Hata K, Inayama T, Matsushita M, Shinoda S
Department of Health Promotion Sciences, Graduate School of Human Health Sciences, Tokyo Metropolitan University, Tokyo, Japan.
School of Sports Sciences, Waseda University, Tokyo, Japan.
Spinal Cord. 2016 May;54(5):406-10. doi: 10.1038/sc.2015.166. Epub 2015 Oct 13.
Cross-sectional study.
(1) To examine the association between social participation (SP) and social support (SS) with self-rated health and dietary satisfaction and (2) to explore the joint association and interactions of SP and SS with self-rated health and dietary satisfaction in community-dwelling adult men with spinal cord injury.
Members of the Spinal Injuries Japan organization.
We sent questionnaires to 2731 registered members of Spinal Injuries Japan via mail. Responses from 625 men aged ⩾40 years were analyzed. Respondents were categorized into four groups: SP/sufficient SS, SP/insufficient SS, no SP/sufficient SS and no SP/insufficient SS. Logistic regression analysis was used to examine the odds ratios for self-rated health and dietary satisfaction according to the SP/SS categories.
Relative to participants in the no SP/insufficient SS category, those in the SP/sufficient SS group demonstrated significantly better self-rated health and dietary satisfaction after adjusting for sociodemographic variables. There was no interaction between SP and SS in self-rated health or dietary satisfaction. SP was associated with high self-rated health without SS, and sufficient SS was associated with high dietary satisfaction without SP.
Relative to other groups, participants with SP/sufficient SS demonstrated higher self-rated health and dietary satisfaction. Sufficient SS was associated with high dietary satisfaction without SP. This study suggested the importance of addressing aspects of both SP and SS using self-rated health and dietary satisfaction as outcome measures in health promotion programs.
横断面研究。
（1）探讨社会参与（SP）和社会支持（SS）与自评健康及饮食满意度之间的关联；（2）在社区居住的成年脊髓损伤男性中，探究SP和SS与自评健康及饮食满意度的联合关联和相互作用。
日本脊髓损伤组织的成员。
我们通过邮件向日本脊髓损伤组织的2731名注册成员发送了问卷。对625名年龄≥40岁男性的回复进行了分析。受访者被分为四组：有社会参与/社会支持充足、有社会参与/社会支持不足、无社会参与/社会支持充足、无社会参与/社会支持不足。采用逻辑回归分析，根据社会参与/社会支持类别来检验自评健康和饮食满意度的比值比。
在调整社会人口统计学变量后，与无社会参与/社会支持不足组的参与者相比，有社会参与/社会支持充足组的参与者在自评健康和饮食满意度方面表现显著更好。在自评健康或饮食满意度方面，社会参与和社会支持之间没有相互作用。在没有社会支持的情况下，社会参与与较高的自评健康相关；在没有社会参与的情况下，充足的社会支持与较高的饮食满意度相关。
与其他组相比，有社会参与/社会支持充足的参与者表现出更高的自评健康和饮食满意度。在没有社会参与的情况下，充足的社会支持与较高的饮食满意度相关。本研究表明，在健康促进项目中，以自评健康和饮食满意度作为结果指标，同时关注社会参与和社会支持两个方面具有重要意义。
