Perceived social support and mortality in older people

Perceived social support and mortality in older people
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DOI:
10.1093/geronb/61.3.s147
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发表时间:
2006-05-01
影响因子:
6.2
通讯作者:
Heikkinen, RL
Heikkinen, RL
中科院分区:
医学1区
文献类型:
--
作者:
Lyyra, TM;Heikkinen, RL

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目标。本研究在 10 年的随访中检验了感知的社会支持对全因死亡率的影响,以及这种关联中可能的中介因素。方法。我们使用社会供给量表测量了 206 名 80 岁芬兰男性和女性的感知社会支持,该量表由六个维度组成:依恋、社会融合、养育机会。价值保证。可靠的联盟和指导。结果。通过使用将感知的社会支持分为与援助相关的支持和与非援助相关的支持的理论框架,我们发现,处于非援助相关社会支持最低三分位(包括不常见的价值保证、情感亲密、归属感和养育机会的经历)的女性的死亡风险比处于最高三分位的女性高出近2.5倍。即使我们控制了基线社会人口统计学以及心理和生理健康和功能的指标,风险仍然很高。男人之中。没有一个感知到的社会支持维度与死亡率有显着相关性。讨论。这项研究的结果向社会提出了一个挑战,即寻找和开发新的社会创新和干预措施,以促进老年人的情感社会支持感,从而促进他们的健康和福利。
Objectives. This study examines the effect of perceived social support on all-cause mortality at a 10-year follow-up as well as the plausible mediating factors in this association.Methods. We measured perceived Social Support in 206 Finnish men and women aged 80 years old by using the Social Provision Scale, which consists of six dimensions: attachment, social integration, opportunity for nurturance. reassurance of worth. reliable alliance, and guidance.Results. By using a theoretical framework that divided perceived social support into assistance-related and non-assistance-related support, we found that the risk of death was almost 2.5 times higher in women in the lowest tertile of non-assistance-related social support (comprising infrequent experiences of reassurance of worth, emotional closeness, sense of belonging and opportunity for nurturance) than in women in the highest tertile. The risk remained strong even when we controlled for the indicators of baseline sociodemographics and psychological and physiological health and functioning. Among men. none of the perceived social support dimensions showed a significant association with mortality.Discussion. The results of this study present a challenge for society to find and develop new social innovations and interventions in order to promote a sense of emotional social support in older people, thereby contributing to their health and welfare.