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Katia Gallegos, MSc¹, Carmen Garcia-Peña, PhD², Carlos A. Duran, MD³, Jyoti Mudgal, PhD¹, Luis Duran, PhD⁴, and Jorge Salmerón, MD, DrSc⁵. (1) Unidad de Investigación Epidemiológica y en Servicios de Salud. Morelos, Instituto Mexicano del Seguro Social, Av. Plan de Ayala esq. Calle Central. HGR/MF No. 1 C.P. 62450, Cuernavaca, Morelos, Mexico, 527773155000 Ext. 2000, kgallegosc@cis.gob.mx, (2) Unidad de Investigación Epidemiológica y en Servicios de Salud. Area Envejecimiento, Instituto Mexicano del Seguro Social, CMN Siglo XXI. Av. Cuauhtemoc 330, Mexico, D.F., Mexico, (3) División de Evaluación. Coordinación de Investigación en Salud, Instituto Mexicano del Seguro Social, Av. Cuauhtemoc No. 330. C.P. 06725, Mexico, D.F., Mexico, (4) Division de Sistemas de Salud. Coordinación de Politicas de Salud, Instituto Mexicano del Seguro Social, Av. Reforma No. 476, Mexico, D.F., Mexico, (5) Unidad de Investigación Epidemiológica y en Servicios de Salud, Instituto Mexicano del Seguro Social, Av. Plan de Ayala S/N, Esq. Calle Central, Col. Chapultepec, Cuernavaca, 62450, Mexico

The aim of the study is to determine the effect of use of preventive and curative health services on the quality-of-life of older adults. For this purpose, a cross-sectional study was carried-out in an elderly population. The study included 1,150 men and women who used the health services of the Mexican Social Security Institute (IMSS). Information was gathered by means of structured interviews regarding socio-demographic characteristics, use of health and social services at IMSS and other public or private institutions, health behaviors, and their health profile in terms of chronic diseases and quality-of-life. Services utilization is classified as preventive and curative, which are combined to generate six services utilization profiles. Quality-of-life is measured with the SF-36 health questionnaire. First, analysis of variance was conducted to evaluate the effect of the use of services on quality-of-life. Finally, multiple linear regression models were used to determine the independent effect of each use profile on quality-of-life, adjusting for other co-variables. Our results show that preventive and curative services utilization presents a positive effect on quality-of-life. The profile of predominantly preventive services (8.7%) has greater influence on the older adult's perception of quality-of-life, independent of other co-variables. We conclude that use of preventive services is associated with a better perception of quality-of-life among older adults. These results reinforce the important function of preventive services on health and quality-of-life of the elderly.

Learning Objectives:

• Define the effect of curative and preventive health services on perception of quality of life of older adults

Keywords: Health Care Utilization, Quality of Life

Awards: Nobuo Maeda International Aging & Public Health Research Award - Honorable Mention

Presenting author's disclosure statement:

Any relevant financial relationships? No