Gender Differences in the Influence of Social Support on One-Year Changes in Functional Status in Older Patients with Heart Failure
The purpose of this study was to determine the combined effects of gender and levels of social support on 1-year functional health outcomes in older persons diagnosed with heart failure (HF). Persons ≥ 65 years of age with an acute HF exacerbation (164 females; 271 males) were enrolled and followed...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Cardiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2012/616372 |
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| _version_ | 1832551014195003392 |
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| author | Danielle M. Berard Elizabeth G. VanDenKerkhof Margaret Harrison Joan E. Tranmer |
| author_facet | Danielle M. Berard Elizabeth G. VanDenKerkhof Margaret Harrison Joan E. Tranmer |
| author_sort | Danielle M. Berard |
| collection | DOAJ |
| description | The purpose of this study was to determine the combined effects of gender and levels of social support on 1-year functional health outcomes in older persons diagnosed with heart failure (HF). Persons ≥ 65 years of age with an acute HF exacerbation (164 females; 271 males) were enrolled and followed for a year. Participants completed baseline and 12-month questionnaires containing clinical and demographic descriptive information and validated self-report measures of: (1) physical functioning (Medical Outcome Study [MOS] SF12 and Kansas City Cardiomyopathy Questionnaire [KCCQ]) and (2) social support (MOS- Social Support Survey). Women were more likely to be single, widowed or divorced, living alone and earning less annual income. At baseline, women reported significantly lower support and physical function scores. However, at 1 year there were no significant gender differences in the proportion of men or women who experienced clinically meaningful functional decline or death across the year of follow-up. In multivariable modeling, men with lower levels of social support were more likely to experience functional decline. This was not the case for women. Our findings suggest that gender-directed strategies to promote optimization of function for both men and women living with HF in their community are warranted. |
| format | Article |
| id | doaj-art-e589cd465fba49b7bb77766199ab762e |
| institution | Kabale University |
| issn | 2090-8016 2090-0597 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cardiology Research and Practice |
| spelling | doaj-art-e589cd465fba49b7bb77766199ab762e2025-02-03T06:05:22ZengWileyCardiology Research and Practice2090-80162090-05972012-01-01201210.1155/2012/616372616372Gender Differences in the Influence of Social Support on One-Year Changes in Functional Status in Older Patients with Heart FailureDanielle M. Berard0Elizabeth G. VanDenKerkhof1Margaret Harrison2Joan E. Tranmer3School of Nursing, Queen’s University, Kingston, ON, K7L 3N6, CanadaSchool of Nursing, Queen’s University, Kingston, ON, K7L 3N6, CanadaSchool of Nursing, Queen’s University, Kingston, ON, K7L 3N6, CanadaSchool of Nursing, Queen’s University, Kingston, ON, K7L 3N6, CanadaThe purpose of this study was to determine the combined effects of gender and levels of social support on 1-year functional health outcomes in older persons diagnosed with heart failure (HF). Persons ≥ 65 years of age with an acute HF exacerbation (164 females; 271 males) were enrolled and followed for a year. Participants completed baseline and 12-month questionnaires containing clinical and demographic descriptive information and validated self-report measures of: (1) physical functioning (Medical Outcome Study [MOS] SF12 and Kansas City Cardiomyopathy Questionnaire [KCCQ]) and (2) social support (MOS- Social Support Survey). Women were more likely to be single, widowed or divorced, living alone and earning less annual income. At baseline, women reported significantly lower support and physical function scores. However, at 1 year there were no significant gender differences in the proportion of men or women who experienced clinically meaningful functional decline or death across the year of follow-up. In multivariable modeling, men with lower levels of social support were more likely to experience functional decline. This was not the case for women. Our findings suggest that gender-directed strategies to promote optimization of function for both men and women living with HF in their community are warranted.http://dx.doi.org/10.1155/2012/616372 |
| spellingShingle | Danielle M. Berard Elizabeth G. VanDenKerkhof Margaret Harrison Joan E. Tranmer Gender Differences in the Influence of Social Support on One-Year Changes in Functional Status in Older Patients with Heart Failure Cardiology Research and Practice |
| title | Gender Differences in the Influence of Social Support on One-Year Changes in Functional Status in Older Patients with Heart Failure |
| title_full | Gender Differences in the Influence of Social Support on One-Year Changes in Functional Status in Older Patients with Heart Failure |
| title_fullStr | Gender Differences in the Influence of Social Support on One-Year Changes in Functional Status in Older Patients with Heart Failure |
| title_full_unstemmed | Gender Differences in the Influence of Social Support on One-Year Changes in Functional Status in Older Patients with Heart Failure |
| title_short | Gender Differences in the Influence of Social Support on One-Year Changes in Functional Status in Older Patients with Heart Failure |
| title_sort | gender differences in the influence of social support on one year changes in functional status in older patients with heart failure |
| url | http://dx.doi.org/10.1155/2012/616372 |
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