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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Socioeconomic position and quality of life among older people: The mediating role of social support
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Socioeconomic position and quality of life among older people: The mediating role of social support

机译：老年人的社会经济地位和生活质量：社会支持的中介作用

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Social support can obscure social gradients in health, but its role as a mediator between socioeconomic position (SEP) and quality of life (QoL) in older populations remains unknown. We aimed to examine to what extent social support mediates the association between SEP and overall QoL among older adults (aged 60-84 years). We studied a population-based cohort of 585 noninstitutionalized adults in Porto, Portugal, who were evaluated in 2009. Education, occupation, and perceived income adequacy were used as SEP indicators. The WHOQOL-OLD was used to determine overall QoL. Social support was assessed using the Multidimensional Scale of Perceived Social Support. Path analysis was conducted to quantify direct, indirect, and total effects of SEP on QoL. There was a positive total effect of education on QoL (beta = 0.28; 95% CI: 0.05-0.48). In this model, we found an indirect effect through social support (beta = 0.15; 95% CI: 0.05-0.26), explaining 54% of the pathway between education and QoL. A similar pattern was identified for the association between occupation and QoL. Perceived income adequacy had a total effect of 2.74 (95% CI: 1.68-3.93) on QoL. Although an indirect effect through social support was found (beta = 0.98; 95% CI: 0.42-1.55), a direct effect from this variable remained (beta = 1.76; 95% CI: 0.65-2.90). Social support can be a mechanism through which SEP impacts the QoL of older people. Strengthening social support ties may attenuate the impact of social inequalities and improve the QoL of this population.
机译：社会支持可以掩盖健康的社会渐变，但它作为一个年龄较大的人群的社会经济地位（SEP）和生活质量（QOL）之间的作用仍然不为人知。我们的旨在审查社会支持在多大程度上介绍了老年人（年龄在60-84岁）之间的SEP和整体QOL之间的关联。我们研究了2009年葡萄牙波尔图的葡萄牙波尔图的基于人口的585名非合理成人队列。教育，职业和感知收入充足率被用作SEP指标。 WHOQOL旧的用于确定整体QOL。使用众所周知的社会支持的多维规模评估社会支持。进行路径分析以量化QOL上SEP的直接，间接和总效应。在QoL上有积极的完全效果（β= 0.28; 95％CI：0.05-0.48）。在该模型中，我们通过社会支持（Beta = 0.15; 95％CI：0.05-0.26）发现了间接效果，阐述了教育和QOL之间的54％的途径。为职业和QOL之间的关联确定了类似的模式。感知收入充足率为2.74（95％CI：1.68-3.93）的总效果。虽然发现通过社会支持的间接效果（β= 0.98; 95％CI：0.42-1.55），但剩余该变量的直接效果（beta = 1.76; 95％CI：0.65-2.90）。社会支持可以是SEP对老年人的QoL影响的机制。加强社会支持关系可能会透明社会不平等的影响，提高本人的QoL。

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