Positive and Negative Experiences of Social Support and Long-term Mortality Among Middle-aged Dutch People
Positive and Negative Experiences of Social Support and Long-term Mortality Among Middle-aged Dutch People
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DOI：
10.1093/aje/kwq095
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发表时间：
2010-07-15
影响因子：
5
通讯作者：
Verschuren, W. M. M.
中科院分区：
文献类型：
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作者：
Croezen, S.;Haveman-Nies, A.;Verschuren, W. M. M.
本研究以人口为样本，探讨了社会支持的正面体验和负面体验与死亡率之间的关系。数据来自年龄在20-59岁的荷兰男性和女性，他们参与了1987-1991年的Doetinchem队列研究。在基线和随访5年后，使用社会经验量表测量社会支持，其中包括积极的支持经历(n=11,163)和消极的支持体验(n=11,161)。死亡率数据是从1987年到2008年。根据年龄和性别调整后的COX比例风险回归模型显示，基线支持积极程度低与平均随访19年后死亡风险增加相关(风险比=1.26，95%可信区间：1.04，1.52)。即使在对社会经济因素、生活方式因素和健康状况指标进行额外调整后，死亡风险的增加仍具有统计学意义(危险比=1.23，95%可信区间：1.01，1.49)。对于每隔5年重复测量社会支持的参与者，社会支持的积极经历水平稳定较低，与年龄和性别调整后死亡风险的较大增加相关(危险比=1.57，95%可信区间：1.03，2.39)。消极的社会支持经历与死亡率无关。
This study investigated the relation between positive and negative experiences of social support and mortality in a population-based sample. Data were derived from Dutch men and women aged 20-59 years who participated in the Doetinchem Cohort Study in 1987-1991. Social support was measured at baseline and after 5 years of follow-up by using the Social Experiences Checklist indicating positive (n = 11,163) and negative (n = 11,161) experiences of support. Mortality data were obtained from 1987 until 2008. Cox proportional hazards regression models, adjusted for age and sex, showed that low positive experiences of support at baseline were associated with an increased mortality risk after, on average, 19 years of follow-up (hazard ratio = 1.26, 95% confidence interval: 1.04, 1.52). Even after additional adjustment for socioeconomic factors, lifestyle factors, and indicators of health status, the increased mortality risk remained statistically significant (hazard ratio = 1.23, 95% confidence interval: 1.01, 1.49). For participants with repeated measurements of social support at 5-year intervals, a stable low level of positive experiences of social support was associated with a stronger increase in age- and sex-adjusted mortality risk (hazard ratio = 1.57, 95% confidence interval: 1.03, 2.39). Negative experiences of social support were not related to mortality.