Social support and subsequent disability: it is not the size of your network that counts

McLaughlin, Deirdre, Leung, Janni, Pachana, Nancy, Flicker, Leon, Hankey, Graeme and Dobson, Annette (2012) Social support and subsequent disability: it is not the size of your network that counts. Age and Ageing, 41 5: 674-677. doi:10.1093/ageing/afs036


Author McLaughlin, Deirdre
Leung, Janni
Pachana, Nancy
Flicker, Leon
Hankey, Graeme
Dobson, Annette
Title Social support and subsequent disability: it is not the size of your network that counts
Journal name Age and Ageing   Check publisher's open access policy
ISSN 0002-0729
1468-2834
Publication date 2012-09-01
Year available 2012
Sub-type Article (original research)
DOI 10.1093/ageing/afs036
Open Access Status Not yet assessed
Volume 41
Issue 5
Start page 674
End page 677
Total pages 4
Place of publication Oxford, United States
Publisher Oxford University Press
Language eng
Subject 1302 Ageing
2717 Geriatrics and Gerontology
Abstract Methods: data were drawn from two concurrent prospective observational cohort studies of community-based older Australian women (N = 2,013) and men (N = 680). Baseline and follow-up data were drawn from the second (1999) and fifth (2008) surveys of the women and the second (2001) and third (2008) surveys of the men. At baseline, social support was measured by the two subscales (social network and subjective support) of the Duke Social Support Index (DSSI). The outcome measure was Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs).
Formatted abstract
Background: high levels of social support and engagement may help sustain good health and functional ability. However, the definition of social support in previous research has been inconsistent and findings are mixed. The aim of this analysis was to explore the effect of two aspects of social support on subsequent disability in a group of community dwelling older women and men.

Methods: data were drawn from two concurrent prospective observational cohort studies of community-based older Australian women (N = 2,013) and men (N = 680). Baseline and follow-up data were drawn from the second (1999) and fifth (2008) surveys of the women and the second (2001) and third (2008) surveys of the men. At baseline, social support was measured by the two subscales (social network and subjective support) of the Duke Social Support Index (DSSI). The outcome measure was Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs).

Results: overall, social network size was not associated with subsequent disability in either women or men. After adjusting for health status at baseline, lack of satisfaction with social support was associated with greater difficulties in ADLs and IADLs for both women and men.

Conclusions: our results suggest that the provision of social support is insufficient to limit subsequent disability: support provided must be subjectively perceived to be relevant and adequate.
Keyword Older-adults
Trajectories
Patterns
Health
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2013 Collection
School of Public Health Publications
School of Psychology Publications
 
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