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Perceived Neighborhood Factors on Health Status, Health Behaviors, Depressive Symptoms, and Health Care Access of Older Adults Who Have a Diabetes Diagnosis

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2016, PhD, University of Cincinnati, Education, Criminal Justice, and Human Services: Health Education.
Background. This study aimed to identify health status, health care access, health behaviors, depression, and neighborhood factors among a sample of older adults who had a diabetes diagnosis. A second aim was to assess if differences existed in perceived positive neighborhood factors and health status, health care, health behaviors, depressive symptoms or demographic factors. Methods. This study was a secondary data analysis of older adults who have a diabetes diagnosis among respondents to the 2013 Greater Cincinnati Health Status Survey (n=478). Selected questions were selected to measure and compare desired variables. Results. A majority of participants were White, lived alone, had a regular source of care, were insured, and reported being in good physical and oral health with few physically and mentally unhealthy days in the prior month. A majority engaged in physical activity in their neighborhoods, few were drinkers or smokers. Nearly two in ten reported being in fair or poor physical health, three in ten reported fair or poor oral health, and nearly two in ten reported being nearly three quarters of the month in physical and mental ill health. Participants reported a number of comorbidities with the average participant having between two and three other diseases besides diabetes. In general participants had Neighborhood Support Scale scores that reflected positive neighborhood factors such as support, dependability and feelings of safety. Neighborhood factors were overall perceived as positive. However, more than one in ten reported low levels of neighborhood support. Several interactions between neighborhood scores, health status, health care access, health behaviors and depressive symptoms were explored. Conclusions. Given the relationship of negative health and lower neighborhood support, it is imperative to conduct further research and health education programs to specifically address issues of community and social support for older adults who have diabetes.
Liliana Rojas-Guyler, Ph.D. (Committee Chair)
Amy Bernard, Ph.D. (Committee Member)
Bradley Wilson, Ph.D. (Committee Member)
85 p.

Recommended Citations

Citations

  • Berry, C. (2016). Perceived Neighborhood Factors on Health Status, Health Behaviors, Depressive Symptoms, and Health Care Access of Older Adults Who Have a Diabetes Diagnosis [Doctoral dissertation, University of Cincinnati]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1479815195343032

    APA Style (7th edition)

  • Berry, Christine. Perceived Neighborhood Factors on Health Status, Health Behaviors, Depressive Symptoms, and Health Care Access of Older Adults Who Have a Diabetes Diagnosis. 2016. University of Cincinnati, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ucin1479815195343032.

    MLA Style (8th edition)

  • Berry, Christine. "Perceived Neighborhood Factors on Health Status, Health Behaviors, Depressive Symptoms, and Health Care Access of Older Adults Who Have a Diabetes Diagnosis." Doctoral dissertation, University of Cincinnati, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1479815195343032

    Chicago Manual of Style (17th edition)