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Evaluation & the Health Professions
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Preventive Health Behavior Advice

A Study with Older Myocardial Infarction Patients

Rosalie Young

Department of Community Medicine, Wayne State University, Detroit, Michigan

Eva Kahana

Department of Sociology, Case Western Reserve University, Cleveland, Ohio

Melvyn Rubenfire

Department of Medicine, Sinai Hospital of Detroit

Preventive health behavior on the part of heart patients is essential to reduce cardiac risk, improve the opportunity for recovery after myocardial infarction (MI), and enhance the patient's likelihood of survival. Since physicians often manage older patients differently than younger ones, it is important to determine whether preventive health advice differs by age. This study of 246 recovering MIpatients has shown that important areas of differences emerge that appear to favor younger patients. These involve preventive behavior information, advice, and physician referrals. Also indicated by the data was that older patients were offered significantlyfewer opportunitiesfor enrollment in cardiac rehabilitation programs and received significantly less instruction in practices that are beneficial to cardiac health. Discriminant function analyses performed on the data identified specif ic referral patterns in which age of patient was a majorfactor. Reasonsfor the discrepant patterns are offered, including the possibility of age-related stereotyping of older heart patients.

Evaluation & the Health Professions, Vol. 10, No. 4, 394-407 (1987)
DOI: 10.1177/016327878701000403


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Home page
Research on AgingHome page
E. Kahana, R. F. Young, K. Kerchir, and R. Kaczynski
Testing a Symmetrical Model of Caregiving Outcomes During Recovery from Heart Attacks
Research on Aging, December 1, 1993; 15(4): 371 - 398.
[Abstract]