The Role of Social Support in Multiple Morbidity: Self-management Among Rural Residents

Overview

Journal J Health Care Poor Underserved

Publisher Johns Hopkins University Press

Date 2011 Aug 16

PMID 21841277

Citations 25

Authors

Shoshana H Bardach

Yelena N Tarasenko

Nancy E Schoenberg

Affiliations

Soon will be listed here.

Abstract

Social support generally is considered a valuable asset that may compensate for health service deficiencies among rural populations. Employing a mixed methods approach, we explored how vulnerable rural residents described social support in the context of self-management for multiple chronic conditions. Participants generally felt support was available, though emotional/informational support was perceived as less available than other types of support. Participants did not rely heavily on informal support to help them manage their multiple morbidities, preferring to call on their doctor and their own resources. We discuss implications of these findings for meeting this vulnerable population's self-management needs.

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References

Schoenberg N, Coward R . Residential differences in attitudes about barriers to using community-based services among older adults. J Rural Health. 1999; 14(4):295-304. DOI: 10.1111/j.1748-0361.1998.tb00635.x. View

Ricketts T . The changing nature of rural health care. Annu Rev Public Health. 2000; 21:639-57. DOI: 10.1146/annurev.publhealth.21.1.639. View

Kondracki N, Wellman N, Amundson D . Content analysis: review of methods and their applications in nutrition education. J Nutr Educ Behav. 2002; 34(4):224-30. DOI: 10.1016/s1499-4046(06)60097-3. View

Vogeli C, Shields A, Lee T, Gibson T, Marder W, Weiss K . Multiple chronic conditions: prevalence, health consequences, and implications for quality, care management, and costs. J Gen Intern Med. 2007; 22 Suppl 3:391-5. PMC: 2150598. DOI: 10.1007/s11606-007-0322-1. View

Fortin M, Bravo G, Hudon C, Vanasse A, Lapointe L . Prevalence of multimorbidity among adults seen in family practice. Ann Fam Med. 2005; 3(3):223-8. PMC: 1466875. DOI: 10.1370/afm.272. View

Schaefer C, Coyne J, Lazarus R . The health-related functions of social support. J Behav Med. 1981; 4(4):381-406. DOI: 10.1007/BF00846149. View

Primomo J, Yates B, Woods N . Social support for women during chronic illness: the relationship among sources and types to adjustment. Res Nurs Health. 1990; 13(3):153-61. DOI: 10.1002/nur.4770130304. View

Thoits P . Stress, coping, and social support processes: where are we? What next?. J Health Soc Behav. 1995; Spec No:53-79. View

Penninx B, van Tilburg T, Kriegsman D, Boeke A, Deeg D, van Eijk J . Social network, social support, and loneliness in older persons with different chronic diseases. J Aging Health. 1999; 11(2):151-68. DOI: 10.1177/089826439901100202. View

10.

Evans R . A comparison of rural and urban older adults in Iowa on specific markers of successful aging. J Gerontol Soc Work. 2009; 52(4):423-38. DOI: 10.1080/01634370802609197. View

11.

Huttlinger K, Schaller-Ayers J, Lawson T . Health care in Appalachia: a population-based approach. Public Health Nurs. 2004; 21(2):103-10. DOI: 10.1111/j.0737-1209.2004.021203.x. View

12.

Gore S . The effect of social support in moderating the health consequences of unemployment. J Health Soc Behav. 1978; 19(2):157-65. View

13.

Revicki D, Mitchell J . Strain, social support, and mental health in rural elderly individuals. J Gerontol. 1990; 45(6):S267-74. DOI: 10.1093/geronj/45.6.s267. View

14.

Hutson S, Dorgan K, Phillips A, Behringer B . The mountains hold things in: the use of community research review work groups to address cancer disparities in Appalachia. Oncol Nurs Forum. 2007; 34(6):1133-9. DOI: 10.1188/07.ONF.1133-1139. View

15.

Halverson J, Barnett E, Casper M . Geographic disparities in heart disease and stroke mortality among black and white populations in the Appalachian region. Ethn Dis. 2002; 12(4):S3-82-91. View

16.

Hayes P . Home is where their health is: rethinking perspectives of informal and formal care by older rural Appalachian women who live alone. Qual Health Res. 2006; 16(2):282-97. DOI: 10.1177/1049732305275629. View

17.

Achat H, Kawachi I, Levine S, Berkey C, Coakley E, Colditz G . Social networks, stress and health-related quality of life. Qual Life Res. 1999; 7(8):735-50. DOI: 10.1023/a:1008837002431. View

18.

Sherbourne C, Meredith L, Rogers W, Ware Jr J . Social support and stressful life events: age differences in their effects on health-related quality of life among the chronically ill. Qual Life Res. 1992; 1(4):235-46. DOI: 10.1007/BF00435632. View

19.

Wingo P, Tucker T, Jamison P, Martin H, McLaughlin C, Bayakly R . Cancer in Appalachia, 2001-2003. Cancer. 2007; 112(1):181-92. DOI: 10.1002/cncr.23132. View

20.

Strong J . The concept of well-being in a rural setting: understanding health and illness. Aust J Rural Health. 1997; 5(2):59-63. DOI: 10.1111/j.1440-1584.1997.tb00239.x. View