Life Events, Social Network, Life-Style, and Health: An Analysis of the 1979 National Survey of Personal Health Practices and Consequences

Life Events, Social Network, Life-Style, and Health: An Analysis of the 1979 National Survey of Personal Health Practices and Consequences
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生活事件、社交网络、生活方式和健康:1979 年全国个人健康实践和后果调查分析

DOI:
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发表时间:
1984
期刊:
Health Education Quarterly
影响因子:
--
通讯作者:
L. Green
L. Green
中科院分区:
--
文献类型:
--
作者:
N. Gottlieb;L. Green

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社会结构,压力,社会支持,生活方式的健康行为和健康状况之间的关系进行了探讨,在这个多变量分析的数据从全国个人健康实践和后果调查。路径分析显示,社会结构因素通过社会网络和负性生活事件直接或间接影响生活方式实践。对于女性,社会网络和生活事件与健康相关的生活方式的做法有直接的关系,而年龄和收入直接和间接地通过社会网络,并通过生活事件,收入。教育也与生活方式直接相关。对于男性,社会网络和教育对健康行为的直接影响是唯一的,年龄和收入通过社会网络对健康行为产生间接影响。然后,我们研究了社会网络指数元素、生活事件和人口统计变量对每种生活方式实践的相对贡献。这些分析证实了性别、教育、年龄和收入对预测生活方式行为的重要性。消极生活事件与男性和女性的吸烟、女性的睡眠、男性的体力活动和饮酒有关,这表明应对压力的性别特异性规范。对于男性和女性来说,参加教会活动和结婚都与吸烟和饮酒有关,这意味着认知社会支持或社会控制是促进健康的中介。最后,以健康状况为结果变量对每种性别进行的分析表明,年龄、收入、教育和生活事件直接影响健康,而参加教堂活动和婚姻的影响可能是通过吸烟和饮酒行为介导的。
The relationships among social structure, stress, social support, life-style health behavior, and health status are explored in this multivariate analysis of data from the National Survey of Personal Health Practices and Consequences. Path analyses showed social structural factors to influence life-style practices both directly and indirectly through social network and negative life events. For women, social network and life events had direct relationships to health related life-style practices, while age and income acted both directly and indirectly through social network and, for income, through life events. Education was also directly related to life-style. For men, social network and education had the only direct effects on health practices, and age and income had indirect effects through social network. We then examined the relative contri butions of the social network index elements, life events, and demographic variables to each of the life-style practices. These analyses confirmed the importance of gender, education, age, and income to predicting life-style behaviors. Negative life events were associated with smoking for both men and women, sleep for women only, and physical activity and alcohol use for men, which suggests sex-specific norms for coping with stress. For both sexes, church attendance and marriage were associated with favorable smoking and alcohol use, implicating cognitive social support or social control as a mediator of health promotion. Finally, analyses for each gender using health status as the outcome variable indicated that age, income, education, and life events affected health directly, while the effects of church attendance and marriage were likely mediated through smoking and alcohol behaviors.
DOI: 10.1093/oxfordjournals.aje.a113466
发表时间: 1982-01-01
影响因子: 5
作者:
WINGARD, DL;BERKMAN, LF;BRAND, RJ
通讯作者: BRAND, RJ