Würtz Else Toft, Fonager Kirsten, Mortensen Jens Tølbøll
Department of Social Medicine, Aalborg University Hospital, Aalborg, Denmark Department of Occupational Medicine, Aalborg University Hospital, Aalborg, Denmark.
Department of Social Medicine, Aalborg University Hospital, Aalborg, Denmark Faculty of Medicine, Department of Health Science and Technology, Aalborg University, Aalborg, Denmark.
BMJ Open. 2015 Feb 2;5(1):e006489. doi: 10.1136/bmjopen-2014-006489.
Local government concerns over expenditure on social and healthcare are growing. The aim of the present study was to explore the association between a weak 'sense of coherence' (SOC) in teens and their subsequent risk of receiving social and healthcare benefits during young adulthood, and to monitor how SOC developed during this period.
Prospective cohort study.
North Denmark Region.
773 Pupils from seventh and eighth forms who answered a questionnaire in 1998.
Different social benefits (from the Danish DREAM database embracing disbursed public social benefits). Change in SOC score from 1998 to 2010.
722 had answered seven items of the original SOC-13 questionnaire (denoted by SOC-7). Girls with a weak SOC-7 (the lowest 1st quartile) in 1998 had a significantly increased risk of receiving unemployment benefits (RR 1.3 (1.1 to 1.6)), social assistance (RR 1.8 (1.3 to 2.5)) and sickness benefits (RR 1.5 (1.2 to 2.0)) compared with girls with a strong SOC-7. For boys, only minor protective and non-significant differences were found. The SOC answers from 1998 and 2010 were compared (n=394). SOC increased significantly and mostly in girls.
SOC-7 may serve as a predictor for social life event outcomes and hence facilitate an early identification and a selective approach to support teenage girls with a weak SOC. From adolescence to young adulthood, SOC-7 was of a relatively unstable nature.
地方政府对社会和医疗保健支出的担忧日益增加。本研究的目的是探讨青少年中较弱的“连贯感”（SOC）与他们在成年早期获得社会和医疗保健福利的后续风险之间的关联，并监测这一时期SOC的发展情况。
前瞻性队列研究。
丹麦北部地区。
1998年回答问卷的773名七、八年级学生。
不同的社会福利（来自包含已发放公共社会福利的丹麦DREAM数据库）。1998年至2010年SOC得分的变化。
722人回答了原始SOC-13问卷中的7个项目（记为SOC-7）。1个四分位数中SOC-7较弱（最低）的女孩在1998年获得失业福利（相对风险1.3（1.1至1.6））、社会援助（相对风险1.8（1.3至2.5））和疾病福利（相对风险1.5（1.2至2.0））的风险显著高于SOC-7较强的女孩。对于男孩，仅发现了微小的保护作用且差异不显著。比较了1998年和2010年的SOC回答（n=394）。SOC显著增加，且主要是在女孩中。
SOC-7可作为社会生活事件结果的预测指标，从而有助于早期识别并采取有针对性的方法来支持SOC较弱的少女。从青春期到成年早期，SOC-7具有相对不稳定的性质。
