Rozario Philip A, Simpson Gaynell M
a Adelphi University , School of Social Work , Garden City , NY , USA.
b HDRTP RCMAR Scholar, Hartford Faculty Scholar, University of Alabama , School of Social Work , Tuscaloosa , AL , USA.
J Gerontol Soc Work. 2018 Jan;61(1):16-30. doi: 10.1080/01634372.2017.1391918. Epub 2017 Nov 21.
In this study, we examined how geographic location might differently influence social support and self-rated health for rural and urban African American women caregivers. We used cross-sectional data from 253 urban and 263 rural women primary caregivers. Controlling for key demographic factors, we regressed caregivers' self-rated health on social engagement, structural, and functional aspects of social support for urban and rural caregivers separately. The perception of family functioning was positively associated with urban and rural caregivers' self-rated health. Urban caregivers reported having significantly more contact with their family and more informal helpers compared to rural caregivers. Furthermore, church attendance, a measure of social engagement, was significant for urban caregivers' self-rated health, but not rural caregivers. Our findings affirmed the importance of foregrounding context and disaggregating social support, and point to the need for interventions targeting family functioning and paying attention to geographic location.
在本研究中，我们考察了地理位置如何可能对城乡非裔美国女性照料者的社会支持和自评健康产生不同影响。我们使用了来自253名城市和263名农村女性主要照料者的横断面数据。在控制关键人口因素的情况下，我们分别对城市和农村照料者社会支持的社会参与、结构和功能方面，就照料者的自评健康进行回归分析。家庭功能认知与城乡照料者的自评健康呈正相关。与农村照料者相比，城市照料者报告与家人的联系显著更多，且有更多非正式帮助者。此外，作为社会参与衡量指标的教堂礼拜活动，对城市照料者的自评健康有显著影响，但对农村照料者则不然。我们的研究结果肯定了突出背景和区分社会支持的重要性，并指出需要针对家庭功能且关注地理位置的干预措施。
