Cornman Jennifer C, Goldman Noreen, Glei Dana A, Weinstein Maxine, Chang Ming-Cheng
Polisher Research Institute, Madlyn and Leonard Abramson Center for Jewish Life, North Wales, PA, USA.
J Aging Health. 2003 Nov;15(4):616-44. doi: 10.1177/0898264303256215.
Assess the effects of social relationships on physical and mental health among the elderly in Taiwan.
Using 4 waves of a survey of the elderly, we examine the relationship between social ties and perceived support and four health outcomes--mortality, functional status, self-assessed health, and depression.
Perceived support and social ties are related to health, but many of the apparent effects are attenuated in the presence of controls for prior health. However, positive perceptions about support are protective of mental (but not physical) health.
If baseline health is ignored, estimates of the effects of social relationships on health at a given stage of life are likely to be inflated by reverse causality or by effects occurring prior to baseline. Inclusion of controls for initial health reveals that, in general, the relationship between social support and health at the older ages in Taiwan is relatively modest.
评估社会关系对台湾老年人身心健康的影响。
利用对老年人进行的4轮调查,我们考察了社会联系与感知到的支持以及四种健康结果(死亡率、功能状态、自我评估的健康状况和抑郁)之间的关系。
感知到的支持和社会联系与健康有关,但在对既往健康状况进行控制后,许多明显的影响会减弱。然而,对支持的积极认知对心理健康(而非身体健康)具有保护作用。
如果忽略基线健康状况,那么在生命的特定阶段,社会关系对健康影响的估计可能会因反向因果关系或基线之前发生的影响而被夸大。纳入初始健康状况的控制变量后发现,总体而言,台湾老年人中社会支持与健康之间的关系相对不大。