探讨同事社会支持对医疗保健利用和病假的作用。
Exploring the role of co-worker social support on health care utilization and sickness absence.
机构信息
Department of Society, Human Development, and Health, Harvard School of Public Health, Boston, MA 02115, USA.
出版信息
J Occup Environ Med. 2011 Jul;53(7):751-7. doi: 10.1097/JOM.0b013e318223d42f.
Abstract
OBJECTIVES
To explore the association of baseline co-worker social support with follow-up measures of health care use and sickness absence.
METHODS
Data were obtained on 1240 employees from 33 worksites, through Promoting Activity and Changes in Eating, a group randomized weight maintenance trial. Co-worker social support, health care utilization, and absenteeism were assessed via a self-reported questionnaire. Generalized Estimating Equations were employed using STATA version 10.
RESULTS
Higher baseline co-worker social support was significantly associated with a greater number of doctors' visits (P = 0.015). Co-worker social support was unrelated to number of hospitalizations, emergency department visits, or absenteeism.
CONCLUSIONS
The relationship between co-worker social support and health care utilization and absenteeism is complex and uncertain. Future studies should measure more specific outcomes, incorporate important mediating variables, and distill how social networks influence these outcomes.
摘要
目的
探讨基线同事社会支持与随访医疗保健使用和病假缺勤的关系。
方法
通过促进饮食活动和改变的群组随机体重维持试验，从 33 个工作场所获得了 1240 名员工的数据。通过自我报告问卷评估同事社会支持、医疗保健使用和缺勤情况。使用 STATA 版本 10 的广义估计方程进行分析。
结果
较高的基线同事社会支持与更多的医生就诊次数显著相关（P = 0.015）。同事社会支持与住院次数、急诊就诊次数或缺勤无关。
结论
同事社会支持与医疗保健使用和缺勤之间的关系复杂且不确定。未来的研究应衡量更具体的结果，纳入重要的中介变量，并梳理社交网络如何影响这些结果。
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