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Annals of Behavioral Medicine

, Volume 49, Issue 3, pp 463–472 | Cite as

District-Level Primary Care Supply Buffers the Negative Impact of Functional Limitations on Illness Perceptions in Older Adults with Multiple Illnesses

  • Benjamin SchüzEmail author
  • Clemens Tesch-Römer
  • Susanne Wurm
Original Article

Abstract

Background

Illness perceptions predict important outcomes, e.g. coping, adherence and well-being. Less is known about the sources of illness perceptions, in particular the role of environmental factors such as primary care supply.

Purpose

This study examines whether and how primary care supply (on district level) affects individual illness perceptions.

Methods

We conducted a longitudinal study in 271 adults 65 years and older with multiple illnesses. Functional limitations (SF-36 physical functioning subscale) at time 1 were tested as predictors of illness perceptions 6 months later. Primary care supply on district level was matched to individual data.

Results

In multilevel models, functional limitations predicted illness perceptions. Primary care supply on district level moderated the impact of functional limitations on individual identity and emotional response perceptions, with better supply buffering detrimental effects of functional limitations.

Conclusions

Illness perceptions do not only depend on individual factors, but socio-structural factors also substantially contribute to individual illness perceptions.

Keywords

Illness perceptions Primary care supply Older adults Physical functioning Multilevel modelling Common-Sense Model 

Notes

Acknowledgments

This study (PREFER) was funded by the German Federal Ministry of Education and Research (Grant No. 01ET0702). The content is the sole responsibility of the authors.

Authors’ Statement of Conflict of Interest and Adherence to Ethical Standards

Authors Schüz, Tesch-Römer, and Wurm declare that they have no conflict of interest. All procedures, including the informed consent process, were conducted in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000.

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Copyright information

© The Society of Behavioral Medicine 2014

Authors and Affiliations

  • Benjamin Schüz
    • 1
    Email author
  • Clemens Tesch-Römer
    • 2
  • Susanne Wurm
    • 2
    • 3
  1. 1.School of PsychologyUniversity of TasmaniaHobartAustralia
  2. 2.German Centre of GerontologyBerlinGermany
  3. 3.Institute of PsychogerontologyUniversity of Erlangen-NurembergNurembergGermany

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