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1.
Soc Sci Res ; 119: 102991, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38609307

RESUMO

Relationships between family members from different generations have long been described as a source of solidarity and support in aging populations and, more recently, as a potential risk factor for COVID-19 contagion. Personal or egocentric network research offers a powerful kit of conceptual and methodological tools to study these relationships, but this has not yet been employed to its full potential in the literature. We investigate the heterogeneity, social integration, and individual correlates of intergenerational relationships in old age analyzing highly granular data on the personal networks of 230 older adults (2747 social ties) from a local survey in one of the areas of the world at the forefront of global aging trends (northern Italy). Using information on different layers in broad egocentric networks and on the structure of connectivity among the social contacts of aging people, we propose multiple conceptualizations and measures of intergenerational connectedness. Results show that intergenerational relationships are strongly integrated, but also highly diverse and variable, in older adults' social networks. Different types of intergenerational ties exist in different network layers, with various relational roles, degrees of tie strength, and patterns of association with individual and tie characteristics. We discuss how new and existing personal network data can be leveraged to consider novel questions and hypotheses about intergenerational relationships in contemporary aging families.


Assuntos
Família , Integração Social , Humanos , Idoso , Itália , Fatores de Risco , Rede Social
2.
J Healthc Manag ; 69(2): 99-117, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38467024

RESUMO

GOAL: The objective of this study was to evaluate satisfaction with work-life integration (WLI), social isolation, and the impact of work on personal relationships (IWPR) among senior healthcare operational leaders. METHODS: Between June 7 and June 30, 2021, we performed a national survey of CEOs and other senior healthcare operational leaders in the United States to evaluate their personal work experience. Satisfaction with WLI, social isolation, and IWPR were assessed using standardized instruments. Burnout and professional fulfillment were also assessed using standardized scales. PRINCIPAL FINDINGS: The mean IWPR score on the 0-10 scale was 4.39 (standard deviation was 2.36; higher scores were unfavorable). On multivariable analysis to identify demographic and professional factors associated with the IWPR score, each additional hour worked per week decreased the likelihood of a favorable IWPR score. The IWPR, feeling isolated, and satisfaction with WLI were independently associated with burnout after adjusting for other personal and professional factors. On multivariable analysis, healthcare administrators were more likely than U.S. workers in other fields to indicate work had adversely impacted personal relationships in response to the item "In the past year, my job has contributed to me feeling more isolated and detached from the people who are most important to me." PRACTICAL APPLICATIONS: Experiencing an adverse IWPR is common among U.S. healthcare administrators, who are more likely than the general U.S. working population to indicate their job contributes to isolation and detachment from the people most important to them. Problems with WLI, isolation, and an adverse IWPR are associated with increased burnout and lower professional fulfillment. Intentional efforts by both organizations and administrative leaders are necessary to address the work characteristics and professional norms that erode WLI and result in work adversely impacting personal relationships.


Assuntos
Esgotamento Profissional , Satisfação no Emprego , Humanos , Estados Unidos , Atenção à Saúde , Isolamento Social , Integração Social , Inquéritos e Questionários
3.
BMC Psychol ; 12(1): 119, 2024 Mar 04.
Artigo em Inglês | MEDLINE | ID: mdl-38439098

RESUMO

The construction of public space is a new and important way to integrate rural migrants into urban society. Existing studies mainly discussed the factors affecting the social integration of rural migrants from the micro-individual and macro-system levels. Still, they seldom analyzed the differences between rural migrants' residential communities and the roles these differences play in their social integration, especially from the perspective of residential space. Based on the data of the 2014 China Migrants Dynamic Monitoring Survey, this paper systematically examines the impact of residential community selection on the social integration of rural migrants and its possible effects using OLS, 2SLS, CMP, omitted variable test method, and KHB mediating effect model. It is found that the choice of residential community has a significant positive impact on the social integration of rural migrants, and the social integration of rural migrants living in formal communities has increased by 2.44%-3.20%. To overcome the potential endogeneity problems and selection bias of the empirical model, the study further adopted an instrumental variable estimation approach, combined with the omitted variable method for robustness check; the results still revealed the positive effect of living in formal communities on the social integration of rural migrants. The heterogeneous results showed that living in formal communities has a greater effect on the social integration of women and older-generation rural migrants. The farther the migration range and the longer the residence time of rural migrants, the greater the effect of living in the formal community on their social integration. Further mechanism testing revealed that living in formal communities not only directly enhances the social integration of rural migrants but also indirectly improves their social integration through public resource allocation, human capital accumulation, social status screening, and social network expansion. The indirect effect of capital accumulation is even greater. Therefore, to accelerate the full integration of rural migrants into urban society and achieve real urbanization and citizenship, the study proposes that the government should scientifically plan the layout of rural migrants' living space and the construction of supporting facilities.


Assuntos
Migrantes , Humanos , Feminino , Integração Social , China , Meio Ambiente , População Rural
4.
Sci Rep ; 14(1): 5540, 2024 03 06.
Artigo em Inglês | MEDLINE | ID: mdl-38448568

RESUMO

Social integration, a huge issue triggered by migration, leads to potential social fragmentation and confrontation. Focusing on the precise enhancement of "inner" subjective social integration is the ultimate urbanization solution to enhance people-centered well-being and promote full social integration. This article used data from the China Migrants Dynamic Survey 2017 (CMDS 2017) to reveal the spatial patterns and mechanisms of subjective social integration in Chinese cities. We make an innovative attempt to introduce multiscale geographically weighted regression (MGWR) to address the appropriateness of policy formulation by addressing the spatial variation in the factors. The results demonstrate that the influences on subjective social integration have a strong spatial heterogeneity in China, a vast and unevenly developed country. Expanding on the typical factors, household registration and political participation affect North China more than other regions; and housing and marriage have a greater impact in South China, especially in the Pearl River Delta and the Eastern Seaboard. Income, welfare, and healthcare are indiscriminately sweeping through most of China. Such a conclusion reminds the Chinese government that it needs to consider not only addressing some of the national constraints to subjective social integration but also imposing precise, site-specific changes for different regions.


Assuntos
Migrantes , Humanos , Cidades , Urbanização , Povo Asiático , Integração Social
5.
BMC Geriatr ; 24(1): 4, 2024 01 03.
Artigo em Inglês | MEDLINE | ID: mdl-38172722

RESUMO

BACKGROUND: The number of migrant older adults with children (MOAC) in China has been increasing in recent years, and most of them are women. This study aimed to explore the mediating effect of social support between social integration and loneliness among the female MOAC in Jinan, China. METHODS: In this study, 418 female MOAC were selected using multi-stage cluster random sampling in Jinan, Shandong Province, China. Loneliness was measured by the eight-item version of the University of California Los Angeles Loneliness Scale (ULS-8), and social support was measured by The Social Support Rating Scale (SSRS). Descriptive analyses, t-tests, ANOVA, and structural equation modeling (SEM) were used to illustrate the relationship between social integration, social support, and loneliness. RESULTS: The average scores of ULS-8 and SSRS were 12.9 ± 4.0 and 39.4 ± 5.9 among female MOAC in this study. Social integration and social support were found to be negatively related to loneliness, and the standardized direct effect was -0.20 [95% CI: -0.343 to -0.068] and -0.39 [95% CI: -0.230 to -0.033], respectively. Social support mediated the relationship between social integration and loneliness, and the indirect effect was -0.16 [95% CI: -0.252 to -0.100]. CONCLUSION: The female MOAC's loneliness was at a relatively lower level in this study. It was found that social integration was negatively associated with loneliness, and social support mediated the relationship between them. Helping female MOAC integrate into the inflow city and improving their social support could be beneficial for alleviating their loneliness.


Assuntos
Migrantes , Humanos , Feminino , Idoso , Masculino , Solidão , Apoio Social , Projetos de Pesquisa , Integração Social , China/epidemiologia
7.
Geroscience ; 46(1): 841-852, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-37217631

RESUMO

In humans, social participation and integration wane with advanced age, a pattern hypothesized to stem from cognitive or physical decrements. Similar age-related decreases in social participation have been observed in several nonhuman primate species. Here, we investigated cross-sectional age-related associations between social interactions, activity patterns, and cognitive function in 25 group-living female vervets (a.k.a. African green monkeys, Chlorocebus sabaeus) aged 8-29 years. Time spent in affiliative behavior decreased with age, and time spent alone correspondingly increased. Furthermore, time spent grooming others decreased with age, but the amount of grooming received did not. The number of social partners to whom individuals directed grooming also decreased with age. Grooming patterns mirrored physical activity levels, which also decreased with age. The relationship between age and grooming time was mediated, in part, by cognitive performance. Specifically, executive function significantly mediated age's effect on time spent in grooming interactions. In contrast, we did not find evidence that physical performance mediated age-related variation in social participation. Taken together, our results suggest that aging female vervets were not socially excluded but decreasingly engaged in social behavior, and that cognitive deficits may underlie this relationship.


Assuntos
Função Executiva , Comportamento Social , Humanos , Animais , Chlorocebus aethiops , Feminino , Estudos Transversais , Envelhecimento , Integração Social
8.
Sante Publique ; 35(4): 423-434, 2023 12 11.
Artigo em Francês | MEDLINE | ID: mdl-38078637

RESUMO

Introduction: This study aims to test a measure of loneliness and to document its determinants among rural men and women in Senegal. Methods: Data from the Niakhar Social Networks and Health Project were used. The analysis sample was composed of 1261 residents aged 16 years and older. Analyses were stratified by gender. Associations between loneliness and its determinants (socio-demographic characteristics and level of social integration) were examined with multivariate logistic regressions. Results: Loneliness affects almost one in three people. Its prevalence is more significant for women. Multivariate analyses indicate that for both men and women, older age intensifies loneliness and recent migration experience protects against loneliness. Other factors act differently according to gender. Widowhood or divorce for men, and residential isolation for women, worsen the experience of loneliness. Social integration protects men against loneliness, but this relationship is not found for women. Finally, the effect of the level of social integration on loneliness varies with age. Conclusions: This study, which documents a phenomenon which is often neglected by misconceptions about social solidarities in these societies, suggests that loneliness is not linked to the same issues for men and women. For men, being socially integrated and being in a union are protective, whereas for women, poor social integration does not appear to be a clear source of loneliness, unlike residential isolation.


Introduction: Cette étude vise à tester une mesure de la solitude et à documenter ses déterminants chez les hommes et les femmes en milieu rural au Sénégal. Méthodes: Les données du Niakhar Social Networks and Health Project sont utilisées. L'échantillon d'analyse est composé de 1 261 résidents âgés de 16 ans et plus. Les analyses sont stratifiées par sexe. Les associations entre la solitude et ses déterminants (caractéristiques socio-démographiques et niveau d'intégration sociale) sont examinées à l'aide de régressions logistiques multivariées. Résultats: La solitude touche près d'un individu sur trois et sa prévalence est plus grande chez les femmes. Les analyses multivariées indiquent que, pour les hommes et les femmes, l'âge avancé favorise la solitude, et l'expérience migratoire récente protège contre la solitude. D'autres facteurs agissent de manière différente selon le sexe. La situation de veuvage ou de divorce pour les hommes, et l'isolement résidentiel pour les femmes, entrainent l'expérience de solitude. L'intégration sociale protège les hommes contre la solitude, mais cette relation ne se retrouve pas pour les femmes. Enfin, l'effet du niveau d'intégration sociale sur la solitude varie selon l'âge. Conclusion: Cette étude suggère que la solitude ne répond pas aux mêmes enjeux pour les hommes et pour les femmes et documente ce phénomène souvent occulté par les idées reçues relatives aux solidarités sociales dans ces sociétés. Pour les hommes, être intégrés socialement et être en union sont des éléments protecteurs, alors que pour les femmes, une faible intégration sociale n'apparait pas clairement comme une source de solitude, contrairement à l'isolement résidentiel.


Assuntos
Solidão , População Rural , Masculino , Humanos , Feminino , Senegal/epidemiologia , Integração Social
9.
BMC Public Health ; 23(1): 2108, 2023 10 27.
Artigo em Inglês | MEDLINE | ID: mdl-37884916

RESUMO

BACKGROUND: Universal social medical insurance coverage is viewed as a major factor in promoting social integration, but insufficient evidence exists on the integration of elderly rural migrants (ERM), generally aged 60 years and above, in low- and middle-income countries. To address this problem, we explore the relationship between the location of social medical insurance (SMI), such as a host city, and social integration in the context of Chinese ERM. METHODS: This study is based on data from the 2017 National Internal Migrant Dynamic Monitoring Survey in China. The study participants were Chinese ERM. An integration index was constructed to measure the degree of social integration in a multi-dimensional manner using a factor analysis method. This study used descriptive statistics and one-way analysis of variance to explore the differences in social integration between ERM with SMI from host cities and hometowns. Stepwise multiple linear regression analysis was used to test the correlation between SMI location and social integration level in the overall sample. Finally, the results were verified by propensity score matching. RESULTS: It was found that 606 (18.2%) of the insured ERM chose host city SMI, while 2727 (81.8%) chose hometown SMI. The level of social integration was lower among ERM with hometown SMI (-1.438 ± 32.795, F = 28.311, p ≤ 0.01) than those with host city SMI (6.649 ± 34.383). Among the dimensions of social integration, social participation contributed more than other factors, with a contribution rate of 45.42%. Host city SMI increased the probability of the social integration index by 647% among ERM (k-nearest neighbor caliper matched (n = 4, caliper = 0.02), with a full sample ATT value of 6.47 (T = 5.32, SE = 1.48, p < 0.05)). CONCLUSIONS: ERM with host city SMI have a higher social integration level than those with hometowns SMI. That is, host city SMI positively affects social integration. Policymakers should focus on the access of host city SMI for ERM. Removing the threshold of host city SMI coverage for ERM can promote social integration.


Assuntos
Migrantes , Idoso , Humanos , Estudos Transversais , Cidades , Integração Social , Cobertura do Seguro , China
10.
Int J Equity Health ; 22(1): 210, 2023 10 09.
Artigo em Inglês | MEDLINE | ID: mdl-37814276

RESUMO

BACKGROUND: Migrants is a large population in China. To improve the health and wellbeing of migrants is a critical policy and social issue in China, and to enhance the utilization of primary health care by migrants is one of the most important approaches in promoting equity in health. However, there exists little research about the association between social integration and the utilization of primary health care. To address the research gap, this research aims at exploring the relation between social integration and the utilization of primary health care among migrants in China. METHODS: Using the national data from China Migrants Dynamic Survey (CMDS) in 2017, 169,989 migrants were included in this study. Social integration was measured by social communication, acculturation and self-identity, with 8 indicators. The utilization of primary health care was measured by the receiving of health education on infectious diseases (ID) and noncommunicable diseases (NCD) as well as the first visit institution when migrants were sick. After the descriptive statistical analysis, binary logistic regression was employed to evaluate the association between social integration and the utilization of primary health care. RESULTS: 65.99% of the migrants received health education on infectious diseases (ID), 40.11% of the migrants received health education on noncommunicable diseases (NCD) and 8.48% of the migrants chose to go to Community Health Center (CHC) seeking for health services. There was a positive effect of social organization participation, the influence of hometown customs, differences of hygiene habits between migrants and local people, integration willingness and evaluation of identity on the receiving of health education on ID and NCD, as well as a positive effect of civil activities engagement and differences of hygiene habits between migrants and local people on the utilization of CHC after getting sick. CONCLUSIONS: Social integration was associated with the utilization of primary health care among migrants in China. Generally speaking, greater social integration was associated with higher possibility of receiving health education on ID and NCD. However, the effect of social integration on the utilization of CHC was more complex among different indicators. There should be more policy interventions to improve the social integration of migrant which help them to get familiar with the health resource available, as well as improve the capacity of CHC.


Assuntos
Doenças Transmissíveis , Doenças não Transmissíveis , Migrantes , Humanos , Estudos Transversais , Integração Social , Atenção Primária à Saúde , China
11.
Artigo em Inglês | MEDLINE | ID: mdl-37835109

RESUMO

Individuals with vision impairment (VI) are less physically active than their sighted peers, heightening their risk of chronic illness. This study aimed to explore real and perceived barriers and promoters of an active lifestyle among adults with VI. We used mixed-methods, including a quantitative analysis of spatial data and a qualitative analysis of input from focus groups. The data were analyzed using descriptive statistics, graphical and thematic analysis. The spatial analysis highlighted frequent impediments, including high proportions of inaccessible crosswalks and stairs, a high density of obstacles (12/km) and almost inexistent guidance markings (0.1/km). Factors influencing active lifestyle of individuals with VI reported in the focus groups included: VI severity and self-confidence; accessibility of the physical environment as well as support and consideration of the society; use of behavioral strategies, striving for good health and willpower. Combined psychosocial, behavioral and infrastructural modifications could enhance active lifestyles among adults with VI. Consideration of the needs of individuals with VI is critical among environmental planners. Sustainable solutions for improving accessibility and mobility in the city for individuals with VI will influence not only their social integration but will enable them to adopt an active lifestyle and reduce their risk of chronic illness.


Assuntos
Meio Ambiente , Estilo de Vida , Humanos , Adulto , Grupos Focais , Integração Social , Doença Crônica
12.
Fam Pract ; 40(4): 538-545, 2023 11 23.
Artigo em Inglês | MEDLINE | ID: mdl-37555256

RESUMO

BACKGROUND: The family doctor (FD) contracting system is a key reform in the development of the Chinese health system, and is considered an effective way to ensure equitable access to healthcare services. This study investigates the effects of social integration on FD contracting services among migrant populations. METHODS: In total, 120,106 respondents from the 2018 China Migrants Dynamic Survey were included in this study. Two multivariate regression models were used to estimate the effect of social integration and other factors on FD contracting services among migrant populations. RESULTS: This study found that only 14.0% of the migrant populations had a FD. Multiple dimensions of social integration and some covariates were shown to be positively associated with FD contracting services, including average monthly household income, local medical insurance (odds ratio [OR] = 1.34, 95% confidence interval [CI] = 1.29-1.39), employment status (OR = 0.86, 95% CI = 0.82-0.91), settlement intention (OR = 1.15, 95% CI = 1.09-1.22), received health education (OR = 4.88, 95% CI = 4.51-5.27), sex (OR = 1.16, 95% CI = 1.12-1.20), age (OR = 1.66, 95% CI = 1.51-1.82), marital status (OR = 1.38, 95% CI = 1.31-1.46), sickness within a year (OR = 0.84, 95% CI = 0.79-0.89), and flow range (OR = 1.12, 95% CI = 1.07-1.16). CONCLUSIONS: All dimensions of social integration, including economic integration, social identity, and social involvement, are associated with FD contracting services among migrant populations. Policymakers should focus on improving the signing rates of migrant populations and implement more effective measures to enhance their social integration, such as settlement incentives and encouraging social participation.


Assuntos
Migrantes , Humanos , Estudos Transversais , Médicos de Família , Emprego , Integração Social , China
13.
Front Public Health ; 11: 1167537, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37483925

RESUMO

Background: Individuals of domestic migrant populations in China (specifically, migration that is economically driven) often face difficulties in social integration. They are suffering from discrimination and unfair treatment in work and life, which do harm to their physical/mental health and Subjective Well-Being (SWB). Methods: The current study utilized a stratified sampling survey in the Yangtze River Delta region of China, in October and November 2022. Six hundred and eleven useful self-reported questionnaires were collected. Questionnaires include questions about social integration, social capital, physical/mental health, and SWB; Bootstrapping method was used to test the mediating effect of physical health and mental health. Multiple hierarchical regression was used to test the moderating effect of social capital. Results: Social integration had positive impact on the SWB (r = 0.523, p < 0.01). Bootstrap analysis showed that physical health and mental health partially mediated the correlation between social integration and SWB of Floating Population with a mediation effect of 0.149 and 0.192. Social capital can positively moderate the relationship between two pair of variables: social integration and SWB (ß = 0.152, t = 4.42, p < 0.001), physical health and SWB (ß = 0.148, t = 4.39, p < 0.01). However, social capital does not play a significant moderating role in the association between the effect of mental health on SWB (ß = 0.032, t = 0.973, p > 0.05). Conclusion: This study proved a significant correlation between social integration and SWB of Floating Population, with physical/mental health playing a mediating role. Enhancing the social integration of floating population and keeping healthy physically and mentally are key to improving their SWB.


Assuntos
Análise de Mediação , Saúde Mental , Humanos , Nível de Saúde , Integração Social , China/epidemiologia
14.
Arch Gerontol Geriatr ; 114: 105099, 2023 11.
Artigo em Inglês | MEDLINE | ID: mdl-37329767

RESUMO

Social integration, network, and support are beneficial to health. However, there is little evidence of the association between adverse childhood experiences (ACEs) and social integration in later life. This study investigates the association between ACE history and social integration in older people. We used data from the Japan Gerontological Evaluation Study (JAGES) 2013, which conducted a self-reported survey of functionally independent people aged ≥ 65 years from 30 municipalities across Japan and yielded information on ACE history. We conducted a Poisson regression analysis with robust error variances to assess the association between ACE history and social integration, adjusting for sex, age, childhood economic hardship, adult socioeconomic status, health status, living status, and trust in others. The number of respondents with at least one incident of ACE was approximately 36.8%. The prevalence ratios for those who reported a history of ACEs were as follows: housebound 1.495 (95% confidence interval [CI]: 1.19-1.88), small network size 1.146 (95% CI: 1.10-1.19), low network contact 1.059 (95% CI: 1.00-1.059), non-membership sports group 1.038 (95% CI: 1.00-1.07), and non-membership hobby group 1.06 (95% CI: 1.03-1.09). Among older people in Japan, a history of ACEs is inversely associated with social integration. These findings support the life course approach and suggest that adverse events in early life may have an impact on social life in old age. In order to promote healthy aging, it is important to recognize the significant impact of early-life adversities that can extend into later life.


Assuntos
Experiências Adversas da Infância , Humanos , Idoso , Japão/epidemiologia , Classe Social , Pobreza , Integração Social
15.
Aging Ment Health ; 27(11): 2278-2288, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37293783

RESUMO

OBJECTIVES: This study aimed to assess longitudinal relationships between social environment indicators (social connectedness, social engagement, social contribution) and mental health indicators (depression and anxiety) among community-dwelling adults age 55 years and older. METHODS: Data were drawn from 3-waves of the national longitudinal survey of Midlife Development in the United States (MIDUS) (N = 2,020; age range = 55-94 years). We developed multilevel growth models to ascertain the relationships of interest, controlling for sociodemographic and physical health factors. RESULTS: Over the 20-year period of study, lower levels of emotional social support, social integration and social contribution significantly predicted depression and anxiety, whereas social network and social engagement were not significant predictors of these mental health outcomes in older adults. The models also indicated a moderation effect of the number of chronic conditions on the slopes of depression and anxiety. DISCUSSION: Considering our findings, interventions to enhance social contribution and social connectedness could be effective to help older adults maintain positive mental health, as well as programs that facilitate older adults' connections with their families, communities and health care providers. These interventions must also account for multiple chronic conditions since functional limitations drive declining integration in the community and participation in social activities.


Assuntos
Saúde Mental , Meio Social , Humanos , Estados Unidos/epidemiologia , Idoso , Idoso de 80 Anos ou mais , Apoio Social , Integração Social , Vida Independente , Estudos Longitudinais
16.
Arch Gerontol Geriatr ; 114: 105085, 2023 11.
Artigo em Inglês | MEDLINE | ID: mdl-37311371

RESUMO

INTRODUCTION: The study analyzed mental health, social integration and social support of informal caregivers of individuals aged ≥60 years compared to non-caregivers during the second wave of the COVID-19 pandemic. METHODS: A quantitative, cross-sectional study was conducted with a sample drawn randomly from the nationally representative online panel forsa.omninet in Germany between March 4th and 19th 2021. In total, 3022 adults aged ≥40 years from Germany were questioned, including 489 adults providing informal care for adults aged ≥60 years between December 2020 and March 2021. Depressive (PHQ-9) and anxiety symptoms (GAD-7), loneliness (De Jong Gierveld Scale), social exclusion (Bude & Lantermann Scale) and social network support (Lubben's Social Network Scale) were measured. Adjusted OLS regression analyses and additional moderator analyses (moderators: perceived restrictions and danger of infection due to the COVID-19 pandemic) were conducted. RESULTS: Significant higher levels of depressive and anxiety symptoms and more social support were found among informal caregivers compared to non-caregivers. Loneliness and social exclusion did not differ between both groups. Perceived restrictions by the pandemic significantly moderated the association between informal caregiving and social support - social support was stronger among caregivers with higher levels of perceived restrictions by the pandemic. CONCLUSION: Informal caregivers are faced with worse mental health than non-caregivers during the pandemic, although their social support was stronger, in particular in dependence of higher levels of perceived restrictions by the pandemic. Thus, results indicate a need for an informal-care-specific policy and more professional support for informal caregivers during a health crisis.


Assuntos
COVID-19 , Saúde Mental , Humanos , COVID-19/epidemiologia , Pandemias , Cuidadores/psicologia , Estudos Transversais , Integração Social , Alemanha/epidemiologia
17.
Soc Psychiatry Psychiatr Epidemiol ; 58(9): 1317-1327, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-37193908

RESUMO

OBJECTIVE: Evidence suggests that greater social integration is related to lower mortality rates. However, studies among African-Americans are limited. We examined whether higher social integration was associated with lower mortality in 5306 African-Americans from the Jackson Heart Study, who completed the Berkman-Syme Social Network Index in 2000-2004 and were followed until 2018. METHODS: We estimated hazard ratios (HR) of mortality by categories of the Social Network Index (i.e., high social isolation, moderate social isolation [reference group], moderate social integration, high social integration) using Cox proportional hazard models. Covariates included baseline sociodemographics, depressive symptoms, health conditions, and health behaviors. RESULTS: Compared with moderate isolation, moderate integration was associated with an 11% lower mortality rate (HR = 0.89, 95% confidence interval [CI] 0.77, 1.03), and high integration was associated with a 25% lower mortality rate (HR = 0.75, 95% CI 0.64, 0.87), controlling for sociodemographics and depressive symptoms; compared with moderate isolation, high isolation was related to a 34% higher mortality rate (HR = 1.34, 95% CI 1.00, 1.79). Further adjustment of potential mediators (health conditions and health behaviors) only slightly attenuated HRs (e.g., HRmoderate integration = 0.90, 95% CI 0.78, 1.05; HRhigh integration = 0.77, 95% CI 0.66, 0.89). CONCLUSION: Social integration may be a psychosocial health asset with future work needed to identify biobehavioral processes underlying observed associations with mortality among African-Americans.


Assuntos
Negro ou Afro-Americano , Mortalidade , Integração Social , Humanos , Estudos Longitudinais , Fatores de Risco , Isolamento Social
18.
Nat Hum Behav ; 7(6): 881-891, 2023 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-37106079

RESUMO

Forced migration has become a global megatrend, and many refugees are school aged. As social integration is key to their wellbeing and success, it is pivotal to determine factors that promote the social integration of refugee youth within schools. Here, using a large, nationally representative social network dataset from Germany, we examine the relationships of refugee adolescents with their peers (304 classrooms, 6,390 adolescents and 487 refugees). We find that refugee adolescents have fewer friends and are more often rejected as desk mates than their classmates. Crucially, however, they are less rejected in more diverse classrooms. This results from two basic processes: (1) more opportunities to meet other ethnic minority peers, who are more accepting of refugees in general and (2) higher acceptance of refugee adolescents by ethnic majority peers in more diverse settings. Our results can help promote the social adjustment of young refugees in school and mitigate the negative consequences of prejudice.


Assuntos
Refugiados , Adolescente , Humanos , Criança , Etnicidade , Grupos Minoritários , Estudantes , Integração Social
19.
Nat Hum Behav ; 7(6): 847-848, 2023 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-37106082
20.
Artigo em Inglês | MEDLINE | ID: mdl-36833744

RESUMO

China's urban educational policies have been established to solve the problems of potential discrimination and inequitable access to education, disrupting migrant children who move from rural areas to urban cities and who tend to suffer from a range of mental health issues. However, little is known regarding how China's urban educational policies affect migrant children's psychological capital and social integration. This paper aims to explore the effect of urban education policies on improving migrant children's psychological capital level in China. The second objective of this paper is to examine whether policies can encourage them to integrate into urban society in a positive way. This paper thoroughly analyzes the impact of China's urban educational policies on three dimensions of social integration of migrant children (identification, acculturation, and psychological integration), and also verifies the mediating effects of psychological capital on the relationships between these variables. The subjects of this study are 1770 migrant children in grades 8-12, who are sourced from seven coastal cities in China. Multiple regression analysis and mediation effect tests are employed to analyze the data. This study reveals that migrant children's identification with educational policies has a significant positive impact on their psychological capital. Psychological capital has partial mediating effects on the relationship between identification with educational policies and the three dimensions of social integration. In other words, identification with educational policies indirectly affects the process of social integration of migrant children through psychological capital. Based on this, for the purpose of promoting the positive impacts of educational policies of inflow cities on the social integration of migrant children, this study makes the following recommendations: (a) at the micro-level, the psychological capital of individual migrant children should be enhanced; (b) at the meso-level, the partnerships between migrant children and urban children should be taken seriously; and (c) at the macro-level, the urban educational policies related to migrant children should be improved. This paper not only makes policy recommendations for improving the educational policies of inflow cities, but also offers a Chinese perspective on the research related to the tricky issue facing all countries around the world, the social integration of migrant children.


Assuntos
Capital Social , Migrantes , Humanos , Criança , População Urbana , População Rural , China , Integração Social
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