Life sustaining irritations? Relationship quality and mortality in the context of chronic illness.

Life sustaining irritations? Relationship quality and mortality in the context of chronic illness.
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DOI:
10.1016/j.socscimed.2008.06.029
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发表时间:
2008-10
影响因子:
5.4
通讯作者:
Antonucci, Toni C.
Antonucci, Toni C.
中科院分区:
医学2区
文献类型:
--
作者:
Birditt, Kira;Antonucci, Toni C.

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社会融合和死亡率之间的联系已经有了很好的记录,但还没有得到很好的理解。为了解决这个问题,本研究调查了19年期间关系质量影响死亡率的背景。来自具有全国代表性的美国人改变生活研究的第一波(1986)和第二波(1989)的参与者年龄在40岁以上(N=2098)。访谈包括关于健康以及与配偶、子女和朋友/亲戚的积极和消极关系质量的问题。到2005年,共有39%(N=827)的参与者死亡。在主效应模型的支持下,Cox比例风险回归显示,从1986年到1989年,持续较低的积极支持水平和来自配偶或子女的消极支持的增加与死亡率的增加有关。为了支持缓冲效应,在慢性病患者中,基线水平的负相关与死亡率的降低有关。我们的结论是,社会关系与死亡率之间的联系比以前所理解的要复杂得多,并且受到环境的影响。
The social integration and mortality link is well documented but not well understood. To address this issue, the present study examined the context within which relationship quality affects mortality over a 19 year period. Participants were 40 years and older from Waves 1 (1986) and 2 (1989) of the nationally representative Americans’ Changing Lives Study (N = 2098). Interviews included questions about health and positive and negative relationship quality with spouse, children, and friends/relatives. A total of 39% (N=827) of participants were deceased by 2005. In support of the main effect model, Cox proportional hazard regressions revealed that consistently low levels of positive support and an increase in negativity from spouse or child from 1986 to 1989 were associated with increased mortality. In support of the buffering effect, among people with chronic illnesses, negative relations at baseline were associated with decreased mortality. We conclude that the social relations-mortality link is more complex than previously understood and is influenced by the context.
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