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