Hibbard J H
Health Educ Q. 1985 Spring;12(1):23-34. doi: 10.1177/109019818501200103.
The goals of the study are to assess the relationship between social ties and health status and to determine if factors that may inhibit or enhance the mobilization of resources available in social ties specify this relationship. Two factors which may influence the effective use of social network resources perceived control and trusting others, are examined as possible moderating factors. The study population includes 2,603 adults, who were randomly selected from among the enrollees of a large health maintenance organization. The subjects were part of a large household interview survey. Medical record data covering seven years of outpatient services were linked with the survey data on the respondents. The findings indicate that having more social ties, being more trustful of others and perceiving more control are all related to having better health. Perceived control does specify the relationship between social ties and health status. The findings suggest that a larger social network is more important for those less able to utilize the resources available in their networks effectively, while among those more able to mobilize support from their networks, size is less important. The implications for health education research and practice are discussed.
该研究的目标是评估社会关系与健康状况之间的关系，并确定那些可能抑制或增强社会关系中可用资源调动的因素是否会明确这种关系。研究考察了两个可能影响社会网络资源有效利用的因素——感知控制和信任他人，将其作为可能的调节因素。研究人群包括2603名成年人，他们是从一个大型健康维护组织的登记人员中随机选取的。这些受试者是一项大型家庭访谈调查的一部分。涵盖七年门诊服务的医疗记录数据与受访者的调查数据相关联。研究结果表明，拥有更多社会关系、更信任他人以及感知到更多控制都与拥有更好的健康状况相关。感知控制确实明确了社会关系与健康状况之间的关系。研究结果表明，对于那些不太能够有效利用其社交网络中可用资源的人来说，更大的社交网络更为重要，而在那些更能够从其社交网络中调动支持的人当中，社交网络的规模则不那么重要。本文还讨论了该研究结果对健康教育研究和实践的启示。
