Perceived social capital and binge drinking in older adults: The Health and Retirement Study, US data from 2006-2014
Perceived social capital and binge drinking in older adults: The Health and Retirement Study, US data from 2006-2014
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DOI：
10.1016/j.drugalcdep.2020.108099
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发表时间：
2020-09-01
影响因子：
4.2
通讯作者：
Kawachi, I
中科院分区：
文献类型：
--
作者：
Villalonga-Olives, E.;Almansa, J.;Kawachi, I
目的：社会资本对健康行为既有积极的影响，也有消极的影响。我们试图测试感知社会资本与老年人酗酒风险之间的关联，使用纵向设计。方法：我们使用HRS（健康与退休研究）数据，这是一个具有全国代表性的美国成年人样本，年龄≥ 50岁，每两年评估一次（从2006年到2014年）。我们调查了感知社会资本（邻里社会凝聚力和邻里身体障碍，积极的社会支持和消极的社会支持）和酗酒随着时间的推移，与多层次结构方程模型（MSEM）的方法，建模的酗酒天数为障碍负二项。我们使用MSEM估计个人水平（总体）和波内的关联。结果：样本包括19，140人。基线时平均年龄为66.8岁（SD 10.3）。随着时间的推移，酗酒天数减少。消极的社会支持增加了饮酒者的平均酗酒天数，其中一个单位的增加与同一波中预期酗酒天数增加37%相关。女性的积极社会支持与酗酒天数的相关性更强（-0.59（SE = 0.12）），而女性的邻里社会凝聚力与酗酒显著相关（-0.05（SE = 0.01）），但男性的相关性不强。积极的社会支持和邻里社会凝聚力是酗酒的保护因素，尤其是对女性来说。
Objective: Social capital has been described as having both positive influences as well as negative influences ("the dark side") on health behaviors. We sought to test the association of perceived social capital on the risk of binge drinking among older adults, using a longitudinal design.Methods: We used HRS (Health and Retirement Study) data, a nationally representative sample of US adults aged >= 50 years evaluated every two years (from 2006 to 2014). We investigated the relationship between perceived social capital (neighborhood social cohesion and neighborhood physical disorder, positive social support and negative social support) and binge drinking over time, with a multilevel structural equation modelling (MSEM) approach, modelling number of binge-drinking days as hurdle negative binomial. We used MSEM estimating the associations at person level (overall) and within waves.Results: The sample included 19,140 individuals. At baseline mean age was 66.8 (SD 10.3). Over time, the number of binge drinking days decreased. Negative social support increased the average number of binge drinking days among those who drink, where one unit increase was associated with an increase of 37 % in the expected number of days binge drinking in the same wave. The association of positive social support on the number of binge drinking days was stronger for females (-0.59 (SE = 0.12)), while neighborhood social cohesion was significantly associated with binge drinking in females (-0.05 (SE = 0.01)), but not in males.Conclusions: Negative social support favored binge drinking. Positive social support and neighborhood social cohesion are protective factors for binge drinking, especially for women.