence-based self-management programs for middle-aged and older women within and outside of clinical settings. 1. Introduction Over the next several decades, the number of Americans living to advanced ages will increase substantially. Although many individuals will age in relatively good health, a growing number will encounter challenges associated with the burdens of chronic conditions and associated disabilities [1¨C3]. This is especially so for the large numbers of women who will continue to outlive their male counterparts and likely live those additional years with chronic illnesses requiring day-to-day management [4, 5]. Further, with a dramatic increase of female ¡°baby boomers¡± with obesity-related chronic conditions, accompanied by reduced fertility rates among this rapidly aging cohort, the additive or multiplicative effects of living with one or more chronic conditions are likely to result in a diminution of (1) individuals¡¯ capacity to adequately care for themselves, (2) caregivers to serve as efficient resources, and (3) healthcare providers to give adequate attention and guidance to complex patients with multiple chronic conditions (MCCs) [6]. In line with the millions of older women struggling to manage the symptoms associated with chronic disease, there is growing recognition about the importance of self-care behavior, which is supported by strong epidemiological documentation regarding the positive
%U http://www.hindawi.com/journals/jar/2013/982052/