Socioeconomic health disparities revisited: coping flexibility enhances health-related quality of life for individuals low in socioeconomic status
Socioeconomic health disparities revisited: coping flexibility enhances health-related quality of life for individuals low in socioeconomic status
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DOI：
10.1186/s12955-016-0410-1
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发表时间：
2016-01-12
影响因子：
3.6
通讯作者：
Cheng, Cecilia
中科院分区：
文献类型：
--
作者：
Atal, Saloni;Cheng, Cecilia
背景：先前的研究普遍表明，弱势社会经济群体的健康相关生活质量（HRQoL）往往较差。为了扩展文献范围，本研究提出，应对灵活性是一种压力缓冲器，可以减轻低社会经济地位 (SES) 的不利影响。 方法：参与者包括 150 名印度人（53% 为女性；平均年龄 = 36.38 岁），来自高、中、低社会经济群体。通过家庭访谈对他们的感知压力、应对灵活性、主观 SES 和 HRQoL 水平进行单独评估。 结果：研究结果支持了假设的应对灵活性在主观 SES 和 HRQoL 之间的调节作用（p < 0.001）。在低社会经济地位组中，应对灵活性较高的参与者报告的 HRQoL 显着优于应对灵活性较低的参与者。此外，应对灵活性调节了感知压力与 HRQoL 之间的关联 (p = 0.001)。在经历较高压力水平的参与者中，应对灵活性较高的人比应对灵活性较低的人报告的 HRQoL 更好。结论：本研究通过揭示应对灵活性对 SES 较低个体的 HRQoL 的有益作用丰富了文献。这些新发现凸显了心理干预的潜在重要性，可以增强社会经济弱势群体的灵活应对技能。
Background: Previous research has generally indicated that disadvantaged socioeconomic groups tend to experience poor health-related quality of life (HRQoL). In an effort to extend the literature, this study proposes that coping flexibility is a stress buffer that mitigates the adverse effects of low socioeconomic status (SES).Methods: The participants comprised 150 Indians (53 % women; mean age = 36.38 years) from high, medium and low socioeconomic groups. Their levels of perceived stress, coping flexibility, subjective SES and HRQoL were assessed individually through household interviews.Results: The findings provide support for the hypothesised moderating role of coping flexibility between subjective SES and HRQoL (p < 0.001). In the low SES group, participants higher in coping flexibility reported significantly better HRQoL than those lower in coping flexibility. Moreover, coping flexibility moderated the association between perceived stress and HRQoL (p = 0.001). Of the participants who experienced higher levels of stress, those higher in coping flexibility reported better HRQoL than those lower in coping flexibility.Conclusions: This study enriches the literature by revealing the beneficial role of coping flexibility on HRQoL among individuals low in SES. These new findings highlight the potential importance of psychological interventions that strengthen the flexible coping skills of socioeconomically disadvantaged groups.