Later-life social network profiles of male war survivors in Vietnam: Implications for health behaviors

IF 4.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Social Science & Medicine Pub Date : 2024-10-30 DOI:10.1016/j.socscimed.2024.117465
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Abstract

Emerging research emphasizes early-life war exposure as a key determinant of later-life health in older adults from low- and middle-income countries (LMICs). Yet, the linkages between war exposure, social networks, and later-life health behaviors have received little attention. Using data from the 2018 Vietnam Health and Aging Study, we investigate how early-life war experiences relate to the social networks and health behaviors of 1195 Vietnamese men aged 60+ who survived the Vietnam War (1965–1975). We utilize latent class analysis to identify men's network types and examine the associations between military service, war trauma, PTSD, and later-life network profiles. Furthermore, we assess the linkages between war experiences and risky health behaviors (physical inactivity, frequent alcohol and tobacco consumption) and the moderating effect of social networks on these behaviors. Our findings reveal that exposure to wartime malevolent living conditions, as opposed to direct war violence, and recent PTSD symptoms are linked to lower support levels in respondents' network profiles. Moreover, although diverse and supportive networks correspond to a reduced risk of physical inactivity, they are associated with higher risks of frequent alcohol consumption and are marginally associated with tobacco use. Importantly, social network profiles moderate the relationship between PTSD symptoms and the risk of frequent alcohol consumption. This evidence underscores the need for policymakers to consider the historical and social contexts of LMICs when deploying social support as a health intervention.
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越南战争男性幸存者的晚年社交网络概况:对健康行为的影响
新近的研究强调,早年的战争经历是中低收入国家(LMICs)老年人晚年健康的一个关键决定因素。然而,战争暴露、社交网络和晚年健康行为之间的联系却很少受到关注。利用 2018 年越南健康与老龄化研究的数据,我们调查了早年的战争经历与 1195 名 60 岁以上、在越南战争(1965-1975 年)中幸存的越南男性的社会网络和健康行为之间的关系。我们利用潜类分析来识别男性的网络类型,并研究服兵役、战争创伤、创伤后应激障碍和晚年生活网络特征之间的关联。此外,我们还评估了战争经历与危险健康行为(缺乏运动、频繁饮酒和吸烟)之间的联系,以及社交网络对这些行为的调节作用。我们的研究结果表明,相对于直接的战争暴力而言,战时恶劣的生活条件和近期的创伤后应激障碍症状与受访者网络档案中较低的支持水平有关。此外,虽然多样化的支持性网络会降低缺乏运动的风险,但它们与频繁饮酒的较高风险有关,与吸烟的关系不大。重要的是,社交网络状况缓和了创伤后应激障碍症状与频繁饮酒风险之间的关系。这些证据突出表明,决策者在将社会支持作为一种健康干预措施时,需要考虑低收入和中等收入国家的历史和社会背景。
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来源期刊
Social Science & Medicine
Social Science & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
9.10
自引率
5.60%
发文量
762
审稿时长
38 days
期刊介绍: Social Science & Medicine provides an international and interdisciplinary forum for the dissemination of social science research on health. We publish original research articles (both empirical and theoretical), reviews, position papers and commentaries on health issues, to inform current research, policy and practice in all areas of common interest to social scientists, health practitioners, and policy makers. The journal publishes material relevant to any aspect of health from a wide range of social science disciplines (anthropology, economics, epidemiology, geography, policy, psychology, and sociology), and material relevant to the social sciences from any of the professions concerned with physical and mental health, health care, clinical practice, and health policy and organization. We encourage material which is of general interest to an international readership.
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