社会支持不均与代谢和炎症标志物之间的关系：社会经济背景的调节作用。

The Relationship Between Disproportionate Social Support and Metabolic and Inflammatory Markers: Moderating Role of Socioeconomic Context.

机构信息

From the Psychology Department (Austin, Drage, Dezil, Siliezar, Chen) and Institute for Policy Research (Drage, Dezil, Siliezar, Chen), Northwestern University, Evanston, Illinois.

出版信息

Psychosom Med. 2021;83(2):177-186. doi: 10.1097/PSY.0000000000000893.

DOI:10.1097/PSY.0000000000000893

PMID:33534435

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7863584/

Abstract

OBJECTIVE

The present study examines the association of disproportionate social support (the relative balance of support given versus received) on metabolic and inflammatory outcomes and whether effects vary by socioeconomic context.

METHODS

We enrolled a sample of 307 parental caregivers living with a child with a chronic illness. Parents were assessed on four dimensions of social support: emotional support received, instrumental support received, emotional support given, and instrumental support given. Disproportionate social support was calculated as the difference between support received and support given. Participants provided sociodemographic information, were interviewed about financial stress, and were assessed on metabolic (systolic blood pressure, diastolic blood pressure, total cholesterol, body fat percent, and body mass index) and inflammatory (interleukin 6 and C-reactive protein) outcomes.

RESULTS

More disproportionate instrumental and emotional support was associated with higher inflammation (b = 0.10, SE = 0.04, p = .014; b = 0.0.09, SE = 0.05, p = .042, respectively). We observed significant interactions between disproportionate social support and income (b = -0.04, SE = 0.02, p = .021). Parents from lower-income households who gave more emotional support than they received had higher inflammation compared with those from higher-income households. We also observed a significant interaction between disproportionate instrumental support and income (b = 0.04, SE = 0.02, p = .006). Parents from lower-income households who received more instrumental support than they gave had worse metabolic outcomes compared with parents from higher-income households. Parallel interaction patterns were observed using an interview-based measure of financial stress.

CONCLUSIONS

These findings show that disproportionate social support has implications for physical health, particularly for caregivers from socioeconomically disadvantaged households.

摘要

目的

本研究旨在探讨不成比例的社会支持（给予与接受的支持之间的相对平衡）与代谢和炎症结果的关系，以及这些影响是否因社会经济背景而异。

方法

我们招募了 307 名与慢性病患儿同住的父母照顾者作为样本。父母在社会支持的四个维度上进行评估：接受的情感支持、接受的工具性支持、给予的情感支持和给予的工具性支持。不成比例的社会支持是通过比较接受的支持和给予的支持来计算的。参与者提供了社会人口统计学信息，接受了关于经济压力的访谈，并评估了代谢（收缩压、舒张压、总胆固醇、体脂肪百分比和体重指数）和炎症（白细胞介素 6 和 C 反应蛋白）结果。

结果

更多不成比例的工具性和情感支持与更高的炎症水平相关（b = 0.10，SE = 0.04，p =.014；b = 0.0.09，SE = 0.05，p =.042）。我们观察到不成比例的社会支持与收入之间存在显著的交互作用（b = -0.04，SE = 0.02，p =.021）。与高收入家庭的父母相比，给予的情感支持多于接受的父母来自低收入家庭的父母炎症水平更高。我们还观察到不成比例的工具性支持与收入之间存在显著的交互作用（b = 0.04，SE = 0.02，p =.006）。与高收入家庭的父母相比，接受的工具性支持多于给予的父母来自低收入家庭的父母代谢结果更差。使用基于访谈的经济压力衡量标准，观察到了类似的交互作用模式。