Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia.
School of Computing and Information Systems, The University of Melbourne, Melbourne, Australia.
PLoS One. 2018 Nov 29;13(11):e0208083. doi: 10.1371/journal.pone.0208083. eCollection 2018.
Higher levels of social connectedness are associated with better physical and mental health outcomes, but measures of connectedness are often study specific. Prior research has distinguished between perceived and received (quantifiable) measures of social connectedness, with differing impacts on health, sometimes mediated by place of residence. This analysis investigated the relationship between perceptions of social support/connection and quantifiable measures of social encounters, by neighbourhood, to inform understanding of place-based differences in connectedness and health outcomes.
Negative binomial regression models were used to determine associations between perceptions of social connectedness (perceived community connections and social involvement) and the number of recorded daily social encounters as a proxy for received support/connectedness. Analyses were undertaken across two Local Government Areas (LGAs) in Melbourne with disparate socio-economic profiles to examine potential modification of social connectedness measures by neighbourhood of residence.
Two measures of perceived connectedness had a clear relationship with recorded daily social encounters-feeling a sense of community belonging (RR 1.20 (1.04, 1.37), p = 0.010) and having family or friends close by (RR 1.30 (1.10,1.54), p = 0.002 "neither" compared to "disagree", (RR 1.15 (1.04, 1.26), p = 0.006 "agree" compared to "disagree"). Involvement in a local church, sporting or social club was associated with a greater number of daily social encounters for respondents who participated a few times a year (RR 1.17 (1.05,1.32), p = 0.006) or often (RR 1.23 (1.12,1.36), p<0.001) compared to never. In the less affluent LGA, active contributions to neighbours and community through assistance and volunteering were a frequent driver of social connection. Differences in patterns between the two areas were found with some measures of perception showing stronger relationships with recorded daily encounters in one area but not the other.
These results indicate substantial complexity in the relationship between perceptions of social connectedness and recorded daily social encounters/received connectedness, meaning that one cannot be reliably extrapolated from the other. Drivers of individuals' social connections also varied by area of residence. These findings offer new insights into potential mediators of the association between connectedness and wellbeing.
更高的社会联系程度与更好的身心健康结果相关,但联系程度的衡量标准通常是特定于研究的。先前的研究已经区分了感知的和可量化的(可量化的)社会联系程度,这些程度对健康的影响不同,有时通过居住地来介导。本分析通过邻里关系调查了对社会支持/联系的感知与可量化的社交接触(按邻里记录的日常社交接触次数)之间的关系,旨在了解联系和健康结果的基于地点的差异。
使用负二项回归模型来确定对社会联系的感知(感知社区联系和社会参与)与记录的日常社交接触次数之间的关联,作为接受支持/联系的代理。在墨尔本两个具有不同社会经济特征的地方政府区域(LGA)进行分析,以检查居住地邻里关系对社会联系程度衡量的潜在影响。
两个感知联系程度的衡量标准与记录的日常社交接触次数之间存在明显关系-社区归属感(RR 1.20(1.04,1.37),p = 0.010)和家人或朋友就近(RR 1.30(1.10,1.54),p = 0.002“无”与“不同意”相比,(RR 1.15(1.04,1.26),p = 0.006“同意”与“不同意”相比)。对于每年参加几次(RR 1.17(1.05,1.32),p = 0.006)或经常(RR 1.23(1.12,1.36),p<0.001)的受访者,参加当地教堂、体育或社交俱乐部与每日社交接触次数较多有关,而从不参加的受访者则没有这种关系。在较贫困的 LGA,通过帮助和志愿服务对邻居和社区的积极贡献是社会联系的一个主要驱动因素。在这两个地区之间发现了一些感知措施之间的关系模式差异,其中一些措施与记录的每日接触次数之间的关系在一个地区较强,但在另一个地区则不强。
这些结果表明,对社会联系的感知与记录的日常社交接触/接受的联系之间的关系非常复杂,这意味着不能从另一个关系中可靠地推断出来。个人社会联系的驱动因素也因居住区域而异。这些发现为联系和幸福感之间的关联的潜在中介因素提供了新的见解。