Social support network structure in older people: Underlying dimensions and association with psychological and physical health
Social support network structure in older people: Underlying dimensions and association with psychological and physical health
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DOI：
10.1080/13548500902730135
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发表时间：
2009-01-01
影响因子：
3.8
通讯作者：
Lawlor, Brian A.
中科院分区：
文献类型：
--
作者：
Golden, Jeannette;Conroy, Ronan M.;Lawlor, Brian A.
社交网络与老年人的各种健康结果有关。我们检查了温格社会支持网络类型评估的维度，以确定与心理和身体健康相关的维度。我们采访了1334名65岁以上的社区居民。采用计算机辅助分类访谈的老年精神状态自动检查对精神症状和生活质量进行评分。认知障碍的定义是在迷你精神状态测试中得分达到524分。围绕潜在变量的聚类确定了两个不相关的社会支持网络域：家庭（与亲属的距离和联系）和社会参与。社会参与与较低的年龄和性别调整后的抑郁症患病率（优势比增加一分位数为0.48）、广泛性焦虑症（优势比为0.60）、认知障碍（优势比为0.68）和身体残疾（优势比为0.62）相关，均p < 0.001。对年龄、性别、抑郁、认知障碍和残疾进行调整后，社会参与领域也与更好的生活质量（OR 1.5）、自我评价的幸福（OR 1.3）和评价生活的价值（OR 1.4）有关。另一方面，家庭领域与任何健康结果没有显著关联。研究结果表明，选择性的人际关系和社会参与是促进晚年健康的社会网络的“有效成分”。
Social networks have been associated with a wide variety of health outcomes in older people. We examined the dimensions underlying the Wenger social support network type assessment to identify dimensions associated with mental and physical health. We interviewed 1334 community-dwelling participants aged 65+. The Geriatric Mental State automated geriatric examination for computer-assisted taxonomy interview was used to rate psychiatric symptoms and quality of life. Cognitive impairment was defined as a score of 524 on the mini mental state examination. Clustering around latent variables identified two uncorrelated social support network domains: family ( distance from and contact with relatives) and social engagement. Social engagement was associated with a lower age- and sex-adjusted prevalence of depression ( odds ratio for a one-tertile increase 0.48), generalised anxiety disorder (OR 0.60), cognitive impairment (OR 0.68) and physical disability (OR 0.62) all p < 0.001. Adjusted for age, sex, depression, cognitive impairment and disability, the social engagement domain was also associated with better quality of life (OR 1.5) self-rated happiness (OR 1.3) and rating life as worth living (OR 1.4). The family domain, on the other hand, was not significantly associated with any health outcome. The results suggest that elective relationships and social engagement are the 'active ingredients' of social networks which promote health in later life.