Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in: Quality of Life Research 5/2007

01-06-2007 | Original Paper

The relationship between gender, social support, and health-related quality of life in a community-based study in Washington County, Maryland

Auteurs: Lisa Gallicchio, Sandra C. Hoffman, Kathy J. Helzlsouer

Gepubliceerd in: Quality of Life Research | Uitgave 5/2007

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Objective

Men tend to report higher health-related quality of life (HRQOL) than women of the same age, despite higher mortality rates and lower life expectancy. Social support is one factor related to HRQOL that may contribute to the observed gender difference. The purpose of this study was to determine the factors associated with HRQOL, especially levels of social support, and variation by gender.

Methods

Multivariable logistic regression was used to analyze data from 4,498 men and 6,948 women participating in an ongoing community-based cohort study in Washington County, Maryland (CLUE-II).

Results

The results showed that men reported significantly better HRQOL than women. Men reported having higher levels of social support than women, but the magnitude of the association with HRQOL was similar. Having two or less close friends was associated with a statistically significant increase in the odds of reporting poorer HRQOL compared to having 10 or more close friends among both genders (men: OR = 1.49; women: OR = 1.53). Differences in the level of social support did not explain the gender difference in HRQOL.

Conclusions

Our findings show that social support is an important correlate of HRQOL for both men and women. However, the gender differences in HRQOL are not explained by social support or the other factors examined.
Literatuur
1.
go back to reference Achat, H., Kawachi, I., Levine, S., Berkey, C., Coakley, E., & Colditz, G. A. (1998). Social networks, stress and health-related quality of life. Quality of Life Research, 7, 735–750. PubMedCrossRef Achat, H., Kawachi, I., Levine, S., Berkey, C., Coakley, E., & Colditz, G. A. (1998). Social networks, stress and health-related quality of life. Quality of Life Research, 7, 735–750. PubMedCrossRef
2.
go back to reference Arber S., & Cooper H. (1999) Gender differences in health in later life: the new paradox? Social Science & Medicine, 48, 61–76. CrossRef Arber S., & Cooper H. (1999) Gender differences in health in later life: the new paradox? Social Science & Medicine, 48, 61–76. CrossRef
3.
go back to reference Baxter, J., Shetterly, S., Eby, C., Mason, L., Cortese, C. F., & Hamman, R. F. (1998). Social network factors associated with perceived quality of life. Journal of Aging and Health, 10, 287–310. PubMedCrossRef Baxter, J., Shetterly, S., Eby, C., Mason, L., Cortese, C. F., & Hamman, R. F. (1998). Social network factors associated with perceived quality of life. Journal of Aging and Health, 10, 287–310. PubMedCrossRef
4.
go back to reference Benyamini, Y., & Idler, E. L. (1999). Community studies reporting association between self-rated health and mortality. Research on Aging, 21, 392–401. CrossRef Benyamini, Y., & Idler, E. L. (1999). Community studies reporting association between self-rated health and mortality. Research on Aging, 21, 392–401. CrossRef
5.
go back to reference Benyamini, Y., Leventhal, E. A., & Leventhal, H. (2000). Gender differences in processing information for making self-assessments of health. Psychosomatic Medicine, 62, 354–364. PubMed Benyamini, Y., Leventhal, E. A., & Leventhal, H. (2000). Gender differences in processing information for making self-assessments of health. Psychosomatic Medicine, 62, 354–364. PubMed
6.
go back to reference Benyamini, Y., Blumstein, T., Lusky, A., & Modan, B. (2003). Gender differences in the self-rated health-mortality association: is it poor self-rated health that predicts mortality or excellent self-rated health that predicts survival? The Gerontologist, 43, 396–405. PubMed Benyamini, Y., Blumstein, T., Lusky, A., & Modan, B. (2003). Gender differences in the self-rated health-mortality association: is it poor self-rated health that predicts mortality or excellent self-rated health that predicts survival? The Gerontologist, 43, 396–405. PubMed
7.
go back to reference Berkman, L. F., & Glass, T. (2000). Social integration, social networks, social support and health. In: Berkman, L. F. & Kawachi, I. (Eds.), Social epidemiology. New York: Oxford University Press. Berkman, L. F., & Glass, T. (2000). Social integration, social networks, social support and health. In: Berkman, L. F. & Kawachi, I. (Eds.), Social epidemiology. New York: Oxford University Press.
8.
go back to reference Borowiak, E., & Kostka, T. (2004). Predictors of quality of life in older people living at home and in institutions. Aging Clinical and Experimental Research, 16, 212–220. PubMed Borowiak, E., & Kostka, T. (2004). Predictors of quality of life in older people living at home and in institutions. Aging Clinical and Experimental Research, 16, 212–220. PubMed
9.
go back to reference Bourque, P., Pushkar, D., Bonneville, L., & Beland, F. (2005). Contextual effects on life satisfaction of older men and women. Canadian Journal on Aging, 24, 31–44. PubMedCrossRef Bourque, P., Pushkar, D., Bonneville, L., & Beland, F. (2005). Contextual effects on life satisfaction of older men and women. Canadian Journal on Aging, 24, 31–44. PubMedCrossRef
10.
go back to reference Cheng, S. H., & Chan, A. C. M. (2006). Social support and self-rated health revisited: Is there a gender difference in later life? Social Science & Medicine, 63, 118–122. CrossRef Cheng, S. H., & Chan, A. C. M. (2006). Social support and self-rated health revisited: Is there a gender difference in later life? Social Science & Medicine, 63, 118–122. CrossRef
11.
go back to reference Clarke, P. J., Marshall, V. W., Ryff, C. D., & Rosenthal, C. J. (2000). Well-being in Canadian seniors: Findings from the Canadian study of health and aging. Canadian Journal on Aging, 19, 139–159. Clarke, P. J., Marshall, V. W., Ryff, C. D., & Rosenthal, C. J. (2000). Well-being in Canadian seniors: Findings from the Canadian study of health and aging. Canadian Journal on Aging, 19, 139–159.
12.
go back to reference van Daalen, G., Sanders, K., & Willemsen, T. M. (2005). Sources of social support as predictors of health, psychological well-being and life satisfaction among Dutch male and female dual-earners. Women and Health, 41, 43–62. CrossRef van Daalen, G., Sanders, K., & Willemsen, T. M. (2005). Sources of social support as predictors of health, psychological well-being and life satisfaction among Dutch male and female dual-earners. Women and Health, 41, 43–62. CrossRef
13.
go back to reference Damian, J., Ruigomez, A., Pastor, V., & Martin-Moreno, J. M. (1999). Determinants of self assessed health among Spanish older people living at home. Journal of Epidemiology and Community Health, 53, 412–416. PubMed Damian, J., Ruigomez, A., Pastor, V., & Martin-Moreno, J. M. (1999). Determinants of self assessed health among Spanish older people living at home. Journal of Epidemiology and Community Health, 53, 412–416. PubMed
14.
go back to reference Denton, M., & Walters, V. (1999). Gender differences in structural and behavioral determinants of health: an analysis of the social production of health. Social Science & Medicine, 48, 1221–1235. CrossRef Denton, M., & Walters, V. (1999). Gender differences in structural and behavioral determinants of health: an analysis of the social production of health. Social Science & Medicine, 48, 1221–1235. CrossRef
15.
go back to reference Eng, P. M., Rimm, E. B., Fitzmaurice, G., & Kawachi, I. (2002). Social ties and change in social ties in relation to subsequent total and cause-specific mortality and coronary heart disease incidence in men. American Journal of Epidemiology, 155, 700–709. PubMedCrossRef Eng, P. M., Rimm, E. B., Fitzmaurice, G., & Kawachi, I. (2002). Social ties and change in social ties in relation to subsequent total and cause-specific mortality and coronary heart disease incidence in men. American Journal of Epidemiology, 155, 700–709. PubMedCrossRef
16.
go back to reference Fontaine, K. R., Cheskin, L. J., & Barofsky, I. (1996). Health-related quality of life in obese persons seeking treatment. Journal of Family Practice, 43, 265–270. PubMed Fontaine, K. R., Cheskin, L. J., & Barofsky, I. (1996). Health-related quality of life in obese persons seeking treatment. Journal of Family Practice, 43, 265–270. PubMed
17.
go back to reference Goldberg, E. L., Van, N. P., & Comstock, G. W. (1985). Depressive symptoms, social networks and social support of elderly women. American Journal of Epidemiology, 121, 448–456. PubMed Goldberg, E. L., Van, N. P., & Comstock, G. W. (1985). Depressive symptoms, social networks and social support of elderly women. American Journal of Epidemiology, 121, 448–456. PubMed
18.
go back to reference Guallar-Castillon, P., Sendino, A. R., Banegas, J. R., Lopez-Garcia, E., & Rodriguez-Artalejo, F. (2005). Differences in quality of life between women and men in the older population of Spain. Social Science & Medicine, 60, 1229–1240. CrossRef Guallar-Castillon, P., Sendino, A. R., Banegas, J. R., Lopez-Garcia, E., & Rodriguez-Artalejo, F. (2005). Differences in quality of life between women and men in the older population of Spain. Social Science & Medicine, 60, 1229–1240. CrossRef
19.
go back to reference Guralnik, J. M., & Kaplan, G. A. (1989). Predictors of healthy aging: prospective evidence from the Alameda County study. American Journal of Public Health, 79, 703–708. PubMed Guralnik, J. M., & Kaplan, G. A. (1989). Predictors of healthy aging: prospective evidence from the Alameda County study. American Journal of Public Health, 79, 703–708. PubMed
20.
go back to reference Helzlsouer, K. J., Alberg, A. J., Huang, H. Y., Hoffman, S. C., Strickland, P. T., Brock, J. W., Burse, V. W., Needham, L. L., Bell, D. A., Lavigne, J. A., Yager, J. D., & Comstock, G. W. (1999). Serum concentrations of organochlorine compounds and the subsequent development of breast cancer. Cancer Epidemiology Biomarkers & Prevention, 8, 525–532. Helzlsouer, K. J., Alberg, A. J., Huang, H. Y., Hoffman, S. C., Strickland, P. T., Brock, J. W., Burse, V. W., Needham, L. L., Bell, D. A., Lavigne, J. A., Yager, J. D., & Comstock, G. W. (1999). Serum concentrations of organochlorine compounds and the subsequent development of breast cancer. Cancer Epidemiology Biomarkers & Prevention, 8, 525–532.
21.
go back to reference Idler, E. L., & Benyamini, Y. (1997). Self-rated health and mortality: a review of twenty-seven community studies. Journal of Health and Social Behavior, 38, 21–37. PubMedCrossRef Idler, E. L., & Benyamini, Y. (1997). Self-rated health and mortality: a review of twenty-seven community studies. Journal of Health and Social Behavior, 38, 21–37. PubMedCrossRef
22.
go back to reference Idler, E. L., Hudson, S. V., & Leventhal, H. (1999). The meanings of self-ratings of health. Research on Aging, 21, 458–476. CrossRef Idler, E. L., Hudson, S. V., & Leventhal, H. (1999). The meanings of self-ratings of health. Research on Aging, 21, 458–476. CrossRef
23.
go back to reference Kawachi, I., & Berkman, L. F. (2001). Social ties and mental health. Journal of Urban Health, 78, 458–467. PubMed Kawachi, I., & Berkman, L. F. (2001). Social ties and mental health. Journal of Urban Health, 78, 458–467. PubMed
24.
go back to reference Keyes, C. L., Michalec, M. A., Kobau, R., Zahran, H., Zack, M. M., & Simoes, E. J. (2005). Social support and health-related quality of life among older adults - Missouri, 2000. MMWR Morbidity & Mortality Weekly Report, 54, 433–437. Keyes, C. L., Michalec, M. A., Kobau, R., Zahran, H., Zack, M. M., & Simoes, E. J. (2005). Social support and health-related quality of life among older adults - Missouri, 2000. MMWR Morbidity & Mortality Weekly Report, 54, 433–437.
25.
go back to reference Kornblith, A. B., & Holland, J. C. (1994). Handbook of measures for psychological, social, and physical function in cancer. Quality of life, Vol. 1, New York: Memorial Sloan-Kettering Cancer Center Kornblith, A. B., & Holland, J. C. (1994). Handbook of measures for psychological, social, and physical function in cancer. Quality of life, Vol. 1, New York: Memorial Sloan-Kettering Cancer Center
26.
go back to reference Landerman, R. L., George, L. K., Campbell, R. T., & Blazer, D. G. (1989). Alternative models of the stress buffering hypothesis. American Journal of Community Psychology, 17, 625–642. PubMedCrossRef Landerman, R. L., George, L. K., Campbell, R. T., & Blazer, D. G. (1989). Alternative models of the stress buffering hypothesis. American Journal of Community Psychology, 17, 625–642. PubMedCrossRef
27.
go back to reference Litwin, H. (1998). Social network type and health status in a national sample of elderly Israelis. Social Science & Medicine, 46, 599–609. CrossRef Litwin, H. (1998). Social network type and health status in a national sample of elderly Israelis. Social Science & Medicine, 46, 599–609. CrossRef
28.
go back to reference Lopez-Garcia, E., Banegas, J. R., Perez-Regadera, A. G., Herruzo-Cabrera, R., & Rodriguez-Artalejo, F. (2005). Social network and health-related quality of life in older adults: A population-based study in Spain. Quality of Life Research, 14, 511–520. CrossRef Lopez-Garcia, E., Banegas, J. R., Perez-Regadera, A. G., Herruzo-Cabrera, R., & Rodriguez-Artalejo, F. (2005). Social network and health-related quality of life in older adults: A population-based study in Spain. Quality of Life Research, 14, 511–520. CrossRef
29.
go back to reference Lorenz, K. A., Shapiro, M. F., Asch, S. M., Bozzette, S. A., & Hays, R. D. (2001). Associations of symptoms and health-related quality of life: findings from a national study of persons with HIV infection. Annals of Internal Medicine, 134, 854–860. PubMed Lorenz, K. A., Shapiro, M. F., Asch, S. M., Bozzette, S. A., & Hays, R. D. (2001). Associations of symptoms and health-related quality of life: findings from a national study of persons with HIV infection. Annals of Internal Medicine, 134, 854–860. PubMed
30.
go back to reference Maxwell, C. J., & Hirdes, J. P. (1993). The prevalence of smoking and implications for quality of life among the community-based elderly. American Journal of Preventive Medicine, 9, 338–345. PubMed Maxwell, C. J., & Hirdes, J. P. (1993). The prevalence of smoking and implications for quality of life among the community-based elderly. American Journal of Preventive Medicine, 9, 338–345. PubMed
31.
go back to reference Michael, Y. L., Colditz, G. A., Coakley, E., & Kawachi, I. (1999). Health behaviors, social networks, and healthy aging: Cross-sectional evidence from the Nurses’ Health Study. Quality of Life Research, 8, 711–722. PubMedCrossRef Michael, Y. L., Colditz, G. A., Coakley, E., & Kawachi, I. (1999). Health behaviors, social networks, and healthy aging: Cross-sectional evidence from the Nurses’ Health Study. Quality of Life Research, 8, 711–722. PubMedCrossRef
32.
go back to reference Okamoto, K., & Tanaka, Y. (2004). Gender difference in the relationship between social support and subjective health among elderly persons in Japan. Preventive Medicine, 38, 318–322. PubMedCrossRef Okamoto, K., & Tanaka, Y. (2004). Gender difference in the relationship between social support and subjective health among elderly persons in Japan. Preventive Medicine, 38, 318–322. PubMedCrossRef
33.
go back to reference Romans, S. E., Walton, V. A., McNoe, B., Herbison, G. P., & Mullen, P. E. (1993). Otago Women’s Health Survey 30-month follow-up. I: Onset patterns of non-psychotic psychiatric disorder. British Journal of Psychiatry, 163, 733–738. PubMedCrossRef Romans, S. E., Walton, V. A., McNoe, B., Herbison, G. P., & Mullen, P. E. (1993). Otago Women’s Health Survey 30-month follow-up. I: Onset patterns of non-psychotic psychiatric disorder. British Journal of Psychiatry, 163, 733–738. PubMedCrossRef
34.
go back to reference Romans-Clarkson, S., Walton, V., Herbison, G., & Mullen, P. (1990). Psychiatric morbidity among women in urban and rural New Zealand: psychosocial correlates. British Journal of Psychiatry, 156, 84–91. PubMedCrossRef Romans-Clarkson, S., Walton, V., Herbison, G., & Mullen, P. (1990). Psychiatric morbidity among women in urban and rural New Zealand: psychosocial correlates. British Journal of Psychiatry, 156, 84–91. PubMedCrossRef
35.
go back to reference Seeman, T. E. (2000). Health promoting effects of friends and family on health outcomes in older adults. American Journal of Health Promotion, 14, 362–370. PubMed Seeman, T. E. (2000). Health promoting effects of friends and family on health outcomes in older adults. American Journal of Health Promotion, 14, 362–370. PubMed
36.
go back to reference Seeman, T. E., Bruce, M. L., & McAvay, G. J. (1996). Social network characteristics and onset of ADL disability: MacArthur studies of successful aging. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 51, S191–S200. PubMed Seeman, T. E., Bruce, M. L., & McAvay, G. J. (1996). Social network characteristics and onset of ADL disability: MacArthur studies of successful aging. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 51, S191–S200. PubMed
37.
go back to reference Simon, P., Lightstone, A., Zeng, Z., Wold, C., Fielding, J., & Davis, B. (2001) Health-related quality of life—Los Angeles County, California, 1999. MMWR Morbidity and Mortality Weekly Report, 50, 556–559. Simon, P., Lightstone, A., Zeng, Z., Wold, C., Fielding, J., & Davis, B. (2001) Health-related quality of life—Los Angeles County, California, 1999. MMWR Morbidity and Mortality Weekly Report, 50, 556–559.
38.
go back to reference Steverink, N., Westerhof, G. J., Bode, C., & Dittmann-Kohli, F. (2001). The personal experience of aging, individual resources, and subjective well-being. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 56, 364–373. Steverink, N., Westerhof, G. J., Bode, C., & Dittmann-Kohli, F. (2001). The personal experience of aging, individual resources, and subjective well-being. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 56, 364–373.
39.
go back to reference Taylor, S. E., Klein, L. C., Lewis, B. P., Gruenewald, T. L., Gurung, R. A., & Updegraff, J. A. (2000). Biobehavioral responses to stress in females: tend-and-befriend, not fight-or-flight. Psychological Review, 107, 411–429. PubMedCrossRef Taylor, S. E., Klein, L. C., Lewis, B. P., Gruenewald, T. L., Gurung, R. A., & Updegraff, J. A. (2000). Biobehavioral responses to stress in females: tend-and-befriend, not fight-or-flight. Psychological Review, 107, 411–429. PubMedCrossRef
40.
go back to reference Verbrugge, L. M. (1982). Sex differentials in health. Public Health Reports, 97, 417–437 PubMed Verbrugge, L. M. (1982). Sex differentials in health. Public Health Reports, 97, 417–437 PubMed
41.
go back to reference Verbrugge, L. M. (1983). Multiple roles and physical health of women and men. Journal of Health and Social Behavior, 24, 16–30. PubMedCrossRef Verbrugge, L. M. (1983). Multiple roles and physical health of women and men. Journal of Health and Social Behavior, 24, 16–30. PubMedCrossRef
42.
go back to reference Yan, L. L., Daviglus, M. L., Liu, K., Pirzada, A., Garside, D. B., Schiffer, L., Dyer, A. R., & Greenland, P. (2004). BMI and health-related quality of life in adults 65 years and older. Obesity Research, 12, 69–76. PubMed Yan, L. L., Daviglus, M. L., Liu, K., Pirzada, A., Garside, D. B., Schiffer, L., Dyer, A. R., & Greenland, P. (2004). BMI and health-related quality of life in adults 65 years and older. Obesity Research, 12, 69–76. PubMed
Metagegevens
Titel
The relationship between gender, social support, and health-related quality of life in a community-based study in Washington County, Maryland
Auteurs
Lisa Gallicchio
Sandra C. Hoffman
Kathy J. Helzlsouer
Publicatiedatum
01-06-2007
Uitgeverij
Kluwer Academic Publishers
Gepubliceerd in
Quality of Life Research / Uitgave 5/2007
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-006-9162-4