Original Article

Social Support and Health-Related Quality of Life Among Low-Income Women: Findings from Community-Based Participatory Research

Authors: Hamisu M. Salihu, MD, PhD, Korede Adegoke, MBBS, MPH, DeAnne Turner, MPH, Dania Al Agili, MPH, DrPH, Estrellita “Lo” Berry, MA

Abstract

Objectives: This study examined the association between social support and health-related quality of life (HRQoL) among low-income women in the southeastern region of the United States.

Methods: Analysis was performed on data from a community needs assessment survey that was designed to explore social determinants of health and QoL indicators using a community-based participatory research approach. The study sample comprised 132 women aged 18 years old and older. Bivariate analysis and logistic regressions with bootstrapping were performed.

Results: Social support was predictive of physical and mental HRQoL in a contrasting fashion, suggesting a complex relation. Other social determinants of global HRQoL independent of social support status include marital and employment status, maternal age, and income. Our results also demonstrate complex interaction patterns across race, social support, and HRQoL.

Conclusions: The linkage between social support and HRQoL may not be a simple relation, as previously assumed. Rather, it is characterized by multifaceted interactions through which social determinants of health modulate the impact of social support on HRQoL. These are new findings.

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References

1. Ali SM, Merlo J, Rosvall M, et al. Social capital, the miniaturisation of community, traditionalism and first time acute myocardial infarction: a prospective cohort study in southern Sweden. Soc Sci Med 2006;63:2204-2217.
 
2. Schmaltz HN, Southern D, Ghali WA, et al. Living alone, patient sex and mortality after acute myocardial infarction. J Gen Intern Med 2007;22:572-578.
 
3. Thong MS, Kaptein AA, Krediet RT, et al. Social support predicts survival in dialysis patients. Nephrol Dial Transplant 2007;22:845-850.
 
4. Tomaka J, Thompson S, Palacios R. The relation of social isolation, loneliness, and social support to disease outcomes among the elderly. J Aging Health 2006;18:359-384.
 
5. Zhang X, Norris SL, Gregg EW, et al. Social support and mortality among older persons with diabetes. Diabetes Educ 2007;33:273-281.
 
6. House JS, Landis KR, Umberson D. Social relationships and health. Science 1988;241:540-545.
 
7. Strine TW, Chapman DP, Balluz L, et al. Health-related quality of life and health behaviors by social and emotional support. Their relevance to psychiatry and medicine. Soc Psychiatry Psychiatr Epidemio l 2008;43:151-159.
 
8. Bennett SJ, Perkins SM, Lane KA, et al. Social support and health-related quality of life in chronic heart failure patients. Qual Life Res 2001;10:671-682.
 
9. Anokye NK, Trueman P, Green C, et al. Physical activity and health related quality of life. BMC Public Health 2012;12:624.
 
10. Gopinath B, Hardy LL, Baur LA, et al. Physical activity and sedentary behaviors and health-related quality of life in adolescents. Pediatrics 2012;130:e167-e174.
 
11. Ul-Haq Z, Mackay DF, Fenwick E, et al. Meta-analysis of the association between body mass index and health-related quality of life among children and adolescents, assessed using the pediatric quality of life inventory index. J Pediatr 2013;162:280-6.e1.
 
12. Achat H, Kawachi I, Levine S, et al. Social networks, stress and health-related quality of life. Qual Life Res 1998;7:735-750.
 
13. Salinas-Miranda AA, Salemi JL, King LM, et al. Adverse childhood experiences and health-related quality of life in adulthood: revelations from a community needs assessment. Health Qual Life Outcomes 2015;13:123.
 
14. Howard KS, Brooks-Gunn J. The role of home-visiting programs in preventing child abuse and neglect. Future Child 2009;19:119-146.
 
15. Jevitt C, Zapata L, Harrington M, et al. Screening for perinatal depression with limited psychiatric resources. J Am Psychiatr Nurses Assoc 2005;11:359-363.
 
16. Salihu HM, Mbah AK, Jeffers D, et al. Healthy start program and feto-infant morbidity outcomes: evaluation of program effectiveness. Matern Child Health J 2009;13:56-65.
 
17. Bush AJ, Hair JF Jr. An assessment of the mall intercept as a data collection method. J Marketing Res 1985;22:158-167.
 
18. Hornik J, Ellis S. Strategies to secure compliance for a mall intercept interview. Public Opin Q 1988;52:539-551.
 
19. Braveman P, Barclay C. Health disparities beginning in childhood: a life-course perspective. Pediatrics 2009;124(Supp. 3):S163-S175.
 
20. Lu MC, Chen B. Racial and ethnic disparities in preterm birth: the role of stressful life events. Am J Obstet Gynecol 2004;191:691-699.
 
21. Lu MC, Halfon N. Racial and ethnic disparities in birth outcomes: a life-course perspective. Matern Child Health J 2003;7:13-30.
 
22. US Department of Health and Human Services, Centers for Disease Control and Prevention. Measuring healthy days: population assessment of health-related quality of life. Published November 2000. https://www.cdc.gov/hrqol/pdfs/mhd.pdf. Accessed January 21, 2017.
 
23. Centers for Disease Control and Prevention. Self-reported frequent mental distress among adults-United States, 1993-1996. MMWR Morb Mortal Wkly Rep 1998;47:326-331.
 
24. Centers for Disease Control and Prevention. Frequently asked questions. Which cutpoints can I use to look at frequent mental distress or frequent physical distress? http://www.cdc.gov/hrqol/faqs.htm#11. Accessed June 24, 2016.
 
25. Strine TW, Chapman DP, Kobau R, et al. Depression, anxiety, and physical impairments and quality of life in the U.S. noninstitutionalized population. Psychiatr Serv 2004;55:1408-1413.
 
26. Sherbourne CD, Stewart AL. The MOS social support survey. Soc Sci Med 1991;32:705-714.
 
27. Porter PS, Rao ST, Ku J-Y, et al. Small sample properties of nonparametric bootstrap confidence intervals. J Air Waste Manag Assoc 1997;47:1197-1203.
 
28. Preacher KJ, Hayes AF. Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behav Res Methods 2008;40:879-891.
 
29. Efron B. Bootstrap methods: another look at the jackknife. Ann Stat 1979;7:1-26.
 
30. Prior L, Wood F, Lewis G, et al. Stigma revisited, disclosure of emotional problems in primary care consultations in Wales. Soc Sci Med 2003;56:2191-2200.
 
31. Dinos S, Stevens S, Serfaty M, et al. Stigma: the feelings and experiences of 46 people with mental illness. Qualitative study. Br J Psychiatry 2004;184:176-181.
 
32. Rü N, Angermeyer MC, Corrigan PW. Mental illness stigma: concepts, consequences, and initiatives to reduce stigma. Eur Psychiatry 2005;20:529-539.
 
33. Garland AF, Lau AS, Yeh M, et al. Racial and ethnic differences in utilization of mental health services among high-risk youths. Am J Psychiatry 2005;162:1336-1343.
 
34. Diala C, Muntaner C, Walrath C, et al. Racial differences in attitudes toward professional mental health care and in the use of services. Am J Orthopsychiatry 2000;70:455-464.
 
35. Diala CC, Muntaner C, Walrath C, et al. Racial/ethnic differences in attitudes toward seeking professional mental health services. Am J Public Health 2001;91:805-807.
 
36. Krieger J, Allen C, Cheadle A, et al. Using community-based participatory research to address social determinants of health: lessons learned from Seattle Partners for Healthy Communities. Health Educ Behav 2002;29:361-382.
 
37. Wallerstein NB, Duran B. Using community-based participatory research to address health disparities. Health Promot Pract 2006;7:312-323.
 
38. Beronio K, Glied S, Frank R. How the affordable care act and mental health parity and addiction equity act greatly expand coverage of behavioral health care. J Behav Health Serv Res 2014;41:410-428.
 
39. Russell MC, Figley CR. Overview of the Affordable Care Act' impact on military and veteran mental health services: nine implications for significant improvements in care. J Soc Work Disabil Rehabil 2014;13:162-196.