Differential Health Screening of the Well Elderly by Gender and Age: Appropriate Care or Bias?
We use data from a random sample of 5,454 elderly participants in the California Preventive Health Care for the Aging Program to identify gender and age differences in health screening practices. We present a framework to facilitate an evaluation of current targeting of services by gender and age. T...
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| Veröffentlicht in: | Journal of applied gerontology 1989-09, Vol.8 (3), p.335-354 |
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| container_end_page | 354 |
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| container_issue | 3 |
| container_start_page | 335 |
| container_title | Journal of applied gerontology |
| container_volume | 8 |
| creator | Lubben, James E. Chi, Iris Weiler, Philip G. |
| description | We use data from a random sample of 5,454 elderly participants in the California
Preventive Health Care for the Aging Program to identify gender and age differences
in health screening practices. We present a framework to facilitate an evaluation of
current targeting of services by gender and age. This framework clarifies where
targeting based on age and gender is appropriate or inappropriate and where more
or less targeting might be needed. With use of this framework, some inappropriate
age bias is indicated. The oldest-old often receive less health screening than their
younger counterparts. Gender-based targeting is less frequent and is usually appro
priate when it occurs. We discuss implications for practice and future program
evaluations. |
| doi_str_mv | 10.1177/073346488900800305 |
| format | Article |
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Preventive Health Care for the Aging Program to identify gender and age differences
in health screening practices. We present a framework to facilitate an evaluation of
current targeting of services by gender and age. This framework clarifies where
targeting based on age and gender is appropriate or inappropriate and where more
or less targeting might be needed. With use of this framework, some inappropriate
age bias is indicated. The oldest-old often receive less health screening than their
younger counterparts. Gender-based targeting is less frequent and is usually appro
priate when it occurs. We discuss implications for practice and future program
evaluations.</description><identifier>ISSN: 0733-4648</identifier><identifier>EISSN: 1552-4523</identifier><identifier>DOI: 10.1177/073346488900800305</identifier><identifier>PMID: 10295407</identifier><language>eng</language><publisher>Thousand Oaks, CA: Sage Publications</publisher><subject>Age Differences ; Age Factors ; Aged ; Attitude of Health Personnel ; California ; Elderly ; Health administration ; Health Care ; Health Services ; Health Services for the Aged - standards ; Health Status ; Humans ; Mass Screening - standards ; Prejudice ; Sampling Studies ; Sex Differences ; Sex Factors ; United States</subject><ispartof>Journal of applied gerontology, 1989-09, Vol.8 (3), p.335-354</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c285t-700a30d9a921571b8255ba41eea34da55232357d0b82385f90590b6a898a14413</citedby><cites>FETCH-LOGICAL-c285t-700a30d9a921571b8255ba41eea34da55232357d0b82385f90590b6a898a14413</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/073346488900800305$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/073346488900800305$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21799,27903,27904,33754,43600,43601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10295407$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lubben, James E.</creatorcontrib><creatorcontrib>Chi, Iris</creatorcontrib><creatorcontrib>Weiler, Philip G.</creatorcontrib><title>Differential Health Screening of the Well Elderly by Gender and Age: Appropriate Care or Bias?</title><title>Journal of applied gerontology</title><addtitle>J Appl Gerontol</addtitle><description>We use data from a random sample of 5,454 elderly participants in the California
Preventive Health Care for the Aging Program to identify gender and age differences
in health screening practices. We present a framework to facilitate an evaluation of
current targeting of services by gender and age. This framework clarifies where
targeting based on age and gender is appropriate or inappropriate and where more
or less targeting might be needed. With use of this framework, some inappropriate
age bias is indicated. The oldest-old often receive less health screening than their
younger counterparts. Gender-based targeting is less frequent and is usually appro
priate when it occurs. We discuss implications for practice and future program
evaluations.</description><subject>Age Differences</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Attitude of Health Personnel</subject><subject>California</subject><subject>Elderly</subject><subject>Health administration</subject><subject>Health Care</subject><subject>Health Services</subject><subject>Health Services for the Aged - standards</subject><subject>Health Status</subject><subject>Humans</subject><subject>Mass Screening - standards</subject><subject>Prejudice</subject><subject>Sampling Studies</subject><subject>Sex Differences</subject><subject>Sex Factors</subject><subject>United States</subject><issn>0733-4648</issn><issn>1552-4523</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1989</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BHHNA</sourceid><recordid>eNqFkM1Lw0AQxRdRtH78Ax5kT95iZ7-SjReptVqh4EHFm2HSTNqUNKm76aH_vVvagyDoaQbm9x5vHmOXAm6ESJI-JErpWFubAlgABeaA9YQxMtJGqkPW2wLRljhhp94vACAcxTE7ESBToyHpsc-HqizJUdNVWPMxYd3N-evUETVVM-Ntybs58Q-qaz6qC3L1hucb_kRN2Dk2BR_M6JYPVivXrlyFHfEhOuKt4_cV-rtzdlRi7eliP8_Y--PobTiOJi9Pz8PBJJpKa7ooAUAFRYqpFCYRuZXG5KgFESpdYEitpDJJAeGirClTMCnkMdrUotBaqDN2vfMNOb7W5LtsWflpSI0NtWufJamUYKz9F4yF0XEsVADlDpy61ntHZRb-W6LbZAKybf3Z7_qD6Grvvs6XVPyQ7PoOQH8HeJxRtmjXrgm1_GX5DYIKigE</recordid><startdate>198909</startdate><enddate>198909</enddate><creator>Lubben, James E.</creator><creator>Chi, Iris</creator><creator>Weiler, Philip G.</creator><general>Sage Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U3</scope><scope>BHHNA</scope><scope>7X8</scope></search><sort><creationdate>198909</creationdate><title>Differential Health Screening of the Well Elderly by Gender and Age: Appropriate Care or Bias?</title><author>Lubben, James E. ; Chi, Iris ; Weiler, Philip G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c285t-700a30d9a921571b8255ba41eea34da55232357d0b82385f90590b6a898a14413</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1989</creationdate><topic>Age Differences</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Attitude of Health Personnel</topic><topic>California</topic><topic>Elderly</topic><topic>Health administration</topic><topic>Health Care</topic><topic>Health Services</topic><topic>Health Services for the Aged - standards</topic><topic>Health Status</topic><topic>Humans</topic><topic>Mass Screening - standards</topic><topic>Prejudice</topic><topic>Sampling Studies</topic><topic>Sex Differences</topic><topic>Sex Factors</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lubben, James E.</creatorcontrib><creatorcontrib>Chi, Iris</creatorcontrib><creatorcontrib>Weiler, Philip G.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of applied gerontology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lubben, James E.</au><au>Chi, Iris</au><au>Weiler, Philip G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Differential Health Screening of the Well Elderly by Gender and Age: Appropriate Care or Bias?</atitle><jtitle>Journal of applied gerontology</jtitle><addtitle>J Appl Gerontol</addtitle><date>1989-09</date><risdate>1989</risdate><volume>8</volume><issue>3</issue><spage>335</spage><epage>354</epage><pages>335-354</pages><issn>0733-4648</issn><eissn>1552-4523</eissn><abstract>We use data from a random sample of 5,454 elderly participants in the California
Preventive Health Care for the Aging Program to identify gender and age differences
in health screening practices. We present a framework to facilitate an evaluation of
current targeting of services by gender and age. This framework clarifies where
targeting based on age and gender is appropriate or inappropriate and where more
or less targeting might be needed. With use of this framework, some inappropriate
age bias is indicated. The oldest-old often receive less health screening than their
younger counterparts. Gender-based targeting is less frequent and is usually appro
priate when it occurs. We discuss implications for practice and future program
evaluations.</abstract><cop>Thousand Oaks, CA</cop><pub>Sage Publications</pub><pmid>10295407</pmid><doi>10.1177/073346488900800305</doi><tpages>20</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0733-4648 |
| ispartof | Journal of applied gerontology, 1989-09, Vol.8 (3), p.335-354 |
| issn | 0733-4648 1552-4523 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_79220588 |
| source | MEDLINE; SAGE Complete; Sociological Abstracts |
| subjects | Age Differences Age Factors Aged Attitude of Health Personnel California Elderly Health administration Health Care Health Services Health Services for the Aged - standards Health Status Humans Mass Screening - standards Prejudice Sampling Studies Sex Differences Sex Factors United States |
| title | Differential Health Screening of the Well Elderly by Gender and Age: Appropriate Care or Bias? |
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