Adults with cardiovascular disease who help others: a prospective study of health outcomes
Adults with cardiovascular disease who help others: a prospective study of health outcomes
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DOI：
10.1007/s10865-012-9414-4
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发表时间：
2013-04-01
影响因子：
3.1
通讯作者：
Brown, Stephanie
中科院分区：
文献类型：
--
作者：
Heisler, Michele;Choi, HwaJung;Brown, Stephanie
关于帮助行为对心血管疾病（CVD）等高危慢性疾病患者的健康影响知之甚少。使用一项具有全国代表性的纵向调查，我们检查了成年CVD患者（n = 4，491）的后续健康状况，这些成年CVD患者花时间向家庭以外的家人和朋友提供无偿援助，与那些没有提供援助的人相比。在调整基线特征和使用倾向评分匹配方法后，在过去12个月内花费长达200小时帮助他人与随后2年内经历新的CVD事件或死亡的几率较低相关。提供长达100小时的援助与报告较少的抑郁症状有关。这一门槛效应提出了一个问题，即超过一定时间的援助是否会造成负担，减少帮助他人带来的健康益处。卫生保健提供者可以发挥重要作用，探索心血管病患者可以在自己的社交网络或社区中为他人提供有益帮助的方法，从而也可能改善自己的健康。
Little is known about the health impact of helping behaviors among individuals with high-risk chronic diseases such as cardiovascular disease (CVD). Using a nationally representative, longitudinal survey, we examined the subsequent health of adults with CVD (n = 4,491) who spent time providing non-paid assistance to family and friends outside of their households compared with those who had provided no assistance. After both adjusting for baseline characteristics and using propensity score matching methods, spending up to 200 h over the prior 12 months helping others was associated with lower odds of experiencing a new CVD event or dying in the subsequent 2 years. Providing up to 100 h of assistance was associated with reporting fewer depressive symptoms. This threshold effect raises the question of whether assistance beyond a certain number of hours may impose a burden that mitigates health benefits from helping others. Health care providers could play an important role exploring ways that patients with CVD can provide beneficial levels of assistance to others in their own social networks or communities, thereby possibly also improving their own health.