Social support and health goteborg社会支持与健康哥德堡.se.pptVIP

Social support Kristina Orth-Gomér Internal medicineSocial medicine/Public healthKarolinska institutet, Sthlm+Psykosomatisk medicinCharité Universit?tsmedizin Berlin A lonely man is a strong man Social support - definition Social support is the resource provided by other people (S Cohen, L Syme 1985) Social networks - structure Social supports - function Social relations may have negative and positive effects on health Social networks and health ”the patterns of prospective association between social integration (that is the number and frequency of social relationships and contacts) and mortality are remarkably similar, with some variations by race, sex and geographic locale.” House et al., Science, 1988 Age adjusted relative mortality risk (RR) low vs high social network index men women Alameda county (CA) 2.44* 2.81* Techumseh (MI) 3.87* 1.97 Evans county (GEO) whites 1.83* 1.07 blacks 1.08 1.59 North Karelia (SF) 2.63* 1.92 Gothenburg (S) 4.00* - Swedish survey of 1.50* 1.50* living coditions House et al., Science, 1988 Swedish Survey of Living Conditions 17 400 men and women, age 15 to 65 Representative of the Swedish population Followed for 6 years Low Social network interaction predicted mortality in men of all ages Excess risk 50%, controlling for other risk factors Men, aged 50, born in G?teborg 741 men, born in 1933 Followed for 6 years and 15 years Attachment - close emotional ties Social integration - help with appraisal and coping, tangible support, belonging Social inegration (AVSI) How many people do you know? How many people do you have regular contact with? How many friends do you have who can come to visit any time? How many people can you trust? How many people can you ask for small favors? How many people can you turn to in difficulties and expect real help? 6 and 15 year incidence by social integration Attachment (AVAT) Is there anyone you can lean