Social-ecological influences on interpersonal support in people with physical disability
Social-ecological influences on interpersonal support in people with physical disability
复制标题
DOI：
10.1016/j.dhjo.2015.05.002
复制
发表时间：
2015-10-01
影响因子：
4.5
通讯作者：
Himler, Heidi
中科院分区：
文献类型：
--
作者：
Devereux, Paul G.;Bullock, Charles C.;Himler, Heidi
背景：与其他人群相比，身体残疾者报告的情感和信息社会支持量较低，但尚不清楚更广泛的社会层面的影响如何影响该人群的支持。目的：为了解决这个问题，伯克曼和格拉斯的社会生态模型被用来检查上游因素对身体残疾者人际支持的影响。据预测，即使在控制了与社会支持相关的传统措施后，这些因素也会影响支持。方法：331 名身体残疾的成年参与者（43% 女性；平均年龄 - 42.7 岁；88% 白人）完成了一项在线横断面调查，测量社会支持的类型和来源、社会融合、社会领域的残疾影响、环境障碍以及抑郁等相关心理社会变量。结果：分层线性回归分析显示，残疾程度、感知到的有形支持、社会融合、抑郁症状、环境障碍、职业独立性以及将家人或朋友作为主要支持来源与最后一步的感知支持显着相关 (R-2 = .60, F(22, 255) 5 17.68, p < .001)。社会生态措施、环境障碍和社会融合与人际支持的关联最大。结论：结果证明了衡量不同支持结构的重要性，以及更广泛的社会环境如何比文献中研究的典型措施对残疾人的人际支持感知更重要。改善环境因素有利于改善社会支持。 (C) 2015 Elsevier Inc. 保留所有权利。
Background: People with physical disability report lower amounts of emotional and informational social support compared with other populations but it is unclear how influences at the broader societal level impact support in this population.Objective: To address this question, Berkman and Glass's social-ecological model was used to examine the influence of upstream factors on interpersonal support in people with physical disability. It was predicted that these factors would influence support even after controlling for the traditional measures linked to social support.Methods: 331 adult participants with physical disability (43% female; mean age - 42.7; 88% White) completed an online cross-sectional survey measuring types and sources of social support, social integration, disability impact in social domains, environmental barriers, and relevant psychosocial variables such as depression.Results: A hierarchical linear regression analysis showed that level of disability, perceived tangible support, social integration, depressive symptoms, environmental barriers, occupational independence, and having family or friends as primary support sources were significantly associated with perceived support at the final step (R-2 = .60, F(22, 255) 5 17.68, p < .001). The social-ecological measures, environmental barriers and social integration, had the largest associations with interpersonal support.Conclusions: Results demonstrate the importance of measuring distinct support constructs and how the broader social environment may matter more in interpersonal support perceptions for people with disability than typical measures studied in the literature. Improving environmental factors will help improve social support. (C) 2015 Elsevier Inc. All rights reserved.