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. 2016 Jun 28;6(6):e011503.
doi: 10.1136/bmjopen-2016-011503.

Sources of social support associated with health and quality of life: a cross-sectional study among Canadian and Latin American older adults

Emmanuelle Bélanger  1 , Tamer Ahmed  2 , Afshin Vafaei  3 , Carmen Lucia Curcio  4 , Susan P Phillips  5 , Maria Victoria Zunzunegui  6
Affiliations

Sources of social support associated with health and quality of life: a cross-sectional study among Canadian and Latin American older adults

Emmanuelle Bélanger et al. BMJ Open. .

Abstract

Objectives: To examine whether the association between emotional support and indicators of health and quality of life differs between Canadian and Latin American older adults.

Design: Cross-sectional analysis of the International Mobility in Aging Study (IMIAS). Social support from friends, family members, children and partner was measured with a previously validated social network and support scale (IMIAS-SNSS). Low social support was defined as ranking in the lowest site-specific quartile. Prevalence ratios (PR) of good health, depression and good quality of life were estimated with Poisson regression models, adjusting for age, gender, education, income and disability in activities of daily living.

Setting: Kingston and Saint-Hyacinthe in Canada, Manizales in Colombia and Natal in Brazil.

Participants: 1600 community-dwelling adults aged 65-74 years, n=400 at each site.

Outcome measures: Likert scale question on self-rated health, Center for Epidemiological Studies Depression Scale and 10-point analogical quality-of-life (QoL) scale.

Results: Relationships between social support and study outcomes differed between Canadian and Latin American older adults. Among Canadians, those without a partner had a lower prevalence of good health (PR=0.90; 95% CI 0.82 to 0.98), and those with high support from friends had a higher prevalence of good health (PR=1.09; 95% CI 1.01 to 1.18). Among Latin Americans, depression was lower among those with high levels of support from family (PR=0.63; 95% CI 0.48 to 0.83), children (PR=0.60; 95% CI 0.45 to 0.80) and partner (PR=0.57; 95% CI 0.31 to 0.77); good QoL was associated with high levels of support from children (PR=1.54; 95% CI 1.20 to 1.99) and partner (PR=1.31; 95% CI 1.03 to 1.67).

Conclusions: Among older adults, different sources of support were relevant to health across societies. Support from friends and having a partner were related to good health in Canada, whereas in Latin America, support from family, children and partner were associated with less depression and better QoL.

Keywords: Aging; Cross-cultural gerontology; Social determinants of health; Social support.

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References

    1. Seeman TE, Bruce ML, McAvay GJ. Social network characteristics and onset of ADL disability: MacArthur studies of successful aging. J Gerontol B Psychol Sci Soc Sci 1996;51B:S191–200. 10.1093/geronb/51B.4.S191 - DOI - PubMed
    1. Newsom JT, Schulz R. Social support as a mediator in the relation between functional status and quality of life in older adults. Psychol Aging 1996;11:34–44. 10.1037/0882-7974.11.1.34 - DOI - PubMed
    1. Berkman LF, Krishna A. Social network epidemiology. In: Berkman LF, Kawachi I, Glymour MM, eds. Social epidemiology. Oxford: Oxford University Press, 2014:234–89.
    1. Ashida S, Heaney CA. Differential associations of social support and social connectedness with structural features of social networks and the health status of older adults. J Aging Health 2008;20:872–93. 10.1177/0898264308324626 - DOI - PubMed
    1. Zunzunegui MV, Béland F, Otero A. Support from children, living arrangements, self-rated health and depressive symptoms of older people in Spain. Int J Epidemiol 2001;30:1090–9. 10.1093/ije/30.5.1090 - DOI - PubMed

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