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Lozano-Hernández CM, López-Rodríguez JA, Rico-Blázquez M, Calderón-Larrañaga A, Leiva-Fernández F, Prados-Torres A, del Cura-González I. Sex differences in social support perceived by polymedicated older adults with multimorbidity. MULTIPAP study. PLoS One 2022; 17:e0268218. [PMID: 35895702 PMCID: PMC9328549 DOI: 10.1371/journal.pone.0268218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2021] [Accepted: 04/25/2022] [Indexed: 11/18/2022] Open
Abstract
The beneficial effects of social support on morbidity, mortality, and quality of life are well known. Using the baseline data of the MULTIPAP study (n = 593), an observational, descriptive, cross-sectional study was carried out that analyzed the sex differences in the social support perceived by polymedicated adults aged 65 to 74 years with multimorbidity. The main outcome variable was social support measured through the Duke-UNC-11 Functional Social Support (DUFSS) questionnaire in its two dimensions (confident support and affective support). For both sexes, the perception of functional social support was correlated with being married or partnered and having a higher health-related quality of life utility index. In women, it was correlated with a higher level of education, living alone, and treatment adherence, and in men with higher monthly income, prescribed drugs and fewer diagnosed diseases.
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Affiliation(s)
- Cristina M. Lozano-Hernández
- Research Unit, Primary Health Care Management, Madrid, Spain
- Interuniversity Doctoral Program in Epidemiology and Public Health, Rey Juan Carlos University, Alcorcon (Madrid), Spain
- Research Network on Chronicity, Primary Care and Health Promotion -RICAPPS-(RICORS), Madrid, Spain
- Biosanitary Research and Innovation Foundation of Primary Care (FIIBAP), Madrid, Spain
| | - Juan Antonio López-Rodríguez
- Research Unit, Primary Health Care Management, Madrid, Spain
- Research Network on Chronicity, Primary Care and Health Promotion -RICAPPS-(RICORS), Madrid, Spain
- Biosanitary Research and Innovation Foundation of Primary Care (FIIBAP), Madrid, Spain
- Department of Medical Specialties and Public Health, Faculty of Health Sciences Rey Juan Carlos University, Madrid, Spain
- General Ricardos Primary Health Care Centre, Madrid, Spain
| | - Milagros Rico-Blázquez
- Research Unit, Primary Health Care Management, Madrid, Spain
- Research Network on Chronicity, Primary Care and Health Promotion -RICAPPS-(RICORS), Madrid, Spain
- Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry of the Complutense University of Madrid, Madrid, Spain
| | - Amaia Calderón-Larrañaga
- Research Network on Chronicity, Primary Care and Health Promotion -RICAPPS-(RICORS), Madrid, Spain
- Joint Action on Chronic Diseases (JA-CHRODIS) European Commission, Brussels, Belgium
- Department of Neurobiology, Aging Research Centre, Care Sciences and Society, Karolinska Institute & Stockholm University, Stockholm, Sweden
- EpiChron Research Group on Chronic Diseases, Aragon Health Sciences Institute, Miguel Servet University Hospital, Zaragoza, Spain
| | - Francisca Leiva-Fernández
- Research Network on Chronicity, Primary Care and Health Promotion -RICAPPS-(RICORS), Madrid, Spain
- Multiprofessional Teaching Unit for Family and Community Care Primary Care District Málaga-Guadarhorce, Málaga, Spain
- Biomedical Research Institute of Malaga-IBIMA, Andalusian Health Service, Málaga, Spain
| | - Alexandra Prados-Torres
- Research Network on Chronicity, Primary Care and Health Promotion -RICAPPS-(RICORS), Madrid, Spain
- EpiChron Research Group on Chronic Diseases, Aragon Health Sciences Institute, Miguel Servet University Hospital, Zaragoza, Spain
| | - Isabel del Cura-González
- Research Unit, Primary Health Care Management, Madrid, Spain
- Research Network on Chronicity, Primary Care and Health Promotion -RICAPPS-(RICORS), Madrid, Spain
- Department of Medical Specialties and Public Health, Faculty of Health Sciences Rey Juan Carlos University, Madrid, Spain
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Social Determinants and Disparities in Active Aging Among Older Taiwanese. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16163005. [PMID: 31434349 PMCID: PMC6721230 DOI: 10.3390/ijerph16163005] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/30/2019] [Revised: 08/17/2019] [Accepted: 08/17/2019] [Indexed: 12/31/2022]
Abstract
This study assesses equity in active aging across social determinants among older Taiwanese. The data were collected from face-to-face interviews with adults aged 55 years or more in Taiwan in 2017 (n = 738). A total of 30 individual-level Taiwan active aging indicators were chosen, and the relationship between social determinants and active aging indicators were analyzed by logistic regression models. Women were more likely to participate in volunteering and other social groups and in lifelong learning activities, whereas men were more likely to be employed, to engage in physical activity, to feel safe from violence, and to use preventive care. Higher education was related to higher employment, social participation, independent living, lifelong learning, and a lower likelihood of poverty and severe cognitive impairment. Those living in rural areas were more likely to be employed, perform physical activity, feel physically safe, have better mental well-being, and have higher social respect and social integration ratings, whereas living in urban areas was related to greater access to medical care, owning assets, less severe cognitive impairment, greater likelihood of using information and communications technology, higher level of education, and higher access to convenient transportation. The significant disparities that exist in active aging may suggest inequality.
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