Associations between the structural and functional aspects of social relations and poor mental health: a cross-sectional register study

Hansen, Lise Røntved; Pedersen, Stinna Bibi; Overgaard, Charlotte; Torp‐Pedersen, Christian; Ullits, Line Rosenkilde

doi:10.1186/s12889-017-4871-x

Cited by 18 publications

(21 citation statements)

References 45 publications

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“…Respondents were asked about their frequency of participation in each activity: ≥4 times a week, several times a week, once a week, several times a month, several times a year, or never. Prior studies have suggested that people who participate in activities on a weekly basis are frequent participants and people who participate in activities on a monthly or yearly basis are moderate participants [13,15,17,27,28]. Therefore, in this study, SP was classified into three categories: frequent = not less than once a week (i.e., weekly or more), moderate = several times or less a month (i.e., monthly or yearly), and non-participation.…”

Section: Methodsmentioning

confidence: 99%

The differential effects of type and frequency of social participation on IADL declines of older people

2018

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BackgroundAlthough social participation (SP) is valid in active aging, it is vague which types and the frequency of SP are effective in maintaining instrumental activities of daily living (IADL). We conducted a community-based prospective cohort study and investigated the association of the types and frequency for SP with IADL decline in community-dwelling older adults.MethodsThe target population were all individuals aged ≥65 living in a commuter town in Nara, Japan. A total of 6,013 participants with independent IADL at baseline were analyzed. IADL was assessed using the Tokyo Metropolitan Institute of Gerontology Index of Competence. Six SP types were assessed: volunteer groups, sports groups, hobby clubs, senior citizens’ clubs, neighborhood community associations, and cultural clubs. The frequency of SP was categorized into frequent (i.e., weekly or more), moderate (i.e., monthly or yearly), and non-participation. Using multiple logistic regression models, the odds ratio (OR) and a 95% confidence interval (CI) for IADL decline were calculated. Covariates included age, marital status, education, subjective economic status, work status, body mass index, chronic medical conditions (i.e., hypertension, diabetes mellitus, heart disease, and cerebrovascular disease), lifestyle factors (i.e., alcohol, smoking, and exercise), self-rated health, depression, and cognitive functioning. To examine gender differences, stratified analyses by gender were performed.ResultsDuring the 33-month follow-up, 16.4% of men and 8.7% of women exhibited IADL decline. After adjustment for all covariates, compared to those who never participated, women with moderate participation had significantly lower odds of IADL decline in volunteer groups (OR = 0.53, 95% CI = 0.31–0.88), hobby clubs (OR = 0.55, 95% CI = 0.38–0.79), neighborhood community associations (OR = 0.58, 95% CI = 0.42–0.81), and cultural clubs (OR = 0.51, 95% CI = 0.31–0.82), and women with frequent participation had lower odds of IADL decline in hobby clubs (OR = 0.63, 95% CI = 0.43–0.93). In contrast, among men, the significant association between SP and less risk of IADL decline was limited to moderate participation in neighborhood community associations (OR = 0.79, 95% CI = 0.63–0.99), and there were no differences between frequent participation and non-participation in all types of SP. Regarding volunteer groups, compared to women with frequent participation, women with moderate participation had a significantly lower risk of IADL decline (OR = 0.37, 95% CI = 0.18–0.77). The results of additional stratified analyses by self-rated health, depression, and cognitive functioning showed that the associations of the type and frequency of SP with IADL decline varied according to physical and mental functioning.ConclusionsSeveral types of SP have a favorable effect on IADL through moderate participation rather than frequent participation, and women with moderate participation in volunteer groups have a more beneficial effect on IADL than women with frequent participation. When ...

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Section: Methodsmentioning

confidence: 99%

The differential effects of type and frequency of social participation on IADL declines of older people

2018

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“…From a sociological point of view, social structures affect and are affected by human behavior [61]. In the field of health, several studies have underlined the role that the network structure plays in different health outcomes, such as the effect of the same on health-related behaviors [62][63][64] in the transmission of sexually transmitted diseases [65,66] in mental health [67] or the relation between network structure and health status [68]. Likewise, some studies have found certain benefits derived from having a network with different social domains and with a diverse typology of alters, as these can act as facilitators of other resources offering different types of support [69,70].…”

Section: Structural Variablesmentioning

confidence: 99%

Satisfaction with Social Support Received from Social Relationships in Cases of Chronic Pain: The Influence of Personal Network Characteristics in Terms of Structure, Composition and Functional Content

Fernández-Peña

Molina

Valero

2020

IJERPH

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The worldwide burden of chronic illnesses, constitutes a major public health concern and a serious challenge for health systems. In addition to the strategies of self-management support developed by nursing and health organizations, an individual's personal network represents a major resource of social support in the long-term. Adopting a cross-sectional design based on personal network analysis methods, the main aim of this study is to explore the relationship between satisfaction with the social support received by individuals suffering chronic pain and the structure, composition, and functional content in social support of their personal networks. We collected personal and support network data from 30 people with chronic pain (20 person's contacts (alters) for each individual (ego), 600 relationships in total). Additionally, we examined the level of satisfaction with social support in each of the 600 relationships. Bivariate and multivariate tests were performed to analyze the satisfaction with the social support received. Using cluster analysis, we established a typology of the 600 relationships under study. Results showed that higher satisfaction was associated with a balance between degree centrality and betweenness (i.e., measures of network cohesion and network modularity, respectively). Finally, new lines of research are proposed in order to broaden our understanding of this subject.

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“…strong social support and community integration) [26] may improve sleep by the reverse mechanisms (i.e. enhanced mental health, and less stress and loneliness) [23,85].…”

Section: Effect Measure Modification By Major Lifetime Occupational Cmentioning

confidence: 99%

US acculturation and poor sleep among an intergenerational cohort of adult Latinos in Sacramento, California

Martinez-Miller

Prather

Robinson

et al. 2018

Sleep

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Acculturation may shape the disproportionate burden of poor sleep among Latinos in the United States. Existing studies are limited by unidimensional acculturation proxies that are incapable of capturing cultural complexities across generations. Understanding how acculturation relates to sleep may lead to the identification of modifiable intervention targets. We used multivariable regression and latent class methods to examine cross-sectional associations between a validated multidimensional scale of US acculturation and self-reported poor sleep measures. We analyzed an intergenerational cohort: first-generation (GEN1) older Latinos (Sacramento Area Latino Study on Aging; N = 1,716; median age: 69.5) and second-generation (GEN2) middle-aged offspring and relatives of GEN1 (Niños Lifestyle and Diabetes Study; N = 670; median age: 54.0) in Sacramento, California. GEN1 with high US acculturation, compared with high acculturation towards another origin/ancestral country, had less restless sleep (prevalence ratio [PR] [95% confidence interval (CI)]: 0.67 [0.54, 0.84]) and a higher likelihood of being in the best sleep class than the worst (OR [95% CI]: 1.62 [1.09, 2.40]), but among nonmanual occupations, high intergenerational US acculturation was associated with more general fatigue (PR [95% CI: 1.86 [1.11, 3.10]). GEN2 with high intergenerational US acculturation reported shorter sleep (PR [95% CI]: 2.86 [1.02, 7.99]). High US acculturation shaped sleep differentially by generation, socioeconomic context, and intergenerational acculturative status. High US acculturation was associated with better sleep among older, lower socioeconomic Latinos, but with shorter sleep duration among middle-aged, higher socioeconomic Latinos; results also differed by parental acculturation status. Upon replication, future studies should incorporate prospective and intergenerational designs to uncover sociobehavioral pathways by which acculturation may shape sleep to ultimately inform intervention efforts.

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Associations between the structural and functional aspects of social relations and poor mental health: a cross-sectional register study

Cited by 18 publications

References 45 publications

The differential effects of type and frequency of social participation on IADL declines of older people

The differential effects of type and frequency of social participation on IADL declines of older people

Satisfaction with Social Support Received from Social Relationships in Cases of Chronic Pain: The Influence of Personal Network Characteristics in Terms of Structure, Composition and Functional Content

US acculturation and poor sleep among an intergenerational cohort of adult Latinos in Sacramento, California

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