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首页> 外文期刊>Sociology of health & illness >Do those over 80 years of age seek more or less medical help? A qualitative study of health and illness beliefs and behaviour of the oldest old
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Do those over 80 years of age seek more or less medical help? A qualitative study of health and illness beliefs and behaviour of the oldest old

机译：那些80岁以上的人会寻求更多或更少的医疗帮助吗？对年龄最大的老人的健康和疾病信念和行为的定性研究

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摘要

Increasing longevity and prevalence of long-term conditions contribute to older adults being the greatest users of health services. However, relatively little is known about the health and illness beliefs of the oldest old or how they decide to seek help in response to symptoms. Through analysis of in-depth interviews with day centre attendees aged 80-93, we find that a moral, hierarchical approach to health problems and help-seeking exists; similar to Cornwell's (1984) findings among 50-60 year-olds of a similar social group 30 years ago. However, when acting independently, those in their eighties and nineties report modifying their health and illness beliefs and behaviour, in response to their own perceived old age. Some health problems are 'demedicalised', being increasingly attributed to age and by being self-managed. Others are perceived as potentially more serious, leading to increased consultation with medical services. When obliged to act outside their moral belief-behaviour framework by others, the participants expressed feelings of disempowerment, yet resisted modifying their moral beliefs. This may represent resistance to adopt the 'sick role', while seeking to maintain control over uncertain health as functional dependence and frailty increases. This study furthers theoretical understanding of the health and illness beliefs and behaviour of the oldest old, with important practical implications.
机译：长寿和长期患病率的增加促使老年人成为卫生服务的最大使用者。但是，对于高龄老人的健康和疾病信念，以及他们决定如何寻求帮助以缓解症状的了解相对较少。通过对年龄在80-93岁之间的日间中心参与者的深入访谈分析，我们发现存在一种解决健康问题和寻求帮助的道德，分等级的方法。与Cornwell（1984）在30年前类似社会群体的50-60岁人群中的发现相似。但是，在独立行动时，八十年代和九十年代的人报告说，根据他们自己认为的老年，他们会改变自己的健康和疾病信念和行为。一些健康问题已经“医疗化”，越来越多地归因于年龄和自我管理。其他人被认为可能会更加严重，从而导致与医疗服务的咨询增加。当参与者被迫在他人的道德信仰-行为框架之外采取行动时，参与者表达了丧失权力的感觉，但拒绝改变自己的道德观念。随着功能依赖性和虚弱性的增加，这可能表示对采取“病态角色”的抵制，同时试图保持对不确定健康的控制。这项研究增进了对最老的老年人的健康和疾病信念和行为的理论理解，具有重要的实际意义。

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