Diabetes-Related Support, Regimen Adherence, and Health Decline Among Older Adults
Diabetes-Related Support, Regimen Adherence, and Health Decline Among Older Adults
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DOI：
10.1093/geronb/gbp050
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发表时间：
2010-05-01
影响因子：
6.2
通讯作者：
Liang, Jersey
中科院分区：
文献类型：
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作者：
Nicklett, Emily J.;Liang, Jersey
社会支持通常被概念化为促进健康；然而，关于支持具有保护性的机制，几乎没有达成共识。已经提出了疾病支持，以促进坚持养生法和随后防止健康下降。我们假设：(A)在老年糖尿病成年人中，对坚持方案的支持与自我报告的健康下降呈负相关，以及(B)在老年糖尿病成人中，坚持方案与健康下降呈负相关。我们使用了60岁以上的2型糖尿病患者(n=1,788)的健康和退休研究数据，使用二项和累积有序Logistic回归模型检验了两年期间自我报告的健康状况的变化。糖尿病支持与健康下降没有显著关联，但它与坚持由糖尿病方案组成的健康促进活动密切相关。因此，一个人在特定方案中得到疾病支持的程度与坚持该方案的程度呈高度正相关，尽管这种坚持并不一定转化为对感觉到的健康下降的保护。与疾病相关的支持似乎是糖尿病人群中社会支持发挥作用的一种机制。虽然这种关系没有延伸到预防糖尿病患者的健康状况下降，但支持和疾病管理之间的关系是有希望的。
Social support is generally conceptualized as health promoting; however, there is little consensus regarding the mechanisms through which support is protective. Illness support has been proposed to promote regimen adherence and subsequent prevention of health decline. We hypothesize that (a) support for regimen adherence is negatively associated with self-reported health decline among older diabetic adults and that (b) regimen adherence is negatively associated with health decline among older diabetic adults.We used the Health and Retirement Study data on individuals over the age of 60 years with type 2 diabetes mellitus (n = 1,788), examining change in self-reported health status over a 2-year period using binomial and cumulative ordinal logistic regression models.Diabetic support is not significantly associated with health decline, but it is strongly associated with adherence to health-promoting activities consisting of a diabetic regimen. Therefore, the extent to which one receives illness support for a given regimen component is highly positively associated with adhering to that component, although this adherence does not necessarily translate into protection against perceived decline in health.Illness-related support appears to be a mechanism through which social support matters in the diabetic population. Although this relationship did not extend to prevention of health status decline among diabetics, the relationship between support and illness management is promising.