Does it make sense in a coherent way?: Determinants of sense of coherence in Swedish women 40 to 50 years of age
Does it make sense in a coherent way?: Determinants of sense of coherence in Swedish women 40 to 50 years of age
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DOI：
10.1207/s15327558ijbm1101_3
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发表时间：
2004-01-01
影响因子：
2.7
通讯作者：
Östergren, PO
中科院分区：
文献类型：
--
作者：
Krantz, G;Östergren, PO
本研究的目的是探讨儿童期和成年期的社会经济和社会心理生活经历如何影响女性的一致感水平。其想法是寻求实证支持，以确定SOC是否是在生命早期发展的个体结构，基本上对不利的环境因素具有抵抗力，或者更确切地说，是受成人心理社会因素影响的实体，因此，对健康促进活动敏感;也就是说，如果能够从促进健康传统因素（如社会网络和支持）中找到因果关系的证据，将问卷（Krantz和Ostergren，1999年）邮寄给随机抽样的486名妇女，相当于瑞典一个中等城市（人口13，200）40至50岁妇女的50%。应答率为81.7%（397名妇女）。优势比（OR）用于估计社会经济和心理社会变量之间的双变量关联，低SOC Logistic回归分析用于检验混杂因素，并作为分析暂定因果链结构的方法。（OR = 3.42，95%可信区间[CI] = 2.11-5.54），低社会支持（OR = 4.00，CI = 2.48-6.46）和低社会锚定（OR = 4.14，CI = 2.57-6.67）是成年女性低SOC的独立预测因素。童年的条件，如家庭破裂和虐待儿童被证明不会影响SOC的统计显着degree.Our研究表明，SOC是一个实体，部分与个人的社会结构中的位置，部分由工作条件和社会网络和支持，而不是由童年条件。我们不能声称这项研究是一个关键的测试安东诺夫斯基（1979年）的理论。完整的反驳意义。为了实现这一目标，需要进行一项精心设计的前瞻性研究，从真实的生命历程角度评估不同因素对SOC的影响。
The aim of this study was to explore how socioeconomic and psychosocial life experiences in childhood and at adult age influence the level of sense of coherence (SOC) in women. The idea was to seek empirical support for establishing whether SOC is an individual construct being developed in early life and basically resistant toward adverse environmental factors or rather an entity influenced by adult psychosocial factors and as such, sensitive to health promotion activities; that is, if evidence could be found for a causal direction from classic factors involved in health promotion, such as social network and support, to SOC.A questionnaire (Krantz & Ostergren, 1999) was mailed to a random sample of 486 women, equivalent to 50% of the women between the ages of 40 and 50 in a medium-sized municipality (population 13,200) in Sweden. The response rate was 81.7% (397 women). Odds ratios (OR) were used to estimate bivariate associations between socioeconomic and psychosocial variables and low SOC Logistic regression analysis was used to test for confounding and as a method of analyzing the structure of tentative causal chains.It was found that adult factors such as job strain (OR = 3.42, 95% confidence interval [CI] = 2.11-5.54), low social support (OR = 4.00, CI = 2.48-6.46), and low social anchorage (OR = 4.14, CI = 2.57-6.67) were independent predictors for low SOC in adult women. Childhood conditions such as family disruption and child abuse proved not to influence SOC to a statistically significant degree.Our study suggests that SOC is an entity partly associated with an individual's position in the social structure and partly by work conditions and social network and support rather than by childhood conditions. We could not claim this study to be a critical test of Antonovsky's (1979) theories in. the full refutationistic sense. To approach this goal, it would take a carefully designed prospective study assessing the effect of different factors on SOC in a true life course perspective.