Sex Differences in Medication and Primary Healthcare Use before and after Spousal Bereavement at Older Ages in Denmark: Nationwide Register Study of over 6000 Bereavements

Background. The study aimed to examine sex differences in healthcare use before and after widowhood to investigate whether reduced healthcare use among widowers compared with widows may partially explain excess mortality and more adverse health outcomes among men than women after spousal loss. Metho...

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Main Authors: Anna Oksuzyan, Rune Jacobsen, Karen Glaser, Cecilia Tomassini, James W. Vaupel, Kaare Christensen
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Journal of Aging Research
Online Access:http://dx.doi.org/10.4061/2011/678289
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author Anna Oksuzyan
Rune Jacobsen
Karen Glaser
Cecilia Tomassini
James W. Vaupel
Kaare Christensen
author_facet Anna Oksuzyan
Rune Jacobsen
Karen Glaser
Cecilia Tomassini
James W. Vaupel
Kaare Christensen
author_sort Anna Oksuzyan
collection DOAJ
description Background. The study aimed to examine sex differences in healthcare use before and after widowhood to investigate whether reduced healthcare use among widowers compared with widows may partially explain excess mortality and more adverse health outcomes among men than women after spousal loss. Methods. All individuals alive and aged at least 60 years in 1996 and who became widowed in the period from 1996 to 2003 were selected from the 5% sample of the total Danish population and all Danish twins. The healthcare use was assessed as the average daily all-cause and major system-specific medication use and the average annual number of visits to general physicians (GPs). Results. The average daily use of all-cause and major system-specific medications, as well as the number of GP visits increased over the period from 1 year before and up to 5 years after a spouse's death, but there were no sex-specific patterns in the trajectories of medication use and number of GP visits after conjugal loss. Conclusion. We found little support for the hypothesis that reduced healthcare use contributes to the explanation of more adverse health outcomes after conjugal loss in men compared with women in Denmark.
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issn 2090-2212
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record_format Article
series Journal of Aging Research
spelling doaj-art-519400991dca457cbe449f9a2841d3fb2025-02-03T07:25:27ZengWileyJournal of Aging Research2090-22122011-01-01201110.4061/2011/678289678289Sex Differences in Medication and Primary Healthcare Use before and after Spousal Bereavement at Older Ages in Denmark: Nationwide Register Study of over 6000 BereavementsAnna Oksuzyan0Rune Jacobsen1Karen Glaser2Cecilia Tomassini3James W. Vaupel4Kaare Christensen5The Danish Aging Research Center, Institute of Public Health, University of Southern Denmark, J. B. Winsloews Vej 9B, 5000 Odense, DenmarkThe Danish Aging Research Center, Institute of Public Health, University of Southern Denmark, J. B. Winsloews Vej 9B, 5000 Odense, DenmarkInstitute of Gerontology, King’s College London, Melbourne House, Strand, London WC2R 2LS, UKDepartment SEGES, University of Molise, Via F. De Sanctis, 86100 Campobasso, ItalyLaboratory of Survival and Longevity, Max Planck Institute for Demographic Research, Konrad-Zuse Street 1, 18057 Rostock, GermanyThe Danish Aging Research Center, Institute of Public Health, University of Southern Denmark, J. B. Winsloews Vej 9B, 5000 Odense, DenmarkBackground. The study aimed to examine sex differences in healthcare use before and after widowhood to investigate whether reduced healthcare use among widowers compared with widows may partially explain excess mortality and more adverse health outcomes among men than women after spousal loss. Methods. All individuals alive and aged at least 60 years in 1996 and who became widowed in the period from 1996 to 2003 were selected from the 5% sample of the total Danish population and all Danish twins. The healthcare use was assessed as the average daily all-cause and major system-specific medication use and the average annual number of visits to general physicians (GPs). Results. The average daily use of all-cause and major system-specific medications, as well as the number of GP visits increased over the period from 1 year before and up to 5 years after a spouse's death, but there were no sex-specific patterns in the trajectories of medication use and number of GP visits after conjugal loss. Conclusion. We found little support for the hypothesis that reduced healthcare use contributes to the explanation of more adverse health outcomes after conjugal loss in men compared with women in Denmark.http://dx.doi.org/10.4061/2011/678289
spellingShingle Anna Oksuzyan
Rune Jacobsen
Karen Glaser
Cecilia Tomassini
James W. Vaupel
Kaare Christensen
Sex Differences in Medication and Primary Healthcare Use before and after Spousal Bereavement at Older Ages in Denmark: Nationwide Register Study of over 6000 Bereavements
Journal of Aging Research
title Sex Differences in Medication and Primary Healthcare Use before and after Spousal Bereavement at Older Ages in Denmark: Nationwide Register Study of over 6000 Bereavements
title_full Sex Differences in Medication and Primary Healthcare Use before and after Spousal Bereavement at Older Ages in Denmark: Nationwide Register Study of over 6000 Bereavements
title_fullStr Sex Differences in Medication and Primary Healthcare Use before and after Spousal Bereavement at Older Ages in Denmark: Nationwide Register Study of over 6000 Bereavements
title_full_unstemmed Sex Differences in Medication and Primary Healthcare Use before and after Spousal Bereavement at Older Ages in Denmark: Nationwide Register Study of over 6000 Bereavements
title_short Sex Differences in Medication and Primary Healthcare Use before and after Spousal Bereavement at Older Ages in Denmark: Nationwide Register Study of over 6000 Bereavements
title_sort sex differences in medication and primary healthcare use before and after spousal bereavement at older ages in denmark nationwide register study of over 6000 bereavements
url http://dx.doi.org/10.4061/2011/678289
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