148 lines
4.8 KiB
YAML
148 lines
4.8 KiB
YAML
abstract: 'Background Social relationships are powerful determinants of health and
|
|
|
|
inequalities in social relationships across socioeconomic status (SES)
|
|
|
|
groups may contribute to social inequalities in health. This study
|
|
|
|
investigates inequalities in social relationships in an international
|
|
|
|
sample of persons with spinal cord injury and explores whether social
|
|
|
|
gradients in relationships are moderated by the countries'' socioeconomic
|
|
|
|
development (SED). Methods Data from 12,330 participants of the
|
|
|
|
International SCI Community Survey (InSCI) performed in 22 countries
|
|
|
|
were used. We regressed social relationships (belongingness,
|
|
|
|
relationship satisfaction, social interactions) on individual SES
|
|
|
|
(education, income, employment, financial hardship, subjective status)
|
|
|
|
and countries'' SED (Human Development Index) using multi-level models
|
|
|
|
(main effects). To test potential moderation of the SED, interaction
|
|
|
|
terms between individual SES and countries'' SED were entered into
|
|
|
|
multi-level models. Results Paid work, absence of financial hardship and
|
|
|
|
higher subjective status were related to higher belongingness (OR, 95\%
|
|
|
|
CI: 1.50, 1.34-1.67; 1.76, 1.53-2.03; 1.16, 1.12-1.19, respectively),
|
|
|
|
higher relationship satisfaction (OR, 95\% CI: 1.28, 1.15-1.42; 1.97,
|
|
|
|
1.72-2.27; 1.20, 1.17-1.24, respectively) and fewer problems with social
|
|
|
|
interactions (Coeff, 95\% CI: 0.96, 0.82-1.10; 1.93, 1.74-2.12; 0.26,
|
|
|
|
0.22-0.29, respectively), whereas associations with education and income
|
|
|
|
were less consistent. Main effects for countries'' SED showed that
|
|
|
|
persons from lower SED countries reported somewhat higher relationship
|
|
|
|
satisfaction (OR, 95\% CI: 0.97, 0.94-0.99) and less problems with
|
|
|
|
social interactions (Coeff, 95\% CI: -0.04, -0.09- -0.003). Results from
|
|
|
|
moderation analysis revealed that having paid work was more important
|
|
|
|
for relationships in lower SED countries, while education and subjective
|
|
|
|
status were more important for relationships in higher SED countries
|
|
|
|
(interaction terms p<0.05). Conclusion Social relationships in persons
|
|
|
|
with spinal cord injury are patterned according to individual SES and
|
|
|
|
the countries'' SED and larger socioeconomic structures partly moderate
|
|
|
|
associations between individual SES and social relationships.'
|
|
affiliation: 'Fekete, C (Corresponding Author), Swiss Parapleg Res, Nottwil, Switzerland.
|
|
|
|
Fekete, C (Corresponding Author), Univ Lucerne, Dept Hlth Sci \& Med, Luzern, Switzerland.
|
|
|
|
Fekete, Christine; Reinhardt, Jan D.; Gross-Hemmi, Mirja; Tough, Hannah, Swiss Parapleg
|
|
Res, Nottwil, Switzerland.
|
|
|
|
Fekete, Christine; Reinhardt, Jan D.; Tough, Hannah, Univ Lucerne, Dept Hlth Sci
|
|
\& Med, Luzern, Switzerland.
|
|
|
|
Reinhardt, Jan D., Sichuan Univ, Inst Disaster Management \& Reconstruct Sichuan
|
|
Un, Chengdu, Peoples R China.
|
|
|
|
Arora, Mohit, Royal North Shore Hosp, John Walsh Ctr Rehabil Res, Kolling Inst Med
|
|
Res, St Leonards, NSW, Australia.
|
|
|
|
Arora, Mohit, Univ Sydney, Fac Med \& Hlth, Sydney Med Sch Northern, Sydney, NSW,
|
|
Australia.
|
|
|
|
Engkasan, Julia Patrick, Univ Malaya, Dept Rehabil Med, Kuala Lumpur, Malaysia.
|
|
|
|
Kyriakides, Athanasios, Univ Patras, Spinal Cord Injuries Unit, Patras, Greece.
|
|
|
|
Le Fort, Marc, Univ Hosp, Neurol Phys \& Rehabil Med Dept, Nantes, France.'
|
|
article-number: e0255448
|
|
author: Fekete, Christine and Reinhardt, Jan D. and Arora, Mohit and Engkasan, Julia
|
|
Patrick and Gross-Hemmi, Mirja and Kyriakides, Athanasios and Le Fort, Marc and
|
|
Tough, Hannah
|
|
author-email: christine.fekete@paraplegie.ch
|
|
author_list:
|
|
- family: Fekete
|
|
given: Christine
|
|
- family: Reinhardt
|
|
given: Jan D.
|
|
- family: Arora
|
|
given: Mohit
|
|
- family: Engkasan
|
|
given: Julia Patrick
|
|
- family: Gross-Hemmi
|
|
given: Mirja
|
|
- family: Kyriakides
|
|
given: Athanasios
|
|
- family: Le Fort
|
|
given: Marc
|
|
- family: Tough
|
|
given: Hannah
|
|
da: '2023-09-28'
|
|
doi: 10.1371/journal.pone.0255448
|
|
files: []
|
|
issn: 1932-6203
|
|
journal: PLOS ONE
|
|
keywords-plus: 'ENVIRONMENTAL BARRIERS; PSYCHOLOGICAL DISTRESS; HEALTH INEQUALITIES;
|
|
|
|
OLDER-PEOPLE; LONELINESS; SUPPORT; PARTICIPATION; INDIVIDUALS; TRENDS;
|
|
|
|
RISK'
|
|
language: English
|
|
number: '8'
|
|
number-of-cited-references: '67'
|
|
orcid-numbers: 'Arora, Mohit/0000-0003-1024-3682
|
|
|
|
Engkasan, Julia Patrick/0000-0003-0599-4908
|
|
|
|
Kyriakides, Athanasios/0000-0002-4906-6874
|
|
|
|
Le Fort, Marc/0000-0002-6360-2004'
|
|
papis_id: 2da59effb1ceeb873989f3bc1057e6d8
|
|
ref: Fekete2021socioeconomicstatus
|
|
researcherid-numbers: 'Arora, Mohit/D-3373-2015
|
|
|
|
Engkasan, Julia Patrick/M-5547-2018
|
|
|
|
'
|
|
times-cited: '4'
|
|
title: 'Socioeconomic status and social relationships in persons with spinal cord
|
|
injury from 22 countries: Does the countries'' socioeconomic development moderate
|
|
associations?'
|
|
type: article
|
|
unique-id: WOS:000684737400038
|
|
usage-count-last-180-days: '2'
|
|
usage-count-since-2013: '4'
|
|
volume: '16'
|
|
web-of-science-categories: Multidisciplinary Sciences
|
|
year: '2021'
|