Assari Shervin
Center for Research on Ethnicity, Culture and Health (CRECH), School of Public Health, University of Michigan, Ann Arbor, MI 48109-2029, USA.
Department of Psychiatry, University of Michigan, Ann Arbor, MI 48109, USA.
Behav Sci (Basel). 2017 Oct 16;7(4):68. doi: 10.3390/bs7040068.
. Recent research suggests that the health gain from economic resources and psychological assets may be systematically larger for Whites than Blacks. . This study aimed to assess whether the life expectancy gain associated with social contacts over a long follow up differs for Blacks and Whites. . Data came from the Americans' Changing Lives (ACL) Study, 1986-2011. The sample was a nationally representative sample of American adults 25 and older, who were followed for up to 25 years ( = 3361). Outcome was all-cause mortality. The main predictor was social contacts defined as number of regular visits with friends, relatives, and neighbors. Baseline demographics (age and gender), socioeconomic status (education, income, and employment), health behaviors (smoking and drinking), and health (chronic medical conditions, obesity, and depressive symptoms) were controlled. Race was the focal moderator. Cox proportional hazard models were used in the pooled sample and based on race. . More social contacts predicted higher life expectancy in the pooled sample. A significant interaction was found between race and social contacts, suggesting that the protective effect of more social contacts is smaller for Blacks than Whites. In stratified models, more social contacts predicted an increased life expectancy for Whites but not Blacks. . Social contacts increase life expectancy for White but not Black Americans. This study introduces social contacts as another social resource that differentially affects health of Whites and Blacks.
近期研究表明,经济资源和心理资产给白人带来的健康收益可能系统性地高于黑人。本研究旨在评估在长期随访中,社交接触与预期寿命增加之间的关联在黑人和白人中是否存在差异。数据来自1986 - 2011年的“美国人生活变化”(ACL)研究。样本是年龄在25岁及以上的美国成年人的全国代表性样本,随访时间长达25年(n = 3361)。结局指标是全因死亡率。主要预测因素是社交接触,定义为与朋友、亲戚和邻居定期探访的次数。控制了基线人口统计学特征(年龄和性别)、社会经济地位(教育、收入和就业)、健康行为(吸烟和饮酒)以及健康状况(慢性疾病、肥胖和抑郁症状)。种族是重点调节变量。在合并样本中并基于种族使用了Cox比例风险模型。在合并样本中,更多的社交接触预示着更高的预期寿命。发现种族与社交接触之间存在显著交互作用,这表明更多社交接触对黑人的保护作用小于白人。在分层模型中,更多的社交接触预示着白人预期寿命增加,而黑人则不然。社交接触增加了美国白人而非黑人的预期寿命。本研究将社交接触作为另一种对黑人和白人健康有不同影响的社会资源引入。