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老年女性的抑郁症状、社交网络与社会支持

Depressive symptoms, social networks and social support of elderly women.

作者信息

Goldberg E L, Van Natta P, Comstock G W

出版信息

Am J Epidemiol. 1985 Mar;121(3):448-56. doi: 10.1093/oxfordjournals.aje.a114017.

Abstract

A total of 1,144 white married women aged 65-75 years living in Washington County, Maryland were interviewed during February-August 1979 as part of a larger study. This cross-sectional analysis was undertaken to investigate the question of whether or not selected demographic, social network, and social support characteristics of these women were related to their level of depressive symptoms. Women at the low end of the socioeconomic scale were found more likely to have a high level of depressive symptoms than were women at the high end. Two structural characteristics, size and homogeneity of the social network, were also found to be related to symptoms of depression, although only homogeneity of the social network reached statistical significance. There was a larger percentage of women with a high level of depressive symptoms among those with small networks and among those with heterogeneous networks. Those women with good quality networks, which offer the opportunity for social support, were much less likely to have a high level of depressive symptoms than others. Cross-sectionally, social network factors were related to level of depressive symptoms; this relationship now needs to be demonstrated prospectively.

摘要

作为一项规模更大研究的一部分,1979年2月至8月期间,对居住在马里兰州华盛顿县的1144名年龄在65至75岁之间的白人已婚女性进行了访谈。本次横断面分析旨在调查这些女性的特定人口统计学、社会网络和社会支持特征是否与她们的抑郁症状水平相关。研究发现,社会经济地位较低的女性比社会经济地位较高的女性更有可能出现高水平的抑郁症状。另外还发现,社会网络的两个结构特征,即规模和同质性,也与抑郁症状有关,不过只有社会网络的同质性达到了统计学意义。在社交网络规模小的女性和社交网络异质性高的女性中,出现高水平抑郁症状的女性比例更高。那些拥有能够提供社会支持机会的高质量社交网络的女性,出现高水平抑郁症状的可能性比其他人小得多。从横断面来看,社会网络因素与抑郁症状水平相关;这种关系现在需要通过前瞻性研究来证实。

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