Abstract:
:Individuals with economic disadvantage experience greater (a) adverse childhood experiences (ACE), (b) risk for low relationship quality and relationship dissolution, and (c) disparity in physical and mental health. Thus, a critical need exists to understand the connections between areas of disparity in family and relational health on physical and mental health for those most vulnerable to the deleterious effects. The researchers therefore tested a dyadic model for the mediation of ACE and health by relationship quality with data from 503 couples with economic disadvantage and a racial or ethnic minority background (76.9%). The data fit the proposed model and explained a majority of the variance in health, 82.3% of the variance in men's health and 56.5% in women's health-both large effects. Moreover, the significant indirect pathway between ACE and health through relationship quality contributed 98.05% and 57.40% of the total effects for men and women, respectively. Overall, a significant relationship existed between ACE, relationship quality, and health for men and women at the actor-level and the dyadic influence between members of a couple contributed to the overall model fit. Results add to support for the role of relationship quality as a dyadic social determinant of health disparities with implications for prevention and intervention. :Las personas desfavorecidas económicamente sufren más (a) experiencias adversas en la infancia (EAI), (b) riesgo de una baja calidad de las relaciones y de disolución de las relaciones, y (c) disparidad en la salud física y mental. En consecuencia, existe una necesidad imperiosa de comprender las conexiones entre las áreas de disparidad en la salud familiar y relacional, y la salud física y mental para aquellos más vulnerables a los efectos perjudiciales. Por lo tanto, los investigadores evaluaron un modelo diádico para la mediación de las EAI y la salud según la calidad de la relación con datos de 503 parejas desfavorecidas económicamente y un origen de minoría étnica o racial (76.9%). Los datos se adaptaron al modelo propuesto y explicaron una mayoría de la varianza en la salud, un 82.3% de la varianza en la salud de los hombres y un 56.5% en la salud de las mujeres, ambos grandes efectos. Además, la vía indirecta significativa entre las EAI y la salud mediante la calidad de la relación aportó un 98.05% y un 57.40% de los efectos totales para los hombres y las mujeres respectivamente. En general, existió una relación significativa entre las EAI, la calidad de la relación y la salud para los hombres y las mujeres a nivel del actor, y la influencia diádica entre los integrantes de una pareja contribuyó a la adaptación al modelo en general. Los resultados respaldan aún mas el rol de la calidad de la relación como determinante social diádico de disparidades en la salud con implicancias para la prevención y la intervención. :经济状况低下的个体往往经历更多 (a)童年不幸经历(ACE) (b)低关系质量的风险和低关系化解的风险 和(c)身体心理不能和谐统一。家庭和伴侣关系的健康对身体和心理健康的影响作用表现在不同方面。因此,对这些差异的相互联系的理解及其有必要,尤其是指对那些对有害影响非常脆弱的人而言。本研究的调查对象是少数种族族裔背景的503对经济贫困伴侣。研究者测试了一个二元模型,其通过关系质量来看童年不幸经历和健康之间的调和作用样本的数据适合我们提出的模型,也解释了在健康方面的大部分差异程度,82.3% 的男性健康的变化和 56.5%的女性健康的变化,效果都很显著。而且,研究分析得出通过关系质量调节童年不幸经历和健康,它们之间有一个重要的间接关系路径对整体效果有作用,分别为男性为98.05% 女性为57.40%。整体来看,童年不幸经历、关系质量和男性、女性健康之间有重要的关联,这主要是指在主体水平方面。而伴侣中的一方和另一方之间的相互影响也对整体模型的适应性有很大作用。本研究进一步证明了关系质量的重要作用,它是导致健康的差异性的二元关系方面的社会性决定因素。文中也讨论了本研究对预防和干预方面的启示建议。.
journal_name
Fam Processjournal_title
Family processauthors
Wheeler NJ,Barden SM,Daire APdoi
10.1111/famp.12467subject
Has Abstractpub_date
2020-09-01 00:00:00pages
1243-1260issue
3eissn
0014-7370issn
1545-5300journal_volume
59pub_type
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