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美国西班牙裔/拉丁裔人群中结构性和功能性社会支持与糖尿病患病率的关联:来自HCHS/SOL社会文化辅助研究的结果

Associations of structural and functional social support with diabetes prevalence in U.S. Hispanics/Latinos: results from the HCHS/SOL Sociocultural Ancillary Study.

作者信息

Gallo Linda C, Fortmann Addie L, McCurley Jessica L, Isasi Carmen R, Penedo Frank J, Daviglus Martha L, Roesch Scott C, Talavera Gregory A, Gouskova Natalia, Gonzalez Franklyn, Schneiderman Neil, Carnethon Mercedes R

机构信息

Department of Psychology, San Diego State University, 9245 Sky Park Court, Suite 115, San Diego, CA, 92123, USA,

出版信息

J Behav Med. 2015 Feb;38(1):160-70. doi: 10.1007/s10865-014-9588-z. Epub 2014 Aug 9.

Abstract

Little research has examined associations of social support with diabetes (or other physical health outcomes) in Hispanics, who are at elevated risk. We examined associations between social support and diabetes prevalence in the Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study. Participants were 5,181 adults, 18-74 years old, representing diverse Hispanic backgrounds, who underwent baseline exam with fasting blood draw, oral glucose tolerance test, medication review, sociodemographic assessment, and sociocultural exam with functional and structural social support measures. In adjusted analyses, one standard deviation higher structural and functional social support related to 16 and 15% lower odds, respectively, of having diabetes. Structural and functional support were related to both previously diagnosed diabetes (OR = .84 and .88, respectively) and newly recognized diabetes prevalence (OR = .84 and .83, respectively). Higher functional and structural social support are associated with lower diabetes prevalence in Hispanics/Latinos.

摘要

很少有研究调查社会支持与西班牙裔(他们面临更高的风险)糖尿病(或其他身体健康状况)之间的关联。我们在西班牙裔社区健康研究/拉丁裔社会文化辅助研究中调查了社会支持与糖尿病患病率之间的关联。参与者为5181名18至74岁的成年人,代表了不同的西班牙裔背景,他们接受了基线检查,包括空腹抽血、口服葡萄糖耐量试验、药物审查、社会人口学评估以及具有功能性和结构性社会支持措施的社会文化检查。在调整分析中,结构性和功能性社会支持每高出一个标准差,患糖尿病的几率分别降低16%和15%。结构性和功能性支持与既往诊断的糖尿病(分别为OR = 0.84和0.88)和新诊断的糖尿病患病率(分别为OR = 0.84和0.83)均相关。更高的功能性和结构性社会支持与西班牙裔/拉丁裔较低的糖尿病患病率相关。

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