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
2011

Healthcare Use Before and After Spousal Bereavement in Denmark

Sample size: 6421 publication Evidence: high

Author Information

Author(s): Oksuzyan Anna, Jacobsen Rune, Glaser Karen, Tomassini Cecilia, Vaupel James W., Christensen Kaare

Primary Institution: The Danish Aging Research Center, Institute of Public Health, University of Southern Denmark

Hypothesis

After a spouse's death, elderly men will reduce medication use and visits to general practitioners (GPs), while women will maintain or increase their healthcare utilization compared to their preloss level.

Conclusion

The study found no support for the hypothesis that reduced healthcare use contributes to more adverse health outcomes after spousal loss in men compared with women in Denmark.

Supporting Evidence

  • Medication use increased for both men and women after spousal loss.
  • Women generally had higher medication use than men before and after widowhood.
  • There were no significant sex-specific patterns in healthcare utilization after bereavement.

Takeaway

When older people lose their spouse, both men and women tend to use more medicine and visit doctors more often, but men don't use healthcare less than women after the loss.

Methodology

The study analyzed healthcare use through a nationwide register of individuals aged 60 and older who became widowed between 1996 and 2003, assessing medication use and GP visits before and after bereavement.

Potential Biases

There is a potential for bias due to the reliance on register data, which may not capture all health behaviors.

Limitations

The findings may be country-specific and not generalizable to other settings.

Participant Demographics

Participants were individuals aged at least 60 years, with 66.5% being women.

Statistical Information

P-Value

0.02

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.4061/2011/678289

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