Effects of social integration on health: A prospective study of community engagement among African American women.
Effects of social integration on health: A prospective study of community engagement among African American women.
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DOI：
10.1016/j.socscimed.2010.10.024
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发表时间：
2011-01
影响因子：
5.4
通讯作者：
Juon, Hee-Soon
中科院分区：
文献类型：
--
作者：
Fothergill, Kate E.;Ensminger, Margaret E.;Robertson, Judy;Green, Kerry M.;Thorpe, Roland J.;Juon, Hee-Soon
关键词：
研究表明，参与社区组织与健康呈正相关，特别是在老龄化人口中，但很少有研究详细研究社区参与（CE）对非洲裔美国人后来的健康的影响。这项研究提供了一个纵向评估的影响，CE超过22年的时间对身体和心理健康的人口城市非洲裔美国妇女。数据来自伍德劳恩研究，这是一项对芝加哥非洲裔美国人社区的儿童及其家庭的前瞻性研究。1975年和1997年接受评估的母亲报告说，她们参加了宗教和世俗组织。合并这些报告以创建五类结构：无CE、仅早期CE、仅晚期CE、持续CE（两次评估时的任一类型）以及多样和持续CE（两次评估时的两种类型）。采用多重插补的多变量回归分析（N=680）估计了CE对4项身心健康指标的影响：SF-36身体功能、自评健康、焦虑情绪和抑郁情绪。与未参与的女性相比，仅晚期、持续性和多样性和持续性CE的女性报告了更好的健康状况。持续从事妇女不太可能报告焦虑或抑郁情绪比那些早期CE。持续性和多样性CE与更好的身体功能比持续性CE更密切相关。结果突出了健康和并发，持久性和多样的CE之间的强有力的正相关关系在非洲裔美国妇女。
Research indicates that engagement in community organizations is positively associated with health, particularly among aging populations, yet few studies have examined in detail the influence of community engagement (CE) on later health among African Americans. This study provides a longitudinal assessment of the effects of CE over a 22-year period on physical and mental health among a population of urban African American women. Data were from the Woodlawn Study, a prospective study of children and their families from an African American community in Chicago. Mothers who were assessed in 1975 and in 1997 reported involvement in religious and secular organizations. These reports were combined to create a five-category construct: no CE, early CE only, late CE only, persistent CE (either type at both assessments), and diverse and persistent CE (both types at both assessments). Multivariate regression analyses with multiple imputation (for N=680) estimated the impact of CE on four measures of physical and mental health: SF-36 physical functioning, self-rated health, anxious mood, and depressed mood. Women with late-only, persistent, and diverse and persistent CE reported significantly better health compared to non-involved women. Persistently engaged women were less likely to report anxious or depressed mood than those with early CE only. Persistent and diverse CE was more highly associated with better physical functioning than was persistent CE. Results highlight the strong positive link between health and concurrent, persistent, and diverse CE among African American women.
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DOI：
10.1098/rstb.2004.1522
发表时间：
2004-09-29
影响因子：
6.3
作者：
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发表时间：
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影响因子：
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