| Authors |
Sanchez-Recio, Raquel , Olivan-Blazquez, Barbara , Mendez-Lopez, Fatima , Gascon-Santos, Santiago , Marti-Lluch, Ruth , Zabaleta-Del-Olmo, Edurne , Tamayo-Morales, Olaya , Maderuelo-Fernandez, Jose A. , Casajuana, Marc , Lopez-Jimenez, Tomas , MOTRICO MARTINEZ, EMMA, GÓMEZ GÓMEZ, IRENE, Sanchez-Perez, Alvaro , RODERO COSANO, MARÍA LUISA, Llobera, Joan , Bellon, Juan A. , Moreno-Peral, Patricia , Bolibar, Bonaventura , Recio-Rodriguez, Jose I. , Ramos, Rafel , Claveria, Ana |
| Abstract |
Background The positive relationship between health and good perceived social support has been widely demonstrated in the scientific literature. It is known that having a good social support influences the proper maintenance of health even as a protective factor, besides being a good predictor in the recovery of health during a disease process, influencing differently men and women.Aim This project aims to study the moderating effects of perceived social support in the relationship between depression and self-perceived health according to gender, after a complex multiple-risk intervention was carried out in patients of primary health care with low social support.Methods A cluster randomized clinical trial was developed in the subgroup of patients included in phase 3 of the EIRA project. CONSORT recommendations were followed to present the results. To determine the mediating effect between social support and self-perceived health, three regression analyses were carried out using the procedure designed by Hayes through the PROCESS macro for SPSS.Results 3,062 people (54.9% women) participated in the study. Men reported experiencing more social support and self-perceived health (p < 0.001) than women at the beginning of the study, but women reported higher social support at post-intervention. Moderation analyses showed that, post-intervention, those women (bsimple = -2.9867, p < 0.001) and males (bsimple = -1.4337, p < 0.001) who scored lower in depression reported higher social support.Conclusion In primary care, it is necessary to encourage intervention strategies that promote social networks as a key element of positive action aimed at maintaining and improving the population\'s health, especially in adults and more specifically in women.Clinical trial registration ClinicalTrials.gov, identifier NCT03136211. |
