Can Social Integration and Social Support Help to Explain Racial Disparities in Health Care Utilization Among Men with Diabetes?
Can Social Integration and Social Support Help to Explain Racial Disparities in Health Care Utilization Among Men with Diabetes?
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DOI：
10.3149/jmh.1601.66
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发表时间：
2017-01-01
期刊：
影响因子：
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通讯作者：
Mitchell, Jamie
中科院分区：
文献类型：
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作者：
Hawkins, Jaclynn M;Mitchell, Jamie
目的：了解种族和民族背景影响健康的机制，对于更好地理解诊断为糖尿病的男性在健康方面的种族差异至关重要。本研究考察了社会支持和社会融合是否在美国男性的种族和医疗保健利用之间的关系中起中介或缓冲作用。方法：这项研究使用了2001年全国健康访谈调查中的一个子样本，其中包括患有自我报告的糖尿病的拉丁裔、非裔美国人和非拉丁裔白人男性(n=7,148)。结果：研究结果显示，社会融入程度高的非裔美国男性放弃护理的可能性较小(OR=0.234，[CI=0.053，1.045])。此外，没有去教堂的非洲裔美国人男性接受上述护理的几率更高(OR=0.222，[CI=0.110，0.448])。结论：与非拉美裔白人男性相比，社交网络对患有糖尿病的非洲裔美国人男性的影响不同。确定社会网络对健康影响的种族差异将有助于制定干预措施，有助于缩小糖尿病男性在健康方面的性别和种族差距。
OBJECTIVE: Discovering the mechanisms through which racial and ethnic background influence health is critical to better understanding racial disparities in health among men with a diabetes diagnosis. The present study examines whether social support and social integration mediate or buffer the relationship between race and health care utilization among U.S. men.METHOD: This study used a sub-sample from the 2001 National Health Interview Survey that included Latino, African American, non-Latino White men living with self-reported diabetes (n = 7,148).RESULTS: Findings revealed that African American men with high levels of social integration were less likely to forego care (OR = 0.234, [CI = 0.053,1.045]). Also, African American men who did not attend church had higher odds of foregoing care (OR = 0.222, [CI = 0.110,0.448]).CONCLUSIONS: The effect of social networks operate differently for African American men with diabetes compared to non-Latino white men. Identifying racial differences in the influence of social networks on health will assist in developing interventions that may help to decrease gender and race gaps in health for men with diabetes.