Social ties and perceived support: Two dimensions of social relationships and health among the elderly in Taiwan
Social ties and perceived support: Two dimensions of social relationships and health among the elderly in Taiwan
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DOI：
10.1177/0898264303256215
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发表时间：
2003-11-01
影响因子：
2.8
通讯作者：
Chang, MC
中科院分区：
文献类型：
--
作者：
Cornman, JC;Goldman, N;Chang, MC
目的：探讨社会关系对台湾老年人身心健康的影响。方法：通过对老年人的四波调查，我们研究了社会关系、感知支持与四种健康结局（死亡率、功能状态、自我评估健康和抑郁）之间的关系。结果：感知支持和社会关系与健康有关，但在存在既往健康控制的情况下，许多明显的影响减弱。然而，对支持的积极看法对精神（而不是身体）健康有保护作用。讨论：如果忽略基线健康，在生命的某一特定阶段，社会关系对健康影响的估计可能因反向因果关系或在基线之前发生的影响而被夸大。纳入初始健康对照显示，总体而言，社会支持与台湾老年人健康之间的关系相对温和。
Objectives: Assess the effects of social relationships on physical and mental health among the elderly in Taiwan. Methods: Using 4 waves of a survey of the elderly, we examine the relationship between social ties and perceived support and four health outcomes-mortality, functional status, self-assessed health, and depression. Results: Perceived support and social ties are related to health, but many of the apparent effects are attenuated in the presence of controls for prior health. However, positive perceptions about support are protective of mental (but not physical) health. Discussion: If baseline health is ignored, estimates of the effects of social relationships on health at a given stage of life are likely to be inflated by reverse causality or by effects occurring prior to baseline. Inclusion of controls for initial health reveals that, in general, the relationship between social support and health at the older ages in Taiwan is relatively modest.