{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T00:03:11Z","timestamp":1793145791102,"version":"4.5.0"},"reference-count":27,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health\ufffdServ\ufffdInsights"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p>Although health issues are more common in people living alone than in those living with someone, research on the service use of people living alone has focused on older age groups. Based on large Finnish cross-sectional health survey (FinHealth 2017, n\u2009=\u20094686), we examined the difference in the use and assessment of health services between those living alone and those living with someone, and whether some sub-groups within those living alone use or perceive the use of health care services differently to those living with someone. The adjusted proportions, based on logistic regression models controlling for demographic variables and perceived health and mental health, showed that those living alone had seen a doctor in the past year less often (65.5%) than those not living alone (71.9%). People living alone had also less often had a health examination in the past 5\u2009years (72.4%) than those not living alone (79.2%), and this proportion was particularly low within people living alone with high levels of depressive symptoms (59.0%) compared to lower levels (75.0%). Conclusively, among people living alone, those who suffer from depressive symptoms might be a potential group that does not receive the same levels of preventive care than others.<\/jats:p>","DOI":"10.1177\/11786329211043955","type":"journal-article","created":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T03:22:21Z","timestamp":1630466541000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Use of Health Services Among People Living Alone in Finland"],"prefix":"10.1177","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8531-8186","authenticated-orcid":false,"given":"Pia CM","family":"Solin","sequence":"first","affiliation":[{"name":"Equality Unit, Finnish Institute for Health and Welfare, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tytti P","family":"Pasanen","sequence":"additional","affiliation":[{"name":"Equality Unit, Finnish Institute for Health and Welfare, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katariina AJ","family":"Mankinen","sequence":"additional","affiliation":[{"name":"Equality Unit, Finnish Institute for Health and Welfare, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tuija P","family":"Martelin","sequence":"additional","affiliation":[{"name":"Equality Unit, Finnish Institute for Health and Welfare, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nina M","family":"Tamminen","sequence":"additional","affiliation":[{"name":"Equality Unit, Finnish Institute for Health and Welfare, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,9,1]]},"reference":[{"key":"bibr1-11786329211043955","unstructured":"Eurostat. Statistics explained. Household composition statistics. 2021. Accessed August 23, 2021. https:\/\/ec.europa.eu\/eurostat\/statistics-explained\/index.php?title=Household_composition_statistics"},{"key":"bibr2-11786329211043955","unstructured":"Official Statistics of Finland (OSF). Dwellings and housing conditions [e-publication]. Statistics Finland. 2019. Accessed August 12, 2021. https:\/\/www.stat.fi\/til\/asas\/2019\/asas_2019_2020-05-20_tie_001_en.html"},{"key":"bibr3-11786329211043955","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2008.151142"},{"key":"bibr4-11786329211043955","doi-asserted-by":"publisher","DOI":"10.1016\/S1000-1948(13)60036-2"},{"key":"bibr5-11786329211043955","first-page":"341","volume":"69","author":"Moisio P","year":"2004","journal-title":"Yhteiskuntapolitiikka"},{"key":"bibr6-11786329211043955","unstructured":"Borg P. Yksinasuvien helsinkil\u00e4isten kokema hyvinvointi. Tutkimuksia 2015, Helsingin kaupunki, Tietokeskus. 2015. Accessed January 4, 2021. https:\/\/www.hel.fi\/hel2\/Tietokeskus\/julkaisut\/pdf\/15_06_17_Tutkimuksia_3_Borg.pdf"},{"key":"bibr7-11786329211043955","unstructured":"Ter\u00e4m\u00e4 E, Tiitu M, Paavola JM, et al. Yksin osana elinkaarta. Valtioneuvoston selvitys-ja tutkimustoiminnan julkaisusarja 66\/2018. 2018. Accessed January 4, 2021. http:\/\/urn.fi\/URN:ISBN:%20978-952-287-617-1"},{"key":"bibr8-11786329211043955","unstructured":"Finlex. The Constitution of Finland. 731\/1999 English. 1999. Accessed August 10, 2021. https:\/\/www.finlex.fi\/en\/laki\/kaannokset\/1999\/en19990731"},{"key":"bibr9-11786329211043955","unstructured":"Finlex. Ty\u00f6terveyshuoltolaki 21.12.2001\/1383. 2001. Accessed August 13, 2021. https:\/\/www.finlex.fi\/fi\/laki\/ajantasa\/2001\/20011383"},{"key":"bibr10-11786329211043955","first-page":"3","volume-title":"FinHealth 2017 Study \u2013 Methods","author":"H\u00e4rk\u00e4nen T","year":"2019"},{"key":"bibr11-11786329211043955","first-page":"22","volume-title":"FinHealth 2017 Study \u2013 Methods","author":"Borodulin K","year":"2019"},{"key":"bibr12-11786329211043955","first-page":"26","volume-title":"FinHealth 2017 Study \u2013 Methods","author":"Borodulin K","year":"2019"},{"key":"bibr13-11786329211043955","unstructured":"Borodulin K, S\u00e4\u00e4ksj\u00e4rvi K. FinHealth 2017 Study - Methods. THL Report 17\/2019. Finnish Institute for Health and Welfare. 2019. http:\/\/urn.fi\/URN:ISBN:978-952-343-449-3. Accessed January 4, 2021."},{"key":"bibr14-11786329211043955","unstructured":"Putz R, O\u2019Hara K, Taggart F, Stewart-Brown S. Using WEMWBS to measure the impact of your work on mental wellbeing: a practice-based user guide. Coventry City Council, Warwick Medical School & NHS Coventry. 2012. Accessed June 7, 2018. https:\/\/www.corc.uk.net\/media\/1244\/wemwbs_practitioneruserguide.pdf"},{"key":"bibr15-11786329211043955","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2012.300918"},{"key":"bibr16-11786329211043955","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-7-15"},{"key":"bibr17-11786329211043955","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199102000-00008"},{"key":"bibr18-11786329211043955","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2008.05.012"},{"key":"bibr19-11786329211043955","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-006-0110-y"},{"key":"bibr20-11786329211043955","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199802000-00012"},{"key":"bibr21-11786329211043955","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2011.09.008"},{"key":"bibr22-11786329211043955","unstructured":"Koponen P, Borodulin K, Lundqvist A, S\u00e4\u00e4ksj\u00e4rvi K, Koskinen S. Terveys, toimintakyky ja hyvinvointi Suomessa \u2013 FinTerveys 2017 -tutkimus. Report 4\/2018. Finnish Institute for Health and Welfare; 2018."},{"key":"bibr23-11786329211043955","doi-asserted-by":"publisher","DOI":"10.1111\/j.0006-341X.1999.00652.x"},{"key":"bibr24-11786329211043955","unstructured":"Lumley T. Survey: analysis of complex survey samples. R package version 3.34. 2018. Accessed January 4, 2021. https:\/\/cran.r-project.org\/web\/packages\/survey\/survey.pdf"},{"key":"bibr25-11786329211043955","doi-asserted-by":"publisher","DOI":"10.1176\/ps.2009.60.9.1222"},{"key":"bibr26-11786329211043955","unstructured":"Eurostat. People in the EU: who are we and how do we live? \u2013 2015 edition. Publications Office of the European Union; 2015. Accessed January 5, 2021. https:\/\/ec.europa.eu\/eurostat\/documents\/3217494\/7089681\/KS-04-15-567-EN-N.pdf"},{"key":"bibr27-11786329211043955","first-page":"135","volume":"69","author":"Nihtil\u00e4 E","year":"2004","journal-title":"Yhteiskuntapolitiikka"}],"container-title":["Health Services Insights"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11786329211043955","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11786329211043955","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11786329211043955","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T08:08:27Z","timestamp":1777450107000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11786329211043955"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":27,"alternative-id":["10.1177\/11786329211043955"],"URL":"https:\/\/doi.org\/10.1177\/11786329211043955","relation":{},"ISSN":["1178-6329","1178-6329"],"issn-type":[{"value":"1178-6329","type":"print"},{"value":"1178-6329","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1]]},"article-number":"11786329211043955"}}