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Journal of Health Psychology
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The Impact of Marital Conflict on Health and Health Care Utilization in Older Couples

Jonathan G. Sandberg

Brigham Young University, USA, jonathan_sandberg{at}byu.edu

Richard B. Miller

Brigham Young University, USA

James M. Harper

Brigham Young University, USA

Mihaela Robila

Queens College, USA

Adam Davey

Temple University, USA

This study tested the hypothesis that marital distress has a significant effect on health care utilization for older couples. Results from 536 intact couples in long term marriages showed men in dissatisfying marriages are more likely to utilize health care services; women in satisfying marriages are more likely to use health care services. There were no significant partner effects of marital quality on health problems or health care utilization. The association between husbands' marital quality and wives' health care utilization approached significance. Implications for future research and clinical practice, including gender differences, are discussed.

Key Words: health care utilization • marital quality

Journal of Health Psychology, Vol. 14, No. 1, 9-17 (2009)
DOI: 10.1177/1359105308097938


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