Self Perception of Sickness and the Seeking of Medical Care

Abstract

It was hypothesized that among subjects who perceive themselves to be in poor health those with fewer or less urgent symptoms, whose life situation makes it more difficult to seek care, and who lack faith in the medical care system would be most likely to fail to seek medical attention. The hypothesis was tested with a population of applicants for social security disability benefits. The hypothesis was only partially confirmed. Two life situational factors of income and welfare contact, and three measures of system orientation were found to be related to the seeking of medical care but urgency and number of symptoms were not. Subjects with low income, recent welfare contact, and negative system orientations were most likely to fail to seek medical attention. Moreover, negative system orientations proved to be associated with low income and welfare experience suggesting that negative orientations may be created by situational factors and serve as rationalizations for failure to seek care when situational factors make it difficult to do so.