Social Support Buffers the Effect of Social Deprivation on Comorbidity Burden in Adults with Cancer.

IF 3.6 2区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY

Annals of Behavioral Medicine Pub Date : 2024-10-16 DOI:10.1093/abm/kaae035

Keith M Bellizzi, Emily Fritzson, Kaleigh Ligus, Crystal L Park

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引用次数: 0

Abstract

Background: Adults with cancer have higher rates of comorbidity compared to those without cancer, with excess burden in people from lower socioeconomic status (SES). Social deprivation, based on geographic indices, broadens the focus of SES to include the importance of "place" and its association with health. Further, social support is a modifiable resource found to have direct and indirect effects on health in adults with cancer, with less known about its impact on comorbidity.

Purpose: We prospectively examined associations between social deprivation and comorbidity burden and the potential buffering role of social support.

Methods: Our longitudinal sample of 420 adults (Mage = 59.6, SD = 11.6; 75% Non-Hispanic White) diagnosed with cancer completed measures at baseline (~6 months post-diagnosis) and four subsequent 3-month intervals for 1 year.

Results: Adjusting for age, cancer type, and race/ethnicity, we found a statistically significant interaction between social support and the effect of social deprivation on comorbidity burden (β = -0.11, p = 0.012), such that greater social support buffered the negative effect of social deprivation on comorbidity burden.

Conclusion: Implementing routine screening for social deprivation in cancer care settings can help identify patients at risk of excess comorbidity burden. Clinician recognition of these findings could trigger a referral to social support resources for individuals high on social deprivation.

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社会支持可缓冲社会贫困对成人癌症患者并发症负担的影响。

背景：与未患癌症的人相比，成人癌症患者的合并症发病率更高，社会经济地位（SES）较低的人群负担过重。基于地理指数的社会贫困扩大了社会经济地位的关注范围，将 "地方 "的重要性及其与健康的关系纳入其中。此外，社会支持是一种可改变的资源，对癌症成人患者的健康有直接和间接的影响，但其对合并症的影响却鲜为人知。目的：我们对社会贫困与合并症负担之间的关系以及社会支持的潜在缓冲作用进行了前瞻性研究：我们的纵向样本包括420名确诊癌症的成年人（年龄=59.6，SD=11.6；75%为非西班牙裔白人），他们在基线（确诊后约6个月）和随后的4个3个月间隔期内完成了为期1年的测量：在对年龄、癌症类型和种族/民族进行调整后，我们发现社会支持与社会贫困对合并症负担的影响之间存在统计学意义上的显著交互作用（β = -0.11，p = 0.012），即更大的社会支持可以缓冲社会贫困对合并症负担的负面影响：结论：在癌症护理环境中实施常规的社会贫困筛查有助于识别有过度合并症负担风险的患者。临床医生认识到这些发现后，可以为社会贫困程度高的患者转介社会支持资源。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals of Behavioral Medicine PSYCHOLOGY, MULTIDISCIPLINARY-

CiteScore

7.00

自引率

5.30%

发文量

期刊介绍： Annals of Behavioral Medicine aims to foster the exchange of knowledge derived from the disciplines involved in the field of behavioral medicine, and the integration of biological, psychosocial, and behavioral factors and principles as they relate to such areas as health promotion, disease prevention, risk factor modification, disease progression, adjustment and adaptation to physical disorders, and rehabilitation. To achieve these goals, much of the journal is devoted to the publication of original empirical articles including reports of randomized controlled trials, observational studies, or other basic and clinical investigations. Integrative reviews of the evidence for the application of behavioral interventions in health care will also be provided. .