Do positive or negative experiences of social support relate to current and future health? Results from the Doetinchem Cohort Study.
Do positive or negative experiences of social support relate to current and future health? Results from the Doetinchem Cohort Study.
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DOI：
10.1186/1471-2458-12-65
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发表时间：
2012-01-21
影响因子：
4.5
通讯作者：
van't Veer P
中科院分区：
文献类型：
--
作者：
Croezen S;Picavet HS;Haveman-Nies A;Verschuren WM;de Groot LC;van't Veer P
横断面研究报告了社会支持和健康之间的联系，但前瞻性证据不太确定。本研究旨在探讨社会支持的积极和消极经验与当前和未来的生活方式因素，生物危险因素，自我感知的健康和心理健康在10年的时间。数据来自4，724名26-65岁的荷兰男性和女性，他们参加了杜廷赫姆队列研究的第二轮（1993-1997年）和第三轮（1998-2002年）或第四轮（2003-2007年）研究。在第二轮使用社会经验清单测量社会支持。通过吸烟、饮酒、体育活动、水果和蔬菜摄入、超重、高血压、高胆固醇血症、自我感知健康和心理健康等多项指标来评估健康状况。三分位数的积极和消极的经验，社会支持进行了分析与重复测量的患病率和发病率的几个健康指标，使用广义估计方程（GEE）。积极和消极的社会支持经验与精神健康状况不佳的患病率和发病率相关。对于积极支持的最低三分位数，普遍心理健康不良的优势比为2.74（95%CI 2.32-3.23），突发心理健康不良的优势比为1.86（95%CI 1.39-2.49）。对于最高三分位数的负面经历的支持，普遍和事件不良心理健康的比值比分别为3.28（95%CI 2.78-3.87）和1.60（95%CI 1.21-2.12）。社会支持的积极经验水平低也与水果和蔬菜的当前摄入量低有关，但与未来的摄入量无关。社会支持的负面经验还与当前吸烟，缺乏身体活动，超重和自我感觉健康状况不佳有关。此外，高水平的社会支持负面体验与未来过度饮酒（OR 1.42; 95%CI 1.10-1.84），缺乏身体活动（95%CI 1.28; 1.03-1.58）和自我感觉健康状况差（OR 1.36; 95%CI 1.01-1.82）相关。这项研究表明，社会支持可能对生活方式和健康产生有益的影响，社会支持的负面经验对生活方式和健康的影响与社会支持的积极经验不同。
Cross-sectional studies have reported associations between social support and health, but prospective evidence is less conclusive. This study aims to investigate the associations of positive and negative experiences of social support with current and future lifestyle factors, biological risk factors, self-perceived health and mental health over a 10-year period. Data were from 4,724 Dutch men and women aged 26-65 years who participated in the second (1993-1997) and in the third (1998-2002) or fourth (2003-2007) study round of the Doetinchem Cohort Study. Social support was measured at round two using the Social Experiences Checklist. Health was assessed by several indicators such as smoking, alcohol consumption, physical activity, fruit and vegetable intake, overweight, hypertension, hypercholesterolemia, self-perceived health and mental health. Tertiles of positive and negative experiences of social support were analysed in association with repeated measurements of prevalence and incidence of several health indicators using generalised estimating equations (GEE). Positive and negative experiences of social support were associated with prevalence and incidence of poor mental health. For the lowest tertile of positive support, odds ratios were 2.74 (95% CI 2.32-3.23) for prevalent poor mental health and 1.86 (95% CI 1.39-2.49) for incident poor mental health. For the highest tertile of negatively experienced support, odds ratios for prevalent and incident poor mental health were 3.28 (95% CI 2.78-3.87) and 1.60 (95% CI 1.21-2.12), respectively. Low levels of positive experiences of social support were also associated with low current intake of fruits and vegetables, but not with future intake. Negative experiences of social support were additionally associated with current smoking, physical inactivity, overweight and poor self-perceived health. Furthermore, high levels of negative experiences of social support were associated with future excessive alcohol consumption (OR 1.42; 95% CI 1.10-1.84), physical inactivity (95% CI 1.28; 1.03-1.58) and poor self-perceived health (OR 1.36; 95% CI 1.01-1.82). This study showed that social support might have a beneficial effect on lifestyle and health, with negative experiences of social support affecting lifestyle and health differently from positive experiences of social support.
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影响因子：
168.9
作者：
Fratiglioni, L;Wang, HX;Winblad, B
通讯作者：
Winblad, B
影响因子：
15.1
作者：
Mezuk, Briana;Roux, Ana V. Diez;Seeman, Teresa
通讯作者：
Seeman, Teresa
影响因子：
1.7
作者：
Dressler, WW;Balieiro, MC;DosSantos, JE
通讯作者：
DosSantos, JE
DOI：
10.1093/geronb/54b.3.s162
发表时间：
1999-05-01
影响因子：
6.2
作者：
de Leon, CFM;Glass, TA;Berkman, LF
通讯作者：
Berkman, LF
DOI：
10.1093/geronb/60.6.p304
发表时间：
2005-11-01
影响因子：
6.2
作者：
Newsom, JT;Rook, KS;Mahan, TL
通讯作者：
Mahan, TL