Perceived social support level and influential factors in patients with Kashin-Beck disease in Shaanxi Province / 中华地方病学杂志

ABSTRACT

Objective To investigate the level of perceived social support and its influencing factors in Kashin-Beck disease (KBD) patients in Shaanxi Province,and to provide a theoretical basis for improving the service to KBD patients.Methods By the two-stage cluster random sampling method,KBD patients with the severity of disease of grade Ⅰ and above were investigated in Baoji,Xianyang and Tongchuan areas in Shaanxi Province,which were higher incidence areas of KBD.The Chinese version of perceived social support scale (PSSS) was used to measure family support,friend support,and other supportive comprehension social support levels by household survey method,the total score of PSSS is low support state from 12 to 36,intermediate support state from 37 to 60,and high support state from 61 to 84,and the effects of gender,age,education level,marital status,occupation,disease severity and region on the level of perceived social support were analyzed.Results In 901 cases of KBD patients,males accounted for 55.49％ (500/901),females accounted for 44.51％ (401/901).The median age of patients was 58 years old.According to the severity of KBD criteria,grade Ⅰ patients were 37.18％ (335/901),grade Ⅱ patients were 53.50％ (482/901) and grade Ⅲ patients were 9.32％ (84/901).The median (quartile) PSSS score was 62 (54,70),the low support status accounted for 8.55％ (77/901),the intermediate support status accounted for 36.96％ (333/901),and the high support status was 54.50％ (491/901).Age was a risk factor for friend support,other support dimensions and total score;compared with illiteracy,primary school education was the protective factor of total score,and junior high school and above education was the protective factor of family support dimension and total score.Compared with Baoji area,Xianyang area and Tongchuan area were the protective factors of family support dimension,other support dimension,and total score.In addition,Xianyang area was also a protective factor of friend support dimension.Conclusion The level of perceived social support of KBD patients in Shaanxi is generally above moderate.Age,education,and regional factors are main factors affecting perceived social support.