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BMC Health Services Research
Published in: BMC Health Services Research 1/2019

Open Access 01-12-2019 | Care | Research article

The association between voluntary work and health care use among older adults in Germany

Authors: Maike Flennert, Hans-Helmut König, André Hajek

Published in: BMC Health Services Research | Issue 1/2019

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Abstract

Objective

While most studies focused on the relation between volunteering and health-related outcomes, little attention has been given on the association between volunteering and the use of health care services. Thus, with this analysis we aimed at exploring whether and how the voluntary work of older adults is related to the utilization of health care services in Germany.

Methods

The analysis was based on data from the German Ageing Survey (DEAS), a nationally representative, longitudinal study of the German population aged 40 years and older. Focusing on volunteering, data from the waves 2002, 2008 and 2011 was used. Voluntary work in groups and organizations (yes/no) was used as explanatory variable. To quantify health care utilization, visits to general practitioners and specialists as well as nights in the hospital in the past 12 months were used. Fixed effects regressions were applied to estimate the association between volunteering and the outcome variables.

Results

Regressions revealed that the onset of volunteer involvement was associated with an increase in specialist visits, whereas volunteering did not affect visits to general practitioners and the probability of hospitalization significantly.

Conclusion

Our findings emphasize the relation between volunteering and specialist visits. Future research is needed to examine the impact of volunteering on health care use, taking more detailed information regarding the specific context of volunteering as well as personality factors and personal background into consideration. This might be reasonable in advancing the knowledge about this association and in developing planned interventions.
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Literature
1.
Simonson J, Vogel C, Tesch-Römer C. Freiwilliges Engagement in Deutschland: Der Deutsche Freiwilligensurvey. 2014:2014.
2.
European Year of Volunteering (2011). Policy Agenda for Volunteering in Europe (PAVE). EYV 2011 Alliance.
3.
United Nations Volunteers (Hrsg.) (2011). State of the world’s volunteerism report 2011. Universal values for global well-being. United Nations Volunteers.
4.
Wilson J, Musick M. Who cares? Toward an integrated theory of volunteer work. Am Sociol Rev. 1997;62(5):694–713.CrossRef
5.
Morrow-Howell N, Hong SI, Tang F. Who benefits from volunteering? Variations in perceived benefits. The Gerontologist. 2009;49(1):91–102.PubMedCrossRef
6.
7.
Choi NG, Burr JA, Mutchler JE, Caro FG. Formal and informal volunteer activity and spousal caregiving among older adults. Research on aging. 2007;29(2):99–124.CrossRef
8.
Morrow-Howell N. Volunteering in later life: research frontiers. J Gerontol: Series B. 2010;65(4):461–9.CrossRef
9.
Casiday R, Kinsman E, Fisher C, Bambra C. Volunteering and health: what impact does it really have. London: Volunteering England. 2008;9(3):1–13.
10.
Greenfield EA, Marks NF. Formal volunteering as a protective factor for older adults’ psychological well-being. J Gerontol Ser B Psychol Sci Soc Sci. 2004;59(5):258–64.CrossRef
11.
Wu AM, Tang CS, Yan EC. Post-retirement voluntary work and psychological functioning among older Chinese in Hong Kong. J Cross-Cultural Gerontol. 2005;20(1):27–45.CrossRef
12.
Windsor TD, Anstey KJ, Rodgers B. Volunteering and psychological well-being among young-old adults: how much is too much? The Gerontologist. 2008;48(1):59–70.PubMedCrossRef
13.
Luoh MC, Herzog AR. Individual consequences of volunteer and paid work in old age: health and mortality. J Health Soc Behav. 2002;43(4):490–509.PubMedCrossRef
14.
Lum TY, Lightfoot E. The effects of volunteering on the physical and mental health of older people. Res Aging. 2005;27(1):31–55.CrossRef
15.
Musick MA, Wilson J. Volunteering and depression: the role of psychological and social resources in different age groups. Soc Sci Med. 2003;56(2):259–69.PubMedCrossRef
16.
Li Y, Ferraro KF. Volunteering and depression in later life: social benefit or selection processes? J Health Soc Behav. 2005;46(1):68–84.PubMedCrossRef
17.
Van Willigen M. Differential benefits of volunteering across the life course. J Gerontol Ser B Psychol Sci Soc Sci. 2000;55(5):308–18.CrossRef
18.
Baker LA, Cahalin LP, Gerst K, Burr JA. Productive activities and subjective well-being among older adults: the influence of number of activities and time commitment. Soc Indic Res. 2005;73(3):431–58.CrossRef
19.
Musick MA, Herzog AR, House JS. Volunteering and mortality among older adults: findings from a national sample. J Gerontol B Psychol Sci Soc Sci. 1999;54(3):173–80.CrossRef
20.
Shmotkin D, Blumstein T, Modan B. Beyond keeping active: concomitants of being a volunteer in old-old age. Psychol Aging. 2003;18(3):602–7.PubMedCrossRef
21.
Harris AH, Thoresen CE. Volunteering is associated with delayed mortality in older people: analysis of the longitudinal study of aging. J Health Psychol. 2005;10(6):739–52.PubMedCrossRef
22.
Kim ES, Konrath SH. Volunteering is prospectively associated with health care use among older adults. Soc Sci Med. 2016;149:122–9.PubMedCrossRef
23.
Passon A, Lüngen M, Gerber A, Redaelli M, Stock S. Das Krankenversicherungssystem in Deutschland. Gesundheitsökonomie. 2009:105–36.
24.
Van Doorslaer E, Masseria C, Koolman X. Inequalities in access to medical care by income in developed countries. Can Med Assoc J. 2006;174(2):177–83.CrossRef
25.
Mahne K, Wolff JK, Simonson J, Tesch-Römer C. Altern im Wandel: Zwei Jahrzehnte Deutscher Alterssurvey. Wiesbaden: Springer VS; 2017.CrossRef
26.
Schiel S, Dickmann C, Aust F. Methodenbericht Deutscher Alterssurvey (DEAS): 4. Befragungswelle. Bonn: infas: Panelbefragung 2011; 2011.
27.
Klaus D, Engstler H, Mahne K, Wolff JK, Simonson J, Wurm S, Tesch-Römer C. Cohort profile: the German ageing survey (DEAS). Int J Epidemiol. 2017;46(4):1105–1105g.PubMedPubMedCentralCrossRef
28.
29.
Andersen RM. Revisiting the behavioral model and access to medical care: does it matter? J Health Soc Behav. 1995;36(1):1–10.PubMedCrossRef
30.
Babitsch, B., Gohl, D., & von Lengerke, T. (2012). Re-revisiting Andersen’s behavioral model of health services use: a systematic review of studies from 1998-2011. Psychosoc Med, 9, Doc11: 1–15.
31.
Unesco, ed. (2006). International Standard Classification of Education ISCED 1997. Re-edition. Paris: UNESCO.
32.
Charlson M, Szatrowski TP, Peterson J, Gold J. Validation of a combined comorbidity index. J Clin Epidemiol. 1994;47(11):1245–51.PubMedCrossRef
33.
34.
Cameron AC, Trivedi PK. Microeconometrics: methods and applications. New York: Cambridge university press; 2005.CrossRef
35.
Brüderl J, Ludwig V. Fixed-effects panel regression. In: Best H, editor. The SAGE handbook of regression analysis and causal inference. Los Angeles: SAGE; 2015. p. 327–57.
36.
Hausman JA. Specification tests in econometrics. Econometrica: Journal of the econometric society. 1978;46(6):1251–71.CrossRef
37.
Stock JH, Watson MW. Heteroscedasticity-robust standard errors for fixed effects panel data regression. Econometrica. 2008;76(1):155–74.CrossRef
38.
Allison PD. Fixed effects regression models. Thousand Oaks, CA: SAGE; 2009.CrossRef
39.
40.
Helms S, McKenzie T. Gender differences in formal and informal volunteering in Germany. Volunt Int J Volunt Nonprofit Org. 2014;25(4):887–904.CrossRef
41.
Corp S. Stata statistical software: release 14. Texas: Stata Corp LP: College Station. 2015.
42.
Cameron AC, Trivedi PK. Microeconometrics using Stata (rev. ed.). In: College Station. Texas: Stata Press; 2010.
43.
Mukaka MM. A guide to appropriate use of correlation coefficient in medical research. Malawi Med J. 2012;24(3):69–71.PubMedPubMedCentral
44.
Bremer, D., Lüdecke, D., Vonneilich, N., & von dem Knesebeck, O. (2018). Social relationships and GP use of middle-aged and older adults in Europe: a moderator analysis. BMJ Open, 8(4), 1–12.
45.
Valtorta NK, Moore DC, Barron L, Stow D, Hanratty B. Older adults’ social relationships and health care utilization: A systematic review. Am J Public Health. 2018;108(4):e1–e10.PubMedPubMedCentralCrossRef
46.
Musick MA, Wilson J. Volunteers: a social profile. Bloomington: Ind.: Indiana Univ. Press; 2008.
47.
Wilhelm MO, Bekkers R. Helping behavior, dispositional empathic concern, and the principle of care. Soc Psychol Q. 2010;73(1):11–32.CrossRef
48.
49.
50.
Okun MA. The relation between motives for organizational volunteering and frequency of volunteering by elders. J Appl Gerontol. 1994;13(2):115–26.CrossRef
51.
Claxton-Oldfield S, Claxton-Oldfield J. Should I stay or should I go: a study of hospice palliative care volunteer satisfaction and retention. Am J Hosp Palliat Care®. 2012;29(7):525–30.CrossRef
52.
Geling O, Janssen C, Lüschen G. Alter, Gesundheitsstatus und die Inanspruchnahme von Allgemein-und Fachärzten. Sozial-und Präventivmedizin. 1996;41(1):36–46.PubMedCrossRef
53.
Thode N, Bergmann E, Kamtsiuris P, Kurth BM. Einflussfaktoren auf die ambulante Inanspruchnahme in Deutschland. Bundesgesundheitsblatt Gesundheitsforsch Gesundheitsschutz. 2005;48(3):296–306.CrossRef
54.
Kohler M, Ziese T. Telefonischer Gesundheitssurvey des Robert Koch-Instituts zu chronischen Krankheiten und ihren Bedingungen: deskriptiver Ergebnisbericht: Beiträge zur Gesundheitsberichterstattung des Bundes: Robert Koch-Institut; 2004.
55.
Kempen GI, van Sonderen E. Psychological attributes and changes in disability among low-functioning older persons: does attrition affect the outcomes? J Clin Epidemiol. 2002;55(3):224–9.PubMedCrossRef
56.
Wurm S, Tesch-Römer C, Tomasik MJ. Longitudinal findings on aging-related cognitions, control beliefs, and health in later life. J Gerontol B Psychol Sci Soc Sci. 2007;62(3):156–64.CrossRef
57.
Carlo G, Okun MA, Knight GP, de Guzman MRT. The interplay of traits and motives on volunteering: agreeableness, extraversion and prosocial value motivation. Personal Individ Differ. 2005;38(6):1293–305.CrossRef
58.
Johnson KJ, Lee SH. Factors associated with volunteering among racial/ethnic groups: findings from the California health interview survey. Res Aging. 2017;39(5):575–96.PubMedCrossRef
Metadata
Title
The association between voluntary work and health care use among older adults in Germany
Authors
Maike Flennert
Hans-Helmut König
André Hajek
Publication date
01-12-2019
Publisher
BioMed Central
Keyword
Care
Published in
BMC Health Services Research / Issue 1/2019
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-019-3867-x

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