Cairney John, Corna Laurie M, Veldhuizen Scott, Kurdyak Paul, Streiner David L
Health Systems Research and Consulting Unit, Centre for Addiction and Mental Health, Toronto, Ontario.
Can J Psychiatry. 2008 Feb;53(2):104-11. doi: 10.1177/070674370805300205.
To examine the association between markers of social position and psychiatric disorder among older adults, and test whether social support mediates the association between social position and psychiatric disorder in this population.
We used data from the Canadian Community Health Survey: Mental Health and Well-Being to examine the social patterning of disorder. Using a series of logistic regression analyses, we regressed indicators of mood, anxiety, and any disorder on markers of social position and social support.
A negative association between age and disorder was evident across all models, and the likelihood of reporting disorder was elevated among separated-divorced and widowed respondents relative to their married counterparts. Social support was statistically significant in all models, and mediated a considerable amount of the effect of marital status on disorder.
Many of the markers of social position associated with disorder among younger adults continue to be important predictors among older adults, and these variables are mediated to varying degrees by social support. The results support the general notion that social circumstances are important to psychological well-being. We discuss potential explanations for findings related to sex, age, marital status, and education as predictors of disorder in later life.
研究老年人社会地位指标与精神障碍之间的关联，并检验社会支持是否介导了该人群中社会地位与精神障碍之间的关联。
我们使用了加拿大社区健康调查：心理健康与幸福的数据来研究精神障碍的社会模式。通过一系列逻辑回归分析，我们将情绪、焦虑和任何精神障碍的指标对社会地位和社会支持指标进行回归分析。
在所有模型中，年龄与精神障碍之间均呈现明显的负相关，分居、离异和丧偶的受访者报告精神障碍的可能性高于已婚受访者。社会支持在所有模型中均具有统计学意义，并介导了婚姻状况对精神障碍的相当一部分影响。
许多在年轻人中与精神障碍相关的社会地位指标在老年人中仍然是重要的预测因素，并且这些变量在不同程度上由社会支持介导。研究结果支持了社会环境对心理健康很重要这一普遍观点。我们讨论了与性别、年龄、婚姻状况和教育程度相关的研究结果作为晚年精神障碍预测因素的潜在解释。
