@article {8381,
	title = {Indicators of resilience and healthcare outcomes: findings from the 2010 health and retirement survey},
	journal = {Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation},
	volume = {25},
	year = {2016},
	note = {Times Cited: 0 0},
	pages = {1007-15},
	publisher = {25},
	abstract = {OBJECTIVE: To test the hypothesis that higher levels of resilience indicators are associated with lower overall healthcare utilization (HCU) as well as improvements in self-rated health (SRH), we analyzed a representative sample of 4562 adults 50-70years old enrolled in the US 2010 health and retirement survey. METHODS: Multivariable logistic regression models estimated odds ratios (ORs) and 95  confidence intervals (CIs) for high versus low resilience in relation to HCU and SRH improvements over 2years. Resilience indicators included: cumulative lifetime adversity, social support, global mastery and domain-specific mastery. Cumulative lifetime adversity was defined as 0, 1-2, 3-4 or 5  events. HCU included hospitalization (any vs. none) and physician visits ( 20 vs.  20) over 2years. FINDINGS: Hospitalization odds declined by 25  (OR 0.75, 95 CI 0.64-0.86), odds of  20 physician visits declined by 47  (OR 0.53, 95  CI 0.45-0.63) and the odds of SRH improvement increased by 49  (OR 1.49, 95  CI 1.17-1.88) for respondents with high versus low health mastery. Cumulative lifetime adversity manifested a dose-dependent positive relationship with HCU. Specifically, hospitalization odds was, respectively, 25, 80 and 142  elevated for participants that reported 1-2, 3-4 and 5  versus 0 lifetime adversities. High versus low global, financial and health mastery, respectively, predicted improved SRH, lower physician{\textquoteright}s visits and hospitalizations. CONCLUSION: In this sample of adults near or in retirement, resilience predicted lower HCU and improved SRH. Resilience is a dynamic state that can be enhanced in adults with positive impacts on subjective well-being and HCU.},
	keywords = {Expectations, Health Conditions and Status, Healthcare},
	doi = {10.1007/s11136-015-1144-y},
	author = {Amara E. Ezeamama and Elkins, Jennifer and Simpson, Cherie and Smith, Shaniqua L. and Joseph C. Allegra and Toni Miles}
}
