Subjective social status moderates back pain and mental health in older men.
Subjective social status moderates back pain and mental health in older men.
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DOI：
10.1080/13607863.2021.1899133
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发表时间：
2022-04
影响因子：
3.4
通讯作者：
Lee S
中科院分区：
文献类型：
--
作者：
Mu C;Jester DJ;Cawthon PM;Stone KL;Lee S
背痛和精神健康状况不佳是老年男性相互关联的问题。有证据表明，社会经济地位缓和这种关系，但较少被称为主观社会地位（SSS）的作用。这项研究检查了背痛和心理健康之间的关系是否受到SSS的调节。我们使用了来自男性骨质疏松性骨折研究（N=5994）的社区居住老年男性（≥65岁）样本。参与者自我报告了他们在过去12个月内背痛的严重程度和频率。采用麦克阿瑟SSS量表评定SSS。采用SF-12心理健康量表（MCS）评估心理健康状况。重度背痛与SF-12 MCS评分较低相关（p = .03）。背痛频率与SF-12 MCS评分无关。SSS调节了背痛与心理健康的关系。在国家或社区SSS较高的男性中，背痛严重程度与SF-12 MCS评分之间的相关性不显著。然而，在国家或社区SSS较低的男性中，更严重的背痛与SF-12 MCS评分较低相关（p < .001）。在国家或社区SSS较低的患者中，背痛频率较高也与SF-12 MCS评分较低相关（p <0.05）。一个人在自己的国家或社区中的排名关系到背痛和心理健康的关系。较高的SSS可能是一种心理社会资源，可以缓冲老年男性严重和频繁的背痛对心理健康的负面影响。
Back pain and poor mental health are interrelated issues in older men. Evidence suggests that socioeconomic status moderates this relationship, but less is known about the role of subjective social status (SSS). This study examined if the association between back pain and mental health is moderated by SSS. We used a sample of community-dwelling older men (≥65 years) from the Osteoporotic Fractures in Men Study (N=5994). Participants self-reported their back pain severity and frequency over the past 12 months. SSS was assessed with the MacArthur Scale of SSS. Mental health was assessed with the SF-12 Mental Component Summary (MCS). Severe back pain was associated with lower SF-12 MCS scores (p = .03). Back pain frequency was not associated with SF-12 MCS scores. SSS moderated the back pain and mental health relationship. Among men with higher national or community SSS, the association between back pain severity and SF-12 MCS scores was not significant. However, among men with lower national or community SSS, more severe back pain was associated with lower SF-12 MCS scores (p’s < .001). Among those with lower national or community SSS, greater back pain frequency was also associated with lower SF-12 MCS scores (p’s < .05). Where one ranks oneself within their nation or community matters for the back pain and mental health relationship. Higher SSS may be a psychosocial resource that buffers the negative associations of severe and frequent back pain on mental health in older men.
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