Educational and Gender Differences in Health Behavior Changes After a Gateway Diagnosis.

TitleEducational and Gender Differences in Health Behavior Changes After a Gateway Diagnosis.
Publication TypeJournal Article
Year of Publication2018
AuthorsHernandez, EM, Margolis, R, Hummer, RA
JournalJ Aging Health
Date Published2018 03
ISSN Number1552-6887
KeywordsAged, Attitude to Health, Educational Status, Exercise, Female, Health Behavior, Humans, Hypertension, Male, Middle Aged, Retirement, Sex Factors, Smoking cessation, United States

OBJECTIVE: Hypertension represents a gateway diagnosis to more serious health problems that occur as people age. We examine educational differences in three health behavior changes people often make after receiving this diagnosis in middle or older age, and test whether these educational differences depend on (a) the complexity of the health behavior change and (b) gender.

METHOD: We use data from the Health and Retirement Study and conduct logistic regression analysis to examine the likelihood of modifying health behaviors post diagnosis.

RESULTS: We find educational differences in three behavior changes-antihypertensive medication use, smoking cessation, and physical activity initiation-after a hypertension diagnosis. These educational differences in health behaviors were stronger among women compared with men.

DISCUSSION: Upon receiving a hypertension diagnosis, education is a more important predictor of behavior changes for women compared with men, which may help explain gender differences in the socioeconomic gradient in health in the United States.

User Guide Notes

Short TitleJournal of Aging and Health
Alternate JournalJ Aging Health
Citation Key8807
PubMed ID27940641
PubMed Central IDPMC5777891
Grant ListF32 HD070595 / HD / NICHD NIH HHS / United States
R24 HD042849 / HD / NICHD NIH HHS / United States