Abstract P70: Social Network Characteristics Are Associated With Long Term Outcomes After Myocardial Infarction

2011 ◽  
Vol 4 (suppl_1) ◽  
Author(s):  
Edward P Havranek ◽  
Kensey L Gosch ◽  
Donna M Buchanan ◽  
Kim G Smolderen ◽  
John A Spertus
Keyword(s):  
Myocardial Infarction ◽  
Social Support ◽  
Social Network ◽  
Nuclear Family ◽  
Univariate Analysis ◽  
Living Alone ◽  
Linear Regression Models ◽  
Vas Score ◽  
Area Code

Background: Lack of social support is associated with worse outcomes after myocardial infarction (MI). Social support is a complex concept that includes the quality of perceived support and the size and quality of one's social network. It is not known if having a geographically close social network affects outcomes post-MI. We hypothesized that patients with a greater number of close network contacts would have better post-MI outcomes. Methods: From contacts listed by subjects in TRIUMPH, a prospective registry of MI patients from 24 US centers, we characterized social network size (number of contacts listed) and closeness (number of nuclear family contacts and number of contacts residing in the same area code). We assessed univariate relationships between these indices and outcomes (mortality and health status by the EQ-5D Visual Analogue Scale [VAS], an overall assessment of patients' quality of life), and scores from the ENRICHD Social Support Instrument (ESSI). We created multivariable Cox proportional hazards and linear regression models with mortality and VAS as dependent variables and with demographic, clinical, treatment and social support measures as independent variables. Results: Of 4340 subjects enrolled, 472 died over a median of 28.6 months. Mean 12-month VAS score was 75.4 ± 21.1. Having no same area code contacts (19.3% vs. 15.9%) (p=0.025 for trend), no nuclear family contacts (40.9% vs. 33.8%) (p=0.010 for trend), and living alone (33.0% vs. 23.6%, p<0.001) were associated with higher mortality on univariate analysis; total number of contacts and ESSI tertile were not. Univariate relationships with VAS were similar. In a multivariable model, age, prior stroke, diabetes, kidney disease, ejection fraction <40%, and living alone were significantly associated with mortality. In the multivariable VAS model, fewer area code contacts was additionally significant (p=0.023 for trend across number of contacts). Subjects with no area code contacts had a VAS score 3.2 ± 2.0 points lower than those with 4 near contacts. Conclusions: Geographic closeness of patients' social networks is weakly associated with outcomes after MI. Further investigation is warranted before proposing interventions designed to compensate for low network-based support.

scholarly journals Factors Associated with Sleep Disorders among Methadone-Maintained Drug Users in Vietnam

2019 ◽  
Vol 16 (22) ◽  
pp. 4315 ◽  
Author(s):  
Tuan Anh Le ◽  
Anh Duc Dang ◽  
An Ha Thi Tran ◽  
Long Hoang Nguyen ◽  
Trang Huyen Thi Nguyen ◽  
...  
Keyword(s):  
Social Support ◽  
Sleep Quality ◽  
Associated Factors ◽  
Drug Users ◽  
Methadone Maintenance ◽  
Poor Sleep ◽  
Linear Regression Models ◽  
Poor Sleep Quality ◽  
Cross Sectional

Sleep quality among heroin-dependent patients receiving methadone maintenance treatment (MMT) is not fully investigated in Vietnam. This study explored the prevalence of poor sleep quality in methadone-maintained patients and associated factors. This cross-sectional included 395 MMT patients at three clinics in Nam Dinh province, Vietnam. The Pittsburgh Sleep Quality Index (PSQI) was employed to measure patients’ sleep quality. Sociodemographic, clinical, behavioral, psychological, and social support characteristics were collected. Multivariate Logistic and Generalized Linear Regression models were applied to identify associated factors. Among 395 patients, 26.6% had poor sleep quality according to the PSQI scale. People having jobs were less likely to have poor sleep quality and lower PSQI scores compared to unemployed patients. Those having spouses had lower PSQI scores than single patients. High depression, anxiety, and stress scores were associated with poor sleep quality and high PSQI scores. A longer duration of MMT increased the likelihood of experiencing poor sleep quality. Patients smoking tobacco daily or concurrently using drugs had lower PSQI scores than those that did not. This study highlights a moderate prevalence of poor sleep quality among Vietnamese MMT patients. Regular evaluation, appropriate psychological management, and social support, as well as the provision of employment opportunities, potentially improve the sleep quality of methadone-maintained patients.

scholarly journals Acceptance of Disability, Coping Style, Perceived Social Support and Quality of Life Among Patients With Chronic Lymphedema: a Cross-sectional Study

2021 ◽  
Author(s):  
Zehao Huang ◽  
Siyu Wu
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
Coping Style ◽  
Perceived Social Support ◽  
Chinese Patients ◽  
Linear Regression Models ◽  
Related Factors ◽  
Targeted Interventions ◽  
Chronic Lymphedema

Abstract Objective: To examine acceptance of disability, coping style, perceived social support, and quality of life and to explore the relationships between acceptance of disability, coping style, perceived social support and quality of life among Chinese patients with chronic lymphedema.Methods: Chronic lymphedema patients were recruited from five tertiary hospitals between May and July 2020 in China. Recruited patients were assessed for quality of life (QOL), acceptance of disability (AOD), coping styles, perceived social support (PSS), and sociodemographic and disease-related factors. Multivariate linear regression models were conducted to examine the multivariate effect of AOD, coping style, PSS, and sociodemographic and disease-related factors on QOL.Results: A total of 163 chronic lymphedema patients were recruited. The mean score of QOL was 2.23 (SD=0.68). AOD, number of symptoms, acceptance-resignation, avoidance, degree of pain, PSS, and educational level were found to be significant predictors of QOL.Conclusion: Chinese patients with chronic lymphedema had moderate levels of QOL. The QOL and specific domains of patients were affected by different factors. Special attention and targeted interventions should be given to improve patients’ QOL.

scholarly journals Insights into student assessment outcomes in rural clinical campuses

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Boaz Shulruf ◽  
Gary Velan ◽  
Lesley Forster ◽  
Anthony O’Sullivan ◽  
Peter Harris ◽  
...  
Keyword(s):  
Univariate Analysis ◽  
Student Assessment ◽  
Wagga Wagga ◽  
Learning Resources ◽  
Linear Regression Models ◽  
Assessment Data ◽  
E Learning ◽  
Assessment Outcomes ◽  
The Impact

Abstract Background There is an ongoing debate about the impact of studying medicine in rural vs. metropolitan campuses on student assessment outcomes. The UNSW Medicine Rural Clinical School has five main campuses; Albury-Wodonga, Coffs Harbour, Griffith, Port Macquarie and Wagga Wagga. Historical data of student assessment outcomes at these campuses raised concerns regarding potential biases in assessment undertaken, as well as the availability and quality of learning resources. The current study aims to identify the extent to which the location of examination (rural versus metropolitan) has an impact on student marks in OSCEs. Methods Assessment data was employed for this study from 275 medical students who sat their final examinations in Years 3 and 6 of the undergraduate Medicine program at UNSW in 2018. The data consists of matched student assessment results from the Year 3 (Y3) MCQ examination and OSCE, and from the Year 6 (Y6) MCQ, OSCE and management viva examinations. The analysis used Univariate Analysis of Variance and linear regression models to identify the impact of site of learning and site of examination on assessment outcomes. Results The results demonstrate that neither site of learning nor site of examination had any significant impact on OSCE or Management Viva assessment outcomes while potential confounders are controlled. Conclusion It is suggested that some of the supposed disadvantages inherent at rural campuses are effectively mitigated by perceived advantages; more intensive interaction with patients, the general and medical communities at those sites, as well as effective e-learning resources and moderation of assessment grades.

Coping, social support and quality of life over time after myocardial infarction

2005 ◽  
Vol 52 (2) ◽  
pp. 113-124 ◽  
Author(s):  
Marja-Leena Kristofferzon ◽  
Rurik Lofmark ◽  
Marianne Carlsson
Keyword(s):  
Quality Of Life ◽  
Myocardial Infarction ◽  
Social Support ◽  
Over Time

scholarly journals Lonely in the City–Sociodemographic Status and Somatic Morbidities as Predictors of Loneliness and Depression among Seniors–Preliminary Results

2021 ◽  
Vol 18 (14) ◽  
pp. 7213
Author(s):  
Kasper Sipowicz ◽  
Marlena Podlecka ◽  
Łukasz Mokros ◽  
Tadeusz Pietras
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Primary Care ◽  
Risk Factor ◽  
Regression Models ◽  
Group Living ◽  
Living Alone ◽  
Linear Regression Models ◽  
Sociodemographic Data ◽  
The City

Up to a third of the population of older adults has been estimated to suffer from feelings of loneliness, which is considered a risk factor of depression. The aim of this paper is to compare the perceived level of loneliness and depression in seniors living in the country and in the cities and assess somatic morbidity and sociodemographic status as predictors of loneliness and depressiveness. n = 92 older adults in primary care units filled out a set of questionnaires: authors’ survey on sociodemographic data and morbidities, Beck Depression Inventory II (BDI, to measure depressiveness) and De Jong Gierveld Loneliness Scale (DJGLS, to assess loneliness). There was a strong, positive and statistically significant correlation between the BDI and DJGLS scores (R = 0.855, p < 0.001). City residents had on average higher BDI and DJGLS scores. Linear regression models were constructed to predict BDI and DJGLS scores. The set of statistically significant predictors were similar for BDI and DJGLS. Sociodemographic status and somatic morbidities accounted for around 90% of variance of depressiveness and loneliness scores in the studied group. Living alone was found to be the strongest relative predictor of both loneliness and depressiveness in the studied sample of the older adults. Our current results suggest that there might be a need to improve social support in the late adulthood as an intervention to diminish the sense of loneliness and depressiveness.

scholarly journals Health-related quality of life and associated factors in patients with myocardial infarction after returning to work: a cross-sectional study

2020 ◽  
Author(s):  
Changying Chen ◽  
Ruofei Du ◽  
Panpan Wang ◽  
Tao Wang ◽  
Lixia Ma ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Myocardial Infarction ◽  
Social Support ◽  
Linear Regression Analysis ◽  
Multiple Linear Regression Analysis ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Related Quality ◽  
Returning To Work

Abstract Background: Return to work following myocardial infarction (MI) represents an important indicator of recovery. However, MI can cause patients to feel pressure, loneliness and inferiority during work and even detachment from employment after returning to work, which may affect their quality of life. The aims of this study were to identify the influencing factors of Health-related quality of life (HRQoL) in patients with MI after returning to work and explore the correlations between these factors and HRQoL. Method: This was a cross-sectional study. All participants were recruited from tertiary hospitals in China from October 2017 to March 2018. The general data questionnaire, Short-Form Health Survey-8 (SF-8), Health Promoting Lifestyle ProfileⅡ (HPLPⅡ), Medical Coping Modes Questionnaire (MCMQ) and Social Supporting Rating Scale (SSRS) were used to assess 326 patients with myocardial infarction returned to work after discharge. Multiple linear regression analysis was performed to explore factors related to HRQoL in patients with MI after returning to work. Results: The sample consisted of 326 patients. The mean total score of quality of life was 28.03±2.554. According to the multiple linear regression analysis, next factors were associated with better HRQoL: younger age (B=−0.354, P=0.039), higher income (B=0.513, P=0.000), less co-morbidity (B=−0.440, P=0.000), the longer time taken to return to work (B=0.235, P=0.003), fewer stents installed (B=−0.359, P=0.003), participation in cardiac rehabilitation (CR) (B=−1.777, P=0.000), complete CR (B=−1.409, P=0.000), better health behaviors such as more health responsibility (B=0.172, P=0.000) and exercise (B=0.165, P=0.000), better nutrition (B=0.178, P=0.000) and self-realization (B=0.165, P=0.000), stress response (B=0.172, P=0.000), more social support such as more objective support (B=0.175, P=0.000), subjective support (B=0.167, P=0.000) and better utilization of social support (B=0.189, P=0.028), positive copping strategies such as more coping (B=0.133, P=0.000) and less yield (B=−0.165, P=0.000). Conclusions: HRQoL of MI patients after returning to work is not satisfactory. Health behavior, coping strategies, social support are factors which can affect HRQoL. A comprehensive and targeted guide may be a way to improve HRQoL and to assist patients' successful return to society.

Quality of support in the social networks of older Filipino church members: an exploratory study

2018 ◽  
Vol 19 (1) ◽  
pp. 42-53
Author(s):  
Madelene Avila Sta. Maria ◽  
Alexis Aeriel Cruz Bonanza ◽  
Paul Angelo Siababa Arcega
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Social Network ◽  
Sample Size ◽  
Role Ambiguity ◽  
Instrumental Support ◽  
Church Members ◽  
Content Type ◽  
The Social

Purpose The purpose of this paper is to explore the quality of social relationships of older Filipino church members by determining their perceptions of support and non-support in their social network. Design/methodology/approach A qualitative research approach with semi-structured interviews was utilized. A purposive sample of six Filipino older adults (ages 60-89) were invited and agreed to participate in the study. Findings The themes found in the study confirmed the types of support outlined in social convoy theory. Several unique nuances in the types of support and non-support between the interactions of older adult Filipinos with people very close to them, somewhat close to them, and merely acquainted with them were identified. The themes of support include instrumental support, emotional care, social connectedness, and companionship during engagement in activities. Themes characterising lack of support include disrespect and lack of understanding, constraining one’s actions, helplessness in responding to the other’s needs, non-dependability and non-reliability, difficulty in maintaining social connections, making it difficult to play a desired or expected role. Research limitations/implications The study’s limitations are the small sample size, the quality of support explored only through nominating two members of each level of closeness in the older adults’ social convoy, sample size adequacy to reach data saturation, and the lack of data on support reciprocity that may influence the respondents’ perceptions of support and non-support. Practical implications The findings of the paper point to possible interventions to improve social support for the older population. The road map for those interested in developing interventions should also put some emphasis on older adults’ needs in their continued societal engagement. Interventions may involve facilitating role transitions and providing social support systems attuned to the needs of the elderly. Social implications The authors speculate that this lack of support experienced by the older adults relates to the loss of societal roles, especially as this relates to their identity, meaning, and changes in social interactions within their communities. It is therefore important that interventions be planned to provide structures for older adults’ transitions in their re-engagement in society and into the work-force, thereby reducing this sense of role ambiguity and providing them with more positive identities in their communities. Originality/value The results suggest another form of support distinct from the emotional and instrumental support elaborated in previous work. This support is identified as companionship from within the social network that allows older adults to sustain engagement in meaningful activities. The study’s results further suggest a lack of clarity in societal roles, i.e. a sense of role ambiguity, which older adults may experience in the transitioning from adulthood to later adulthood.

Social Support and the Outcome of Major Depression

1989 ◽  
Vol 154 (4) ◽  
pp. 478-485 ◽  
Author(s):  
Linda K. George ◽  
Dan G. Blazer ◽  
Dana C. Hughes ◽  
Nancy Fowler
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Social Network ◽  
Major Depression ◽  
Interpersonal Relationships ◽  
Elderly Adults ◽  
Predictors Of Outcome ◽  
Middle Aged

One hundred and fifty middle-aged and elderly adults with a diagnosis of major depression were assessed initially as inpatients, and were reinterviewed 6–32 months later. Both size of social network and subjective social support were significant predictors of depressive symptoms at follow-up, with baseline depression scores and other predictors of outcome status statistically controlled. Subjective social support was most strongly associated with major depression; this effect was significantly stronger for middle-aged than older adults, and for men than women. Differences in the effects of marital status, size of social network, and subjective social support also suggest the importance of distinguishing between involvement in and quality of interpersonal relationships.

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