How does social support affect functional impairment in late life? Findings of a multicenter prospective cohort study in Germany

被引：24

作者：

Hajek, Andre ^{[1
]}

Brettschneider, Christian ^{[1
]}

Mallon, Tina ^{[2
]}

van der Leeden, Carolin ^{[2
]}

Mamone, Silke ^{[3
]}

Wiese, Birgitt ^{[3
]}

Weyerer, Siegfried ^{[4
]}

Werle, Jochen ^{[4
]}

Fuchs, Angela ^{[5
]}

Pentzek, Michael ^{[5
]}

Riedel-Heller, Steffi G. ^{[6
]}

Stein, Janine ^{[6
]}

Bickel, Horst ^{[7
]}

Weeg, Dagmar ^{[7
]}

Heser, Kathrin ^{[8
]}

Wagner, Michael ^{[8
]}

Maier, Wolfgang ^{[8
,9
]}

Scherer, Martin ^{[2
]}

Luck, Tobias ^{[6
]}

Koenig, Hans-Helmut ^{[1
]}

机构：

[1] Univ Med Ctr Hamburg Eppendorf, Dept Hlth Econ & Hlth Serv Res, Hamburg, Germany

[2] Univ Med Ctr Hamburg Eppendorf, Dept Gen Practice, Hamburg, Germany

[3] Hannover Med Sch, Inst Gen Practice, Hannover, Germany

[4] Mannheim Heidelberg Univ, Cent Inst Mental Hlth, Mannheim, Germany

[5] Heinrich Heine Univ Dusseldorf, Dept Gen Practice, Dusseldorf, Germany

[6] Univ Leipzig, Inst Social Med, Occupat Med & Publ Hlth, Leipzig, Germany

[7] Tech Univ Munich, Dept Psychiat, Munich, Germany

[8] Univ Bonn, Dept Psychiat, Bonn, Germany

[9] German Ctr Neurodegenerat Dis, Bonn, Germany

来源：

AGE AND AGEING | 2017年 / 46卷 / 05期

关键词：

social support; functional impairment; IADL; longitudinal study; older people; HEALTH-STATUS; ASSOCIATIONS; MACARTHUR; DEMENTIA; NETWORK; ABILITY; DECLINE; STRESS;

D O I：

10.1093/ageing/afx012

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Objective: to investigate how social support affects functional impairment (FI) in late life in a longitudinal approach. Methods: in a multicenter prospective cohort study, subjects in old age (>= 75 years at baseline) were interviewed every 1.5 years. Social support was quantified in the follow-up (FU) Waves 2 and 4 (FU Wave 2: n = 2,349; FU Wave 4: n = 1,484). FI was assessed by using the Lawton and Brody Instrumental Activities of Daily Living scale. Results: fixed effects regressions showed that a decrease in social support is associated with FI in the total sample and in both sexes. The effect on FI was most pronounced with the dimension social integration, whereas changes in practical support only affected FI in the total sample and changes in emotional support only affected FI in men. Conclusions: our findings emphasise the importance of social support for functional status in late life. Thus, strengthening social support in old age might be effective in maintaining functional abilities.

引用

页码：813 / 820

页数：8

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