Differences in functional and structural social support among female and male veterans and civilians.
Differences in functional and structural social support among female and male veterans and civilians.
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DOI：
10.1007/s00127-020-01862-4
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发表时间：
2021-03
影响因子：
4.4
通讯作者：
Simpson TL
中科院分区：
文献类型：
--
作者：
Campbell SB;Gray KE;Hoerster KD;Fortney JC;Simpson TL
社会支持是健康行为和结果的重要相关因素。研究表明，退伍军人的社会支持低于平民，但解释受到方法上的限制。此外，人们对性别如何影响退伍军人与平民的差异知之甚少。因此，我们研究了退伍军人和平民在社会支持的几个方面的差异，以及性别差异是否不同。我们对2012-2013年全国酒精和相关疾病流行病学调查-III进行了横断面分析，该调查是一项全国代表性样本，共有34，331名受访者（男性退伍军人= 2569;女性退伍军人= 356）。我们研究了退伍军人的功能和结构的社会支持的差异，使用线性回归和性别的相互作用的变化。我们调整了社会人口统计学，童年经历以及身心健康。与平民相比，退伍军人的社交网络多样性得分较低（差异[diff] =-0.13，95%置信区间[CI]-0.23，-0.03）。在女性而非男性中，退伍军人的社交网络规模（diff =-2.27，95%CI-3.81，-0.73）小于平民，这归因于宗教团体、志愿者和同事的差异。在男性中，退伍军人的社交网络多样性得分低于平民（diff =-0.13，95%CI-0.23，-0.03）;而在女性中，差异相似，但没有达到统计学显著性（diff =-0.13，95%CI-0.23，0.09）。功能性社会支持差异的证据有限。在考虑了影响军队进入和社会支持的因素后，退伍军人报告说，结构性社会支持显着降低，这可能是由于重返社会的挑战和地理流动性。研究结果表明，退伍军人可以从加强结构性社会支持和改善健康状况的计划中受益，女性退伍军人可能最需要。
Social support is an important correlate of health behaviors and outcomes. Studies suggest that veterans have lower social support than civilians, but interpretation is hindered by methodological limitations. Furthermore, little is known about how sex influences veteran–civilian differences. Therefore, we examined veteran–civilian differences in several dimensions of social support and whether differences varied by sex. We performed a cross-sectional analysis of the 2012–2013 National Epidemiologic Survey of Alcohol and Related Conditions-III, a nationally representative sample of 34,331 respondents (male veterans = 2569; female veterans = 356). We examined veteran–civilian differences in functional and structural social support using linear regression and variation by sex with interactions. We adjusted for socio-demographics, childhood experiences, and physical and mental health. Compared to civilians, veterans had lower social network diversity scores (difference [diff] = −0.13, 95% confidence interval [CI] −0.23, −0.03). Among women but not men, veterans had smaller social network size (diff = −2.27, 95% CI −3.81, −0.73) than civilians, attributable to differences in religious groups, volunteers, and coworkers. Among men, veterans had lower social network diversity scores than civilians (diff = −0.13, 95% CI −0.23, −0.03); while among women, the difference was similar but did not reach statistical significance (diff = −0.13, 95% CI −0.23, 0.09). There was limited evidence of functional social support differences. After accounting for factors that influence military entry and social support, veterans reported significantly lower structural social support, which may be attributable to reintegration challenges and geographic mobility. Findings suggest that veterans could benefit from programs to enhance structural social support and improve health outcomes, with female veterans potentially in greatest need.
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DOI：
10.1037/amp0000103
发表时间：
2017-09
期刊：
The American psychologist
影响因子：
--
作者：
Holt-Lunstad J;Robles TF;Sbarra DA
通讯作者：
Sbarra DA
影响因子：
15.8
作者：
Holt-Lunstad J;Smith TB;Layton JB
通讯作者：
Layton JB
影响因子：
1.1
作者：
Griffith, James
通讯作者：
Griffith, James
影响因子：
10.3
作者：
Han, Sohyun C.;Castro, Frank;Vasterling, Jennifer J.
通讯作者：
Vasterling, Jennifer J.
影响因子：
8
作者：
Dube, SR;Felitti, VJ;Anda, RF
通讯作者：
Anda, RF