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Older couples' decision making on health issues

C Padula1

  • 1College of Nursing, University of Rhode Island, Kingston, USA.

Western Journal of Nursing Research
|December 1, 1996
PubMed
Summary

Spouses influence each other

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Area of Science:

  • Gerontology
  • Health Behavior
  • Social Psychology

Background:

  • Spousal influence significantly impacts health behaviors in older adults.
  • Understanding joint health decision-making is crucial for effective health promotion.

Purpose of the Study:

  • To explore spousal influence on health-promotion behaviors.
  • To examine the desire to change a spouse's health behaviors.

Main Methods:

  • Qualitative study involving 59 elderly couples in long-term marriages.
  • Data collected through five open-ended questions.
  • Participants recruited from three senior centers.

Main Results:

  • Most couples made health decisions jointly, with wives often being the primary decision-makers.
  • A significant desire existed, particularly among wives, to alter spouses' health behaviors.
  • Various strategies were employed to influence spousal health behaviors.
  • Aging or illness precipitated an increased desire to change a spouse's health behaviors.

Conclusions:

  • Spousal dynamics play a key role in health-promotion behaviors among older adults.
  • The desire to change a spouse's health behavior is influenced by personal and spousal health status.
  • Interventions targeting couples may enhance health promotion in aging populations.

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