参加教会活动的非裔美国人的孤独感与自评健康状况
Loneliness and self-rated health among church-attending African Americans.
作者信息
Fisher Felicia D, Reitzel Lorraine R, Nguyen Nga, Savoy Elaine J, Advani Pragati S, Cuevas Adolfo G, Vidrine Jennifer I, Wetter David W, McNeill Lorna H
机构信息
Department of Educational Psychology, College of Education, University of Houston, Houston, TX, USA.
Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
出版信息
Am J Health Behav. 2014 Jul;38(4):481-91. doi: 10.5993/AJHB.38.4.1.
OBJECTIVES
To explore relations between loneliness and self-rated health among African-American adults of diverse ages.
METHODS
Associations between loneliness and self-rated health were investigated using covariate-adjusted linear regression models. Perceived social support was examined as a moderator. The potential indirect effects of stress and/or depressive symptoms were examined using nonparametric bootstrapping procedures.
RESULTS
Greater loneliness was associated with poorer self-rated health (p = .008), and social support did not moderate. Stress and depressive symptoms yielded significant indirect effects in single and multiple mediator models (p values ≤ .05).
CONCLUSIONS
Loneliness may contribute to poorer health among African Americans. Results suggest that greater stress and depressive symptoms might underlie these associations, but longitudinal studies are needed to assess causal relations.
目的
探讨不同年龄的非裔美国成年人中孤独感与自评健康之间的关系。
方法
使用协变量调整线性回归模型研究孤独感与自评健康之间的关联。将感知到的社会支持作为调节变量进行检验。使用非参数自抽样程序检验压力和/或抑郁症状的潜在间接影响。
结果
孤独感越强，自评健康状况越差（p = 0.008），且社会支持未起到调节作用。在单中介模型和多中介模型中，压力和抑郁症状产生了显著的间接影响（p值≤0.05）。
结论
孤独感可能导致非裔美国人健康状况较差。结果表明，更大的压力和抑郁症状可能是这些关联的潜在原因，但需要纵向研究来评估因果关系。
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