Is there an association between perceived social support and cardiovascular health behaviours in people with severe mental illnesses?
Is there an association between perceived social support and cardiovascular health behaviours in people with severe mental illnesses?
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DOI：
10.1007/s00127-020-01879-9
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发表时间：
2020-12
影响因子：
4.4
通讯作者：
Osborn D
中科院分区：
文献类型：
--
作者：
Burton A;Walters K;Marston L;Osborn D
患有严重精神疾病（SMI）的人患心血管疾病（CVD）的风险增加。在一般人群中的研究表明，社会支持可以防止心血管疾病发病率和死亡率的增加;然而，这可能不适用于那些与SMI。我们的目的是探讨感知的社会支持和出席初级保健护士CVD风险降低诊所预约和CVD风险降低行为的SMI人群与CVD风险因素升高之间的关联。我们使用的纵向和横截面数据来自一项随机对照试验，该试验对326名成年SMI患者进行了招募，这些患者是通过英国的76家全科诊所招募的。多水平回归分析估计了感知的社会支持对6个月内参加CVD风险降低诊所预约的影响，以及基线时对CVD药物，体力活动，饮食，吸烟和饮酒的依从性，并根据年龄，性别，种族，剥夺，精神病诊断和就业进行调整。在未校正的分析中，感知的社会支持预测了更高的预约出勤率（IRR = 1.005; 1.000-1.010; p = 0.05），但未校正分析（IRR = 1.003; 0.998-1.009; p = 0.25）。感知的社会支持与更大的药物依从性相关;社会支持每增加1%，药物依从性就增加4.2%（OR = 1.042; 1.015-1.070; p = 0.002）。没有发现更多的感知社会支持与更多的身体活动，更少的久坐行为，更健康的饮食，更少的酒精使用或不吸烟之间存在关联。社会支持可能是CVD药物依从性的重要促进因素，对初级保健预约出勤率可能很重要;然而，可能需要替代策略来帮助SMI患者进行体力活动，健康饮食并减少吸烟和饮酒。
People with severe mental illnesses (SMI) have an increased risk of cardiovascular disease (CVD). Research in the general population suggests that social support may protect against increased CVD morbidity and mortality; however, this may not apply to those with SMI. We aimed to explore the association between perceived social support and attendance at primary care nurse CVD risk reduction clinic appointments and CVD risk-reducing behaviours in an SMI population with elevated CVD risk factors. We used longitudinal and cross-sectional data from a randomised controlled trial on 326 adults with SMI recruited via 76 general practices in England. Multilevel regression analysis estimated the effect of perceived social support on attendance at CVD risk reduction clinic appointments over 6 months, and adherence to CVD medication, physical activity, diet, smoking and alcohol use at baseline, adjusted by age, sex, ethnicity, deprivation, psychiatric diagnosis and employment. Perceived social support predicted greater appointment attendance in unadjusted (IRR = 1.005; 1.000–1.010; p = 0.05) but not adjusted analysis (IRR = 1.003; 0.998–1.009; p = 0.25). Perceived social support was associated with greater adherence to medication; for each 1% increase in social support, there was a 4.2% increase in medication adherence (OR = 1.042; 1.015–1.070; p = 0.002). No association was found between greater perceived social support and greater physical activity, lower sedentary behaviour, healthier diet, lower alcohol use or being a non-smoker. Social support may be an important facilitator for CVD medication adherence and is potentially important for primary care appointment attendance; however, alternative strategies might be needed to help people with SMI engage in physical activity, healthier diets and to reduce their smoking and alcohol use.
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影响因子：
4.4
作者：
Firth J;Carney R;Jerome L;Elliott R;French P;Yung AR
通讯作者：
Yung AR
影响因子：
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作者：
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影响因子：
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通讯作者：
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影响因子：
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通讯作者：
Pattison, Philippa
影响因子：
3.3
作者：
COBB, S
通讯作者：
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