The relationship between gender, social support, and health-related quality of life in a community-based study in Washington County, Maryland
- 584 Downloads
Men tend to report higher health-related quality of life (HRQOL) than women of the same age, despite higher mortality rates and lower life expectancy. Social support is one factor related to HRQOL that may contribute to the observed gender difference. The purpose of this study was to determine the factors associated with HRQOL, especially levels of social support, and variation by gender.
Multivariable logistic regression was used to analyze data from 4,498 men and 6,948 women participating in an ongoing community-based cohort study in Washington County, Maryland (CLUE-II).
The results showed that men reported significantly better HRQOL than women. Men reported having higher levels of social support than women, but the magnitude of the association with HRQOL was similar. Having two or less close friends was associated with a statistically significant increase in the odds of reporting poorer HRQOL compared to having 10 or more close friends among both genders (men: OR = 1.49; women: OR = 1.53). Differences in the level of social support did not explain the gender difference in HRQOL.
Our findings show that social support is an important correlate of HRQOL for both men and women. However, the gender differences in HRQOL are not explained by social support or the other factors examined.
KeywordsCohort studies Comorbidity Female Male Quality of life Social support
- 95% CI
95% Confidence Interval
Health-related quality of life
- 7.Berkman, L. F., & Glass, T. (2000). Social integration, social networks, social support and health. In: Berkman, L. F. & Kawachi, I. (Eds.), Social epidemiology. New York: Oxford University Press.Google Scholar
- 11.Clarke, P. J., Marshall, V. W., Ryff, C. D., & Rosenthal, C. J. (2000). Well-being in Canadian seniors: Findings from the Canadian study of health and aging. Canadian Journal on Aging, 19, 139–159.Google Scholar
- 20.Helzlsouer, K. J., Alberg, A. J., Huang, H. Y., Hoffman, S. C., Strickland, P. T., Brock, J. W., Burse, V. W., Needham, L. L., Bell, D. A., Lavigne, J. A., Yager, J. D., & Comstock, G. W. (1999). Serum concentrations of organochlorine compounds and the subsequent development of breast cancer. Cancer Epidemiology Biomarkers & Prevention, 8, 525–532.Google Scholar
- 24.Keyes, C. L., Michalec, M. A., Kobau, R., Zahran, H., Zack, M. M., & Simoes, E. J. (2005). Social support and health-related quality of life among older adults - Missouri, 2000. MMWR Morbidity & Mortality Weekly Report, 54, 433–437.Google Scholar
- 25.Kornblith, A. B., & Holland, J. C. (1994). Handbook of measures for psychological, social, and physical function in cancer. Quality of life, Vol. 1, New York: Memorial Sloan-Kettering Cancer CenterGoogle Scholar
- 37.Simon, P., Lightstone, A., Zeng, Z., Wold, C., Fielding, J., & Davis, B. (2001) Health-related quality of life—Los Angeles County, California, 1999. MMWR Morbidity and Mortality Weekly Report, 50, 556–559.Google Scholar
- 38.Steverink, N., Westerhof, G. J., Bode, C., & Dittmann-Kohli, F. (2001). The personal experience of aging, individual resources, and subjective well-being. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 56, 364–373.Google Scholar