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在全球健康危机期间,考察社会距离遵守情况和主观健康之间复杂(曲线和偶然)的关联。

Examining the Complex (Curvilinear and Contingent) Associations between Social Distancing Compliance and Subjective Health during a Global Health Crisis.

机构信息

Department of Sociology, Sungkyunkwan University, Seoul 03063, Republic of Korea.

Department of Sociology, University of Chicago, Chicago, IL 60637, USA.

出版信息

Int J Environ Res Public Health. 2022 Nov 30;19(23):16058. doi: 10.3390/ijerph192316058.

Abstract

OBJECTIVES

This study investigated a potential curvilinear link between social distancing behavior and subjective health in later life. It also evaluated whether food insecurity and community social capital moderated the focal relationship.

METHODS

Data were drawn from three waves of the COVID Impact Survey (N = 19,234). Mixed-effects models were fitted.

RESULTS

Social distancing has a non-monotonic (U-shaped) relationship with subjective health, i.e., individuals with low and high levels of social distancing show relatively better health. Moreover, the negative linear relationship between social distancing and health is weaker among people suffering from food insecurity as well as those living in communities with lower stocks of social capital.

DISCUSSION

This study sheds new light on the health implications of social distancing during the pandemic. Our findings dovetail with the steeling hypothesis, i.e., that social distancing is less harmful for U.S. older adults exposed to prior stressful or vulnerable conditions.

摘要

目的

本研究调查了社交距离行为与晚年主观健康之间可能存在的曲线关系。还评估了食品不安全和社区社会资本是否调节了焦点关系。

方法

数据来自 COVID 影响调查的三个波次(N=19234)。拟合了混合效应模型。

结果

社交距离与主观健康呈非单调(U 形)关系,即社交距离低和高的个体表现出相对较好的健康。此外,在遭受粮食不安全和生活在社会资本存量较低的社区的人群中,社交距离与健康之间的负线性关系较弱。

讨论

本研究为大流行期间社交距离对健康的影响提供了新的视角。我们的发现与钢铁假说一致,即对于经历过先前压力或脆弱条件的美国老年人来说,社交距离的危害较小。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20e1/9738174/98a5be95f675/ijerph-19-16058-g001.jpg

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