Park Sojung, Kang Ji Young, Chadiha Letha A
1 George Warren Brown School of Social Work, Washington University in St. Louis, St. Louis, MO, USA.
2 School of Social Work, University of Washington, Seattle, WA, USA.
Res Aging. 2018 Feb;40(2):131-154. doi: 10.1177/0164027516682814. Epub 2016 Dec 13.
This study examines the associations among social network types, multiple health conditions, and various health-care use. Data came from the 2006 and 2008 wave of the Korean Longitudinal Study of Aging. A two-step cluster analytical approach was used to identify social network types. Regression models determined associations between social network types, health changes, and health-care use, including checkups, outpatient service, traditional medicine use, and hospitalization. Four social network types (restricted, couple focused, friend, and diverse) were found. Compared with the restricted type, individuals in the couple-focused type were more likely to use traditional medicine and outpatient care; members in the diverse type were more likely to use traditional medicine. The interaction model revealed varying associations between health change and social network on health-care use. Findings reveal the culturally contextualized association among multiple health conditions and how social network type moderates the relationship with health-care use.
本研究考察了社交网络类型、多种健康状况与各类医疗保健使用之间的关联。数据来自韩国老年纵向研究2006年和2008年的调查波次。采用两步聚类分析方法来确定社交网络类型。回归模型确定了社交网络类型、健康变化与医疗保健使用之间的关联，包括体检、门诊服务、传统医学使用和住院治疗。研究发现了四种社交网络类型（受限型、以夫妻为中心型、朋友型和多样型）。与受限型相比，以夫妻为中心型的个体更有可能使用传统医学和门诊护理；多样型的成员更有可能使用传统医学。交互模型揭示了健康变化与社交网络在医疗保健使用方面存在不同的关联。研究结果揭示了多种健康状况之间的文化背景关联，以及社交网络类型如何调节与医疗保健使用的关系。
