How gender affects patterns of social relations and their impact on health: a comparison of one or multiple sources of support from "close persons"
How gender affects patterns of social relations and their impact on health: a comparison of one or multiple sources of support from "close persons"
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DOI：
10.1016/s0277-9536(01)00111-3
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发表时间：
2002-03-01
影响因子：
5.4
通讯作者：
Stansfeld, SA
中科院分区：
文献类型：
--
作者：
Fuhrer, R;Stansfeld, SA
许多研究报告指出，社会关系对发病率和死亡率的影响存在性别差异。在研究健康和相关因素时，人们不能忽视存在性别差异，不“性别公平”的方法可能导致错误的结论。本文提出了一个批判性的分析，健康/社会关系协会从测量的角度来看，包括定义，人的网络，以及他们如何不同的性别。白厅第二次公务员研究的结果表明，妇女报告说，她们的主要关系网中有更多的亲密关系人，而且不太可能提名她们的配偶为最亲密的人。但男女都报告说，在他们最亲密的四个人中，妇女所占比例相同。女性有更广泛的情感支持来源。迄今为止，大多数流行病学研究习惯性地分析了最亲密的人或知己提供的支持。我们比较了社会支持的健康影响时，测量最亲密的人，当信息从小费到四个亲密的人被纳入一个加权指数。从最多四个亲密的人提供的信息提供了一个更准确的描述所交换的支持，和性别差异被削弱，如果不是消除，当这个支持指数被用来预测身体和心理健康。(C)2002爱思唯尔科技有限公司。保留所有权利。
Numerous studies have reported gender differences in the effects of social relations on morbidity and mortality. When studying health and associated factors, one cannot ignore that sex differences exist and methods that are not "genderfair" may lead to erroneous conclusions. This paper presents a critical analysis of the health/social relations association from a measurement perspective, including the definition, of people's networks and how they differ by gender. Findings from the Whitehall II Study of Civil Servants illustrate that women report more close persons in their primary networks, and are less likely to nominate their spouse as the closest person. but both men and women report the same proportion of women among their four closest persons. Women have a wider range of sources of emotional support. To date, most epidemiological studies have habitually analysed support provided by the closest person or confidant(e). We compared the health effects of social support when measured for the closest person only and when information from tip to four close persons was incorporated into a weighted index. Information from up to four close persons offered a more accurate portrayal of support exchanged, and gender differences were attenuated, if not eliminated, when this support index was used to predict physical and psychological health. (C) 2002 Elsevier Science Ltd. All rights reserved.