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Guest MA, Hunter EG, Schoenberg NE. Making Home: The Role of Social Networks on Identity, Health, and Quality of Life Among Rural Lesbian and Gay Older Adults. Innov Aging 2023; 7:igad082. [PMID: 37727599 PMCID: PMC10506171 DOI: 10.1093/geroni/igad082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2023] [Indexed: 09/21/2023] Open
Abstract
Background and Objectives Gay and lesbian older persons face a host of health inequalities related to their identity as they age. Challenges to health access and appropriate social support may be even more exacerbated for those living in rural environments; this may be due to the lack of supportive and affirming social connections. This project aimed to explore and describe the social networks and the relationship of these social networks to identity, health, and quality of life of gay and lesbian individuals in rural communities. Research Design and Methods Social network data on network type, size, and social capital were collected and supplemented by quantitative questionnaires relating to health, quality of life, marginalization, and identity. Results Participants (N = 25) were recruited from three states. Thirteen participants self-identified as gay and 12 as lesbian. All but one identified as non-Hispanic White. The average age of all participants was 60.32 years. Findings indicate that rural gay and lesbian individuals develop networks with little consideration for network members' acceptance of their identity. Participants reported an average network size of 9.32 individuals. Gay men reported higher perceptual affinity (.69) than lesbian participants (.62). Lesbian networks showed significantly (p = .0262) greater demographic similarity (.58) than aging gay men's networks (.55). Aging gay men (.89) reported statistically stronger (p = .0078) network ties than aging lesbian females (.78). Among participants in this study, network size is not correlated with the health and quality of life of rural aging lesbian and gay individuals. Still, personal identity congruence does appear to relate to health and quality of life. Discussion and Implications The findings highlight the collective need to continue research into sexual minority aging and rural sexual minority aging, particularly employing novel methods.
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Affiliation(s)
- Marc Aaron Guest
- Center for Innovation in Healthy and Resilient Aging, Arizona State University, Phoenix, Arizona, USA
| | - Elizabeth G Hunter
- College of Public Health, University of Kentucky, Lexington, Kentucky, USA
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Keim-Klärner S, Adebahr P, Brandt S, Gamper M, Klärner A, Knabe A, Kupfer A, Müller B, Reis O, Vonneilich N, Ganser MA, de Bruyn C, von der Lippe H. Social inequality, social networks, and health: a scoping review of research on health inequalities from a social network perspective. Int J Equity Health 2023; 22:74. [PMID: 37098617 PMCID: PMC10131340 DOI: 10.1186/s12939-023-01876-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2022] [Accepted: 03/28/2023] [Indexed: 04/27/2023] Open
Abstract
BACKGROUND This review summarises the present state of research on health inequalities using a social network perspective, and it explores the available studies examining the interrelations of social inequality, social networks, and health. METHODS Using the strategy of a scoping review, as outlined by Arksey and O'Malley (Int J Sci Res Methodol 8:19-32, 2005), our team performed two searches across eight scientific, bibliographic databases including papers published until October 2021. Studies meeting pre-defined eligibility criteria were selected. The data were charted in a table, and then collated, summarised, and reported in this paper. RESULTS Our search provided a total of 15,237 initial hits. After deduplication (n = 6,168 studies) and the removal of hits that did not meet our baseline criteria (n = 8,767 studies), the remaining 302 full text articles were examined. This resulted in 25 articles being included in the present review, many of which focused on moderating or mediating network effects. Such effects were found in the majority of these studies, but not in all. Social networks were found to buffer the harsher effects of poverty on health, while specific network characteristics were shown to intensify or attenuate the health effects of social inequalities. CONCLUSIONS Our review showed that the variables used for measuring health and social networks differed considerably across the selected studies. Thus, our attempt to establish a consensus of opinion across the included studies was not successful. Nevertheless, the usefulness of social network analysis in researching health inequalities and the employment of health-promoting interventions focusing on social relations was generally acknowledged in the studies. We close by suggesting ways to advance the research methodology, and argue for a greater orientation on theoretical models. We also call for the increased use of structural measures; the inclusion of measures on negative ties and interactions; and the use of more complex study designs, such as mixed-methods and longitudinal studies.
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Affiliation(s)
| | - Philip Adebahr
- Institute of Sociology, University of Technology Chemnitz, Chemnitz, Germany
| | - Stefan Brandt
- Landesfrauenrat Mecklenburg-Vorpommern e.V., Rostock, Germany
| | - Markus Gamper
- Institut für vergleichende Bildungsforschung und Sozialwissenschaften, University of Cologne, Cologne, Germany
| | - Andreas Klärner
- Thünen Institute of Rural Studies, Bundesallee 64, Brunswick, Germany
| | - André Knabe
- Rostocker Institut für Sozialforschung und gesellschaftliche Praxis e.V., Rostock, Germany
| | - Annett Kupfer
- Institute of Social Pedagogy, Social Work and Welfare Studies, Technische Universität Dresden, Dresden, Germany
| | - Britta Müller
- Institute of Medical Psychology and Medical Sociology, Rostock University Medical Center, Rostock, Germany
| | - Olaf Reis
- Klinik für Psychiatrie, Neurologie, Psychosomatik und Psychotherapie im Kindes- und Jugendalter, Rostock University Medical Center, Rostock, Germany
| | - Nico Vonneilich
- Institute of Medical Sociology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
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Cianciara D, Lewtak K, Poznańska A, Piotrowicz M, Gajewska M, Urban E, Sugay L, Rutyna A. Participation in Population Health Interventions by Older Adults in Poland: Barriers and Enablers. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2284. [PMID: 36767650 PMCID: PMC9915132 DOI: 10.3390/ijerph20032284] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/31/2022] [Revised: 01/21/2023] [Accepted: 01/25/2023] [Indexed: 06/18/2023]
Abstract
BACKGROUND The participation of older adults in population health interventions constitutes a key factor in their physical, mental and social health. The aim of this study was to determine variables considered as enablers and barriers to participation in health programmes. METHODS The conceptual framework of the study was developed and population health interventions were operationalised as health programmes. A total of 805 older adults participated in a questionnaire survey. The questionnaire included questions about socio-demographic, health and social connectedness-related factors as well as participation in population health interventions/programmes. Multiple logistic regression was used to examine the relationship between respondents' characteristics and participation in the intervention. RESULTS Participation in health programmes was declared by 316 respondents. The enablers of participation were general practitioner's affability (OR = 2.638 [1.453-4.791], p = 0.001), three or more social activities (OR = 3.415 [1.477-7.894], p = 0.004), taking part in support groups (OR = 4.743 [1.255-17.929], p = 0.022) and involvement in Universities of the Third Age (OR = 2.829 [1.093-7.327], p = 0.032). The barriers were primary education (OR = 0.385 [0.215-0.690], p = 0.001), infrequent general practitioner's appointments (OR = 0.500 [0.281-0.888], p = 0.018) and lack of social activity (OR = 0.455 [0.299-0.632], p < 0.001). CONCLUSION The enablers of participation appeared to solely include variables regarding health service utilisation, patient experience and social activity, i.e., interpersonal and community relationships, not intrapersonal factors.
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Affiliation(s)
- Dorota Cianciara
- Department of Epidemiology and Health Promotion, School of Public Health, Centre of Postgraduate Medical Education, 01-826 Warsaw, Poland
| | - Katarzyna Lewtak
- Department of Health Promotion and Prevention of Chronic Diseases, National Institute of Public Health NIH—National Research Institute, 00-791 Warsaw, Poland
- Department of Social Medicine and Public Health, Medical University of Warsaw, 3 Oczki Street, 02-007 Warsaw, Poland
| | - Anna Poznańska
- Department of Population Health Monitoring and Analysis, National Institute of Public Health NIH—National Research Institute, 00-791 Warsaw, Poland
| | - Maria Piotrowicz
- Department of Health Promotion and Prevention of Chronic Diseases, National Institute of Public Health NIH—National Research Institute, 00-791 Warsaw, Poland
| | - Małgorzata Gajewska
- Department of Health Promotion and Prevention of Chronic Diseases, National Institute of Public Health NIH—National Research Institute, 00-791 Warsaw, Poland
| | - Ewa Urban
- Department of Health Promotion and Prevention of Chronic Diseases, National Institute of Public Health NIH—National Research Institute, 00-791 Warsaw, Poland
| | - Larysa Sugay
- Department of Health Promotion and Prevention of Chronic Diseases, National Institute of Public Health NIH—National Research Institute, 00-791 Warsaw, Poland
| | - Anna Rutyna
- Department of Health Promotion and Prevention of Chronic Diseases, National Institute of Public Health NIH—National Research Institute, 00-791 Warsaw, Poland
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Zhang J, Zheng Y, Wen T, Yang M, Feng QM. The impact of built environment on physical activity and subjective well-being of urban residents: A study of core cities in the Yangtze River Delta survey. Front Psychol 2022; 13:1050486. [PMID: 36570995 PMCID: PMC9773078 DOI: 10.3389/fpsyg.2022.1050486] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2022] [Accepted: 11/18/2022] [Indexed: 12/14/2022] Open
Abstract
Objective In cities with high population density in China, the impact of built environment on human health is rather complicated. Physical activities are an important factor in promoting people's health. This study is aimed to explore ways of enhancing the residents' intensity of physical activities and psychological health in a limited built environment. For this purpose, this study conducted research on 1875 residents from cities in the Yangtze River Delta in China to clarify the complicated correlations among the residents' physical activities, the multi-dimensional geographic environment characteristics, and subjective well-being. Methods First, Neighborhood Environment Walkability Scale (NEWS-A), International Physical Activity Questionnaire Short Form (IPAQ-SF), and Subjective Well-being Scale for Chinese Citizens (SWBS-CC) were used to measure built environment characteristics, intensity of physical activities, and subjective well-being. Second, the correlations among built environment, physical activities, and subjective well-being were analyzed, which reflected different effects of built environment characteristics on physical activities and subjective well-being. Third, physical activities were viewed as a mediating variable in SEM to analyze the influence mechanism of each built environment characteristic on the subjective well-being of residents. Result Residents with different individual characteristics may have different levels of perception and usage of built environment. The intensity of physical activities has significant positive correlations with proximity to supporting facilities, accessibility of destinations, and public security, while no significant correlation with overall environmental aesthetics and street connectivity. The residents' subjective well-being has significant positive correlations with accessibility of destinations, overall environmental aesthetics, and public security, while no significant correlation with proximity to supporting facilities and street connectivity. Physical activities not only have a direct effect on subjective well-being, but also a mediating effect on the correlations between subjective well-being and built environment characteristics. Conclusion In the future, more research could be conducted on the optimization of correlations between residential built environment characteristics and physical activities as well as subjective well-being, so as to gain a deeper understanding about the impact of residential built environment on people's physical and mental health.
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Affiliation(s)
- Jing Zhang
- Faculty of Physical Education, Shanghai International Studies University, Shanghai, China
| | - Yan Zheng
- Faculty of Physical Education, Shanghai International Studies University, Shanghai, China
| | - Tao Wen
- Faculty of Physical Education, Shanghai International Studies University, Shanghai, China
| | - Min Yang
- Office of Campus Security, Shanghai International Studies University, Shanghai, China
| | - Qiang ming Feng
- Faculty of Physical Education, Shanghai International Studies University, Shanghai, China,*Correspondence: Qiang ming Feng,
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Ang S. Internet use and cohort change in social connectedness among older adults. ADVANCES IN LIFE COURSE RESEARCH 2022; 54:100514. [PMID: 36651618 DOI: 10.1016/j.alcr.2022.100514] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/16/2021] [Revised: 09/24/2022] [Accepted: 09/24/2022] [Indexed: 06/17/2023]
Abstract
Social connections are an integral part of living in society, and trends in social connectedness are thus closely scrutinized. The phenomenon of networked individualism argues that densely knit communities organized around formal social groups such as households and workplaces are becoming less common. Due to advances in technology, individuals are able to develop personalized communities that are more diverse and less geographically-bound. The objective of this study was to determine how both average levels and the variability of social connectedness have changed across cohorts, and how much of this is due to increased internet use. Data from 2006, 2008, 2016, and 2018 waves of the Health and Retirement Study were used to investigate cohort changes in various indicators of social connectedness. The analytical sample consisted of older adults aged 58-69 from the Silent Generation (born 1920-1947) and Baby Boomers (born 1948-1965). Heteroscedastic regression models and decomposition methods were used to investigate the role of increased internet use in driving some of these changes. Findings suggest that increases in internet use was associated with increases in the variance of social participation (i.e., contact with friends and family) in the United States. However, evidence around more subjective measures of social connectedness (i.e., social support, loneliness) was less clear. Future research should seek to understand how cohort change in technological use may affect objective and subjective aspects of social connectedness in different ways.
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Affiliation(s)
- Shannon Ang
- Sociology, School of Social Sciences, Nanyang Technological University, Singapore.
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Khaliq N, McMunn A, Machuca-Vargas C, Heilmann A. Do social relationships mediate or moderate social inequalities in health? A systematic review protocol. Syst Rev 2022; 11:91. [PMID: 35562839 PMCID: PMC9107128 DOI: 10.1186/s13643-022-01973-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/07/2020] [Accepted: 05/05/2022] [Indexed: 11/16/2022] Open
Abstract
INTRODUCTION Explanations for health inequalities include material, behavioural and psychosocial pathways. Social relationships are an important determinant of health, and research has consistently found that a lack of support networks may diminish favourable health outcomes. There is some evidence that social network structures, partly shaped by socioeconomic factors, contribute to health inequalities. This protocol will summarise the systematic review process. METHODS AND ANALYSES The Systematic review will be reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. An electronic database search of MEDLINE, Embase Classic + Embase and PsychINFO using the OvidSP platform will be undertaken. Databases will be searched from the earliest date of entry until 10 June 2022. Articles that have quantitatively assessed the role of social relationships in mediating or moderating health inequalities will be included and any health outcome (mental/physical) will be considered. The database search will be supplemented by reference list screening of all relevant full-text articles identified through the search. Two independent reviewers will be responsible for screening of articles, data extraction and assessment of bias. Observational studies will be risk assessed for bias using a modified version of the Newcastle-Ottawa Quality Assessment Scale, and intervention studies will be assessed using the revised Cochrane risk-of-bias tool. It is anticipated that the eligible studies will be highly variable; therefore, a meta-analysis will only be considered if the available data of the selected studies are similar. If the studies are too heterogeneous, a narrative synthesis of the extracted data will be presented. CONCLUSION The results of the systematic review will examine the link between social relationships and health inequalities. The findings of the review will identify gaps in knowledge where further research is needed. SYSTEMATIC REVIEW REGISTRATION PROSPERO CRD42020181706.
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Affiliation(s)
- Nadia Khaliq
- Department of Epidemiology and Public Health, UCL, London, UK
| | - Anne McMunn
- Department of Epidemiology and Public Health, UCL, London, UK
| | | | - Anja Heilmann
- Department of Epidemiology and Public Health, UCL, London, UK
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Belvis F, Bolíbar M, Benach J, Julià M. Precarious Employment and Chronic Stress: Do Social Support Networks Matter? INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19031909. [PMID: 35162929 PMCID: PMC8835513 DOI: 10.3390/ijerph19031909] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/27/2021] [Revised: 02/02/2022] [Accepted: 02/03/2022] [Indexed: 12/31/2022]
Abstract
Precarious employment has been identified as a potentially damaging stressor. Conversely, social support networks have a well-known protective effect on health and well-being. The ways in which precariousness and social support may interact have scarcely been studied with respect to either perceived stress or objective stress biomarkers. This research aims to fill this gap by means of a cross-sectional study based on a non-probability quota sample of 250 workers aged 25–60 in Barcelona, Spain. Fieldwork was carried out between May 2019 and January 2020. Employment precariousness, perceived social support and stress levels were measured by means of scales, while individual steroid profiles capturing the chronic stress suffered over a period of a month were obtained from hair samples using a liquid chromatography-tandem mass spectrometry methodology. As for perceived stress, analysis indicates that a reverse buffering effect exists (interaction B = 0.22, p = 0.014). Steroid biomarkers are unrelated to social support, while association with precariousness is weak and only reaches significance at p < 0.05 in the case of women and 20ß dihydrocortisone metabolites. These results suggest that social support can have negative effects on the relationship between perceived health and an emerging stressful condition like precariousness, while its association with physiological measures of stress remains uncertain.
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Affiliation(s)
- Francesc Belvis
- Research Group on Health Inequalities, Environment, and Employment Conditions (GREDS-EMCONET), Department of Political and Social Sciences, Universitat Pompeu Fabra, 08005 Barcelona, Spain; (M.B.); (J.B.); (M.J.)
- Johns Hopkins University—Universitat Pompeu Fabra Public Policy Center (UPF-PPC), 08005 Barcelona, Spain
- Correspondence:
| | - Mireia Bolíbar
- Research Group on Health Inequalities, Environment, and Employment Conditions (GREDS-EMCONET), Department of Political and Social Sciences, Universitat Pompeu Fabra, 08005 Barcelona, Spain; (M.B.); (J.B.); (M.J.)
- Department of Sociology, Universitat de Barcelona, 08034 Barcelona, Spain
| | - Joan Benach
- Research Group on Health Inequalities, Environment, and Employment Conditions (GREDS-EMCONET), Department of Political and Social Sciences, Universitat Pompeu Fabra, 08005 Barcelona, Spain; (M.B.); (J.B.); (M.J.)
- Johns Hopkins University—Universitat Pompeu Fabra Public Policy Center (UPF-PPC), 08005 Barcelona, Spain
- Ecological Humanities Research Group (GHECO), Universidad Autónoma de Madrid, 28049 Madrid, Spain
| | - Mireia Julià
- Research Group on Health Inequalities, Environment, and Employment Conditions (GREDS-EMCONET), Department of Political and Social Sciences, Universitat Pompeu Fabra, 08005 Barcelona, Spain; (M.B.); (J.B.); (M.J.)
- ESIMar (Mar Nursing School), Parc de Salut Mar, Universitat Pompeu Fabra-Affiliated, 08005 Barcelona, Spain
- SDHEd (Social Determinants and Health Education Research Group), IMIM (Hospital del Mar Medical Research Institute), 08005 Barcelona, Spain
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Song L, Pettis PJ, Chen Y, Goodson-Miller M. Social Cost and Health: The Downside of Social Relationships and Social Networks. JOURNAL OF HEALTH AND SOCIAL BEHAVIOR 2021; 62:371-387. [PMID: 34309419 DOI: 10.1177/00221465211029353] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
The research tradition on social relationships, social networks, and health dates back to the beginning of sociology. As exemplified in the classic work of Durkheim, Simmel, and Tönnies, social relationships and social networks play a double-edged-protective and detrimental-role for health. However, this double-edged role has been given unbalanced attention. In comparison to the salubrious role, the deleterious role has received less scrutiny and needs a focused review and conceptual integration. This article selectively reviews the post-2000 studies that demonstrate the harmful physical and mental health consequences of social relationships (intimate relationships and parenthood) and social networks. It uses a parsimonious three-category typology-structural forms, structural composition, and contents-to categorize relationship and network properties and proposes the social cost model, in contrast to the social resource model, to synthesize and integrate the adverse aspects of these properties. It concludes with future research directions.
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Affiliation(s)
- Lijun Song
- Vanderbilt University, Nashville, TN, USA
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9
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Bolibar M, Belvis FX, Jódar P, Vives A, Méndez F, Bartoll-Roca X, Pozo OJ, Gomez-Gomez A, Padrosa E, Benach J, Julià M. Precarious Employment and Stress: The Biomedical Embodiment of Social Factors. PRESSED Project Study Protocol. Front Public Health 2021; 9:649447. [PMID: 33859972 PMCID: PMC8042135 DOI: 10.3389/fpubh.2021.649447] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2021] [Accepted: 03/03/2021] [Indexed: 11/13/2022] Open
Abstract
The PRESSED project aims to explain the links between a multidimensional measure of precarious employment and stress and health. Studies on social epidemiology have found a clear positive association between precarious employment and health, but the pathways and mechanisms to explain such a relationship are not well-understood. This project aims to fill this gap from an interdisciplinary perspective, integrating the social and biomedical standpoints to comprehensively address the complex web of consequences of precarious employment and its effects on workers' stress, health and well-being, including health inequalities. The project objectives are: (1) to analyze the association between multidimensional precarious employment and chronic stress among salaried workers in Barcelona, measured both subjectively and using biological indicators; (2) to improve our understanding of the pathways and mechanisms linking precarious employment with stress, health and well-being; and (3) to analyze health inequalities by gender, social class and place of origin for the first two objectives. The study follows a sequential mixed design. First, secondary data from the 2017 Survey on Workers and the Unemployed of Barcelona is analyzed (N = 1,264), yielding a social map of precarious employment in Barcelona that allows the contextualization of the scope and characteristics of this phenomenon. Drawing on these results, a second survey on a smaller sample (N = 255) on precarious employment, social precariousness and stress is envisaged. This study population is also asked to provide a hair sample to have their levels of cortisol and its related components, biomarkers of chronic stress, analyzed. Third, a sub-sample of the latter survey (n = 25) is selected to perform qualitative semi-structured interviews. This allows going into greater depth into how and why the experience of uncertainty, the precarization of living conditions, and the degradation of working conditions go hand-in-hand with precarious employment and have an impact on stress, as well as to explore the potential role of social support networks in mitigating these effects.
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Affiliation(s)
- Mireia Bolibar
- Department of Sociology, University of Barcelona, Barcelona, Spain.,Research Group on Health Inequalities, Environment, and Employment Conditions (GREDS-EMCONET), Department of Political and Social Sciences, Universitat Pompeu Fabra, Barcelona, Spain
| | - Francesc Xavier Belvis
- Research Group on Health Inequalities, Environment, and Employment Conditions (GREDS-EMCONET), Department of Political and Social Sciences, Universitat Pompeu Fabra, Barcelona, Spain.,Johns Hopkins University - Universitat Pompeu Fabra Public Policy Center, Barcelona, Spain
| | - Pere Jódar
- Research Group on Health Inequalities, Environment, and Employment Conditions (GREDS-EMCONET), Department of Political and Social Sciences, Universitat Pompeu Fabra, Barcelona, Spain
| | - Alejandra Vives
- Department of Public Health, CEDEUS, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Fabrizio Méndez
- Research Group on Health Inequalities, Environment, and Employment Conditions (GREDS-EMCONET), Department of Political and Social Sciences, Universitat Pompeu Fabra, Barcelona, Spain.,Johns Hopkins University - Universitat Pompeu Fabra Public Policy Center, Barcelona, Spain
| | | | - Oscar J Pozo
- Integrative Pharmacology and Systems Neuroscience Group, IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain
| | - Alex Gomez-Gomez
- Integrative Pharmacology and Systems Neuroscience Group, IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain.,Department of Experimental and Health Sciences, Universitat Pompeu Fabra, Barcelona, Spain
| | - Eva Padrosa
- Research Group on Health Inequalities, Environment, and Employment Conditions (GREDS-EMCONET), Department of Political and Social Sciences, Universitat Pompeu Fabra, Barcelona, Spain.,Johns Hopkins University - Universitat Pompeu Fabra Public Policy Center, Barcelona, Spain
| | - Joan Benach
- Research Group on Health Inequalities, Environment, and Employment Conditions (GREDS-EMCONET), Department of Political and Social Sciences, Universitat Pompeu Fabra, Barcelona, Spain.,Johns Hopkins University - Universitat Pompeu Fabra Public Policy Center, Barcelona, Spain.,Transdisciplinary Research Group on Socioecological Transitions (GinTRANS2), Universidad Autónoma de Madrid, Madrid, Spain
| | - Mireia Julià
- Research Group on Health Inequalities, Environment, and Employment Conditions (GREDS-EMCONET), Department of Political and Social Sciences, Universitat Pompeu Fabra, Barcelona, Spain.,Johns Hopkins University - Universitat Pompeu Fabra Public Policy Center, Barcelona, Spain
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10
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Makovski TT, Le Coroller G, Putrik P, Choi YH, Zeegers MP, Stranges S, Ruiz Castell M, Huiart L, van den Akker M. Role of clinical, functional and social factors in the association between multimorbidity and quality of life: Findings from the Survey of Health, Ageing and Retirement in Europe (SHARE). PLoS One 2020; 15:e0240024. [PMID: 33079931 PMCID: PMC7575102 DOI: 10.1371/journal.pone.0240024] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2020] [Accepted: 09/17/2020] [Indexed: 12/21/2022] Open
Abstract
OBJECTIVE An increasing number of diseases is linked to deterioration of quality of life (QoL). Part of this association can be explained by socio-economic factors, which are most commonly accounted for. Our aim was to explore the potential contribution of other factors related to clinical burden, social interaction and functioning. METHODS A cross-sectional analysis was conducted on wave 6 of the population-based Survey of Health, Ageing and Retirement in Europe (SHARE), among participants aged 50+ (n = 67 179). The Control, Autonomy, Self-Realization and Pleasure (CASP-12v1) questionnaire measured QoL. The association between number of diseases and QoL was tested in a mixed-effects linear regression model. The base model controlled for socio-economic characteristics. Factors of interest (symptoms, polypharmacy, unmet care needs, utilisation of care, social network, personal and financial help, loneliness and activities of daily living (ADL) with instrumental activities (IADL)) were added to the base model one at a time and tested for relevance (i.e. change in the β-coefficient of the number of conditions of 15% or more). RESULTS Symptoms, polypharmacy, loneliness and ADL/IADL appeared relevant and were retained in the final model. The association between number of conditions and QoL in the base model was -2.44 [95% CI: -2.72; -2.16], while this association was -0.76 [95%CI: -0.97; -0.54] after all relevant factors were included. CONCLUSION Factors beyond the socio-economic circumstances play an important role in explaining the association between number of conditions and QoL. These factors should be considered to better estimate the impact of chronic diseases on QoL, and for improving patient care.
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Affiliation(s)
- Tatjana T Makovski
- Department of Population Health, Luxembourg Institute of Health, Strassen, Luxembourg.,Department of Family Medicine, Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands.,Chairgroup of Complex Genetics and Epidemiology, Nutrition and Metabolism in Translational Research, Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands
| | - Gwenaëlle Le Coroller
- Competence Centre for Methodology and Statistics, Department of Population Health, Luxembourg Institute of Health, Strassen, Luxembourg
| | - Polina Putrik
- Department of Health Services Research, Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands
| | - Yun Hee Choi
- Department of Epidemiology & Biostatistics, Western University, London, Ontario, Canada
| | - Maurice P Zeegers
- Chairgroup of Complex Genetics and Epidemiology, Nutrition and Metabolism in Translational Research, Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands
| | - Saverio Stranges
- Department of Population Health, Luxembourg Institute of Health, Strassen, Luxembourg.,Department of Epidemiology & Biostatistics, Western University, London, Ontario, Canada.,Department of Family Medicine, Western University, London, Ontario, Canada
| | - Maria Ruiz Castell
- Department of Population Health, Luxembourg Institute of Health, Strassen, Luxembourg
| | - Laetitia Huiart
- Department of Population Health, Luxembourg Institute of Health, Strassen, Luxembourg
| | - Marjan van den Akker
- Department of Family Medicine, Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands.,Academic Centre for General Practice / Department of Public Health and Primary Care, Katholieke Universiteit Leuven, Leuven, Belgium.,Institute of General Practice, Johann Wolfgang Goethe University, Frankfurt am Main, Germany
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Zhuo LB, Yao W, Yan Z, Giron MST, Pei JJ, Wang HX. Impact of effort reward imbalance at work on suicidal ideation in ten European countries: The role of depressive symptoms. J Affect Disord 2020; 260:214-221. [PMID: 31505399 DOI: 10.1016/j.jad.2019.09.007] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/19/2019] [Revised: 07/09/2019] [Accepted: 09/01/2019] [Indexed: 10/26/2022]
Abstract
BACKGROUND Evidence of the association between effort reward imbalance (ERI) and suicidal ideation is sparse. This study examined the influence of ERI at work on suicidal ideation and the mediating effect of depressive symptoms. METHODS There were 4963 workers aged 50+ without suicidal ideation at baseline in the Survey of Health, Aging and Retirement in Europe, these workers were followed-up for 8-years to detect incident suicidal ideation. ERI was measured by a short ERI questionnaire. Suicidal ideation was evaluated by one item derived from the 12-item Europe-depression scale, and depressive symptoms were assessed by the remaining 11 items in the scale. Cox models were employed to explore the relationship adjusting for potential confounders. Mediation analysis was used to test the mediating effect of depressive symptoms. RESULTS A significantly higher incidence of suicidal ideation was related with high effort (HR = 1.51) and low reward (HR = 1.42), respectively. A high effort-low reward imbalance was associated with even higher risk of suicidal ideation (HR = 1.96) as compared to low effort-high reward combination. The association was varied by gender, region, education and household income. Depressive symptoms mediated a modest proportion (natural indirect effect 14.4%) of the total association between ERI and suicidal ideation. LIMITATION Suicidal ideation definition based on self-administered questionnaires which could lead to false negatives. And some unmeasured confounders might have biased the results. CONCLUSIONS Efforts in promoting balanced effort-reward at work may reduce suicidal ideation among working population aged 50+. Avoiding depressive symptoms may further enhance such efforts.
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Affiliation(s)
- Lai-Bao Zhuo
- College of Public health, Zhengzhou University, Zhengzhou, Henan, China
| | - Wu Yao
- College of Public health, Zhengzhou University, Zhengzhou, Henan, China
| | - Zhen Yan
- College of Public Health, Hainan Medical University, 3 Xueyuan Road, Haikou, China.
| | - Maria S T Giron
- Institute on Aging, National Institutes of Health, University of the Philippines, Philippines
| | - Jin-Jing Pei
- Stress Research Institute, Stockholm University, Frescati Hagväg 16A, 114 19 Stockholm, Sweden
| | - Hui-Xin Wang
- College of Public health, Zhengzhou University, Zhengzhou, Henan, China; Stress Research Institute, Stockholm University, Frescati Hagväg 16A, 114 19 Stockholm, Sweden; Aging Research Center, Department of Neurobiology, Caring Sciences and Society, Karolinska Institutet and Stockholm University, Stockholm, Sweden.
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12
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Pinillos-Franco S, Kawachi I. The relationship between social capital and self-rated health: A gendered analysis of 17 European countries. Soc Sci Med 2018; 219:30-35. [DOI: 10.1016/j.socscimed.2018.10.010] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2018] [Revised: 08/09/2018] [Accepted: 10/16/2018] [Indexed: 01/20/2023]
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