Nebot Manel, Lafuente Jose Manuel, Tomás Zoa, Borrell Carme, Ferrando Josep
Servicio de Promoción de la Salud Instituto Municipal de Salud Pública Pl. Lesseps, 1 08023 Barcelona.
Rev Esp Salud Publica. 2002 Nov-Dec;76(6):673-82.
The main objective of this study is to analyze the relationship between social support and the mortality among a non-institutionalized population cohort age 60 or above residing in Barcelona studied throughout the 1996-1999 monitoring period for the purpose of analyzing the relationship between the social support and the mortality of this cohort.
In 1996, a telephone survey was conducted of 755 individuals (316 males and 439 females) who had been surveyed in the 1992 Barcelona health survey and who, were age 60 or above that year. The questionnaire included socio-demographic, morbility and health condition, social support and social network-related variables. The deaths during the 1996-1999 period were recorded. Logic regression was used for analyzing the social support-mortality relationship.
The deaths for the period in question totaled 55 individuals (5.9% of the females and 9.2% of the males). Among the variables reflecting social support, for the males solely the situation of living with someone was found, in the bivariate analysis, to have a significant relationship to the mortality, which was higher for those males who lived with other family members, but not with their wives or female partner (OR = 3.7; IC 95% 1.4-9.6). Among the females, the existence of support from neighbors, the size of the family network, the number of contacts with the community network and the situation of living with someone else were related to the mortality in the bivariate analysis, although in the multivariate logic regression, solely the support of neighbors (OR = 3.6; IC: 1.1-11.1) was found to have a significant relationship.
The results are consistent with prior studies revealing a relationship between the social support variables and the mortality. The relationship between the different social support variables and the possible prevention mechanisms should be taken up in future studies.
本研究的主要目的是分析社会支持与巴塞罗那60岁及以上非机构化人群队列死亡率之间的关系，该队列在1996 - 1999年监测期内接受研究，旨在分析社会支持与该队列死亡率之间的关系。
1996年，对755名个体（316名男性和439名女性）进行了电话调查，这些个体曾参与1992年巴塞罗那健康调查且当年年龄在60岁及以上。问卷包括社会人口统计学、发病率和健康状况、社会支持以及社会网络相关变量。记录了1996 - 1999年期间的死亡情况。采用逻辑回归分析社会支持与死亡率之间的关系。
该时期死亡人数共计55人（女性为5.9%，男性为9.2%）。在反映社会支持的变量中，单变量分析发现，仅对于男性而言，与他人同住的情况与死亡率存在显著关系，那些与其他家庭成员而非妻子或女性伴侣同住的男性死亡率更高（比值比 = 3.7；95%置信区间为1.4 - 9.6）。对于女性，邻居的支持、家庭网络规模、与社区网络的联系数量以及与他人同住的情况在单变量分析中与死亡率相关，尽管在多变量逻辑回归中，仅邻居的支持（比值比 = 3.6；置信区间：1.1 - 11.1）被发现存在显著关系。
结果与先前揭示社会支持变量与死亡率之间关系的研究一致。未来研究应探讨不同社会支持变量之间的关系以及可能的预防机制。
