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Additional info for Care for Major Health Problems and Population Health Concerns: Impacts on Patients, Providers and Policy (Research in the Sociology of Health Care)
56, female) For this woman, she did not realize how much she relied on her husband for support and found it difﬁcult to manage everything on her own. Another woman describes how she felt after her husband passed away. When you are busy in your younger days, you do not make time for hobbies. You always say you haven’t the time. Some people are fortunate enough to have a good Motivation and Skill to Self-Manage Coronary Heart Disease 31 marriage always doing things together, but when one or the other dies that is when the one left is at a loss as what to do with themselves.
Dannefer, D. (2003). Cumulative advantage/disadvantage and life curse: Cross-fertilizing age and social science theory. Journal of Gerontology, 58, S327–S337. , & Steverink, N. (2007). Evaluation of the chronic disease selfmanagement program among chronically ill older people in the Netherlands. Social Science and Medicine, 64, 1832–1841. , & Clancy, C. (2000). Inequality in quality: Addressing socioeconomic, racial and ethnic disparities in health care. Journal of the American Medical Association, 283, 2579–2584.
This is especially problematic for disadvantaged groups because they are more likely to experience ill health. , 2002) there are many patients in the UK who are also struggling to pay for their prescriptions. Thus, prescription charges may end up compounding the cycle of health inequality for disadvantaged groups. Others described how they often had to prioritize their family’s needs over their own health when decisions had to be made about how to spend their small income. Indeed, worrying about the basic necessities of life may hinder people’s ability to manage their health by adding stress, which may Motivation and Skill to Self-Manage Coronary Heart Disease 35 even worsen their heart symptoms.