Social Support and Lifestyle vs. Medical Diabetes Self-Management in the Diabetes Study of Northern California (DISTANCE)
Social Support and Lifestyle vs. Medical Diabetes Self-Management in the Diabetes Study of Northern California (DISTANCE)
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DOI：
10.1007/s12160-014-9623-x
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发表时间：
2014-12-01
影响因子：
3.8
通讯作者：
Karter, Andrew J.
中科院分区：
文献类型：
--
作者：
Rosland, Ann Marie;Piette, John D.;Karter, Andrew J.
背景在慢性疾病自我护理中，社会支持对某些健康行为的影响大于其他健康行为。目的研究社会支持与七种个体慢性疾病自我管理行为的关系：两种健康的“生活方式”行为（体育活动，饮食）和五种更高技能和糖尿病特异性（医疗）行为（检查脚，口服药物依从性，胰岛素依从性，自我监测血糖，初级保健预约出席率）。方法使用来自13366例2型糖尿病患者的横断面管理和调查数据，泊松回归模型估计在较高和较低社会支持水平下实践每种行为的调整相对风险（ARR）。结果较高的情感支持和社会网络得分与两种生活方式行为的ARR显著相关。两种社会支持措施也与检查脚的ARR增加有关。这两项测量都与其他医疗行为没有显著关联。研究结果表明，随着自我照顾从生活方式向更熟练的“医疗”行为的发展，社会支持的重要性降低。
Background In chronic illness self-care, social support may influence some health behaviors more than others.Purpose Examine social support's association with seven individual chronic illness self-management behaviors: two healthy "lifestyle" behaviors (physical activity, diet) and five more highly skilled and diabetes-specific (medical) behaviors (checking feet, oral medication adherence, insulin adherence, self-monitored blood glucose, primary care appointment attendance).Methods Using cross-sectional administrative and survey data from 13,366 patients with type 2 diabetes, Poisson regression models estimated the adjusted relative risks (ARR) of practicing each behavior at higher vs lower levels of social support.Results Higher emotional support and social network scores were significantly associated with increased ARR of both lifestyle behaviors. Both social support measures were also associated with increased ARR for checking feet. Neither measure was significantly associated with other medical behaviors.Conclusions Findings suggest that social support diminished in importance as self-care progresses from lifestyle to more skilled "medical" behaviors.