TY - JOUR
KW - Adolescent
KW - Adult
KW - Alcoholism/ethnology
KW - Culture
KW - Female
KW - Health Surveys
KW - Humans
KW - Indians, North American
KW - Mental Disorders/ethnology
KW - Middle Aged
KW - New Mexico
KW - Perception
KW - Primary Health Care
KW - Questionnaires
KW - Social Isolation
KW - Social Support
KW - Substance-Related Disorders/ethnology
KW - United States
KW - United States Indian Health Service
KW - Washington
AU - J. Oetzel
AU - B. Duran
AU - Y. Jiang
AU - J. Lucero
A1 - 
AB - The purpose of this study was to determine the relationship of two types of social support (emotional and instrumental) and two types of social undermining (critical appraisal and isolation) with five categories of alcohol, drug, or mental disorders (ADM; any mood, any anxiety, any substance abuse, any disorder, and two or more disorders) in 169 American Indian women presenting for primary care at an Indian Health Service facility. Social support and social undermining are often treated as opposite poles, but in fact they are distinct factors with independent effects. The findings illustrate that social support and undermining variables have a significant relationship with ADM outcomes even when controlling for confounding demographic variables. Any substance abuse was associated with all four social variables, while two or more disorders were associated with instrumental support and isolation. Any anxiety (isolation), any mood (critical appraisal), and any disorder (isolation) were each associated with one social variable. Overall, social undermining appears to have a stronger relationship with mental health than with social support.
BT - Journal of health communication
C5 - Healthcare Disparities; Opioids & Substance Use
CP - 2
CY - England
DO - 10.1080/10810730601152771
IS - 2
JF - Journal of health communication
N2 - The purpose of this study was to determine the relationship of two types of social support (emotional and instrumental) and two types of social undermining (critical appraisal and isolation) with five categories of alcohol, drug, or mental disorders (ADM; any mood, any anxiety, any substance abuse, any disorder, and two or more disorders) in 169 American Indian women presenting for primary care at an Indian Health Service facility. Social support and social undermining are often treated as opposite poles, but in fact they are distinct factors with independent effects. The findings illustrate that social support and undermining variables have a significant relationship with ADM outcomes even when controlling for confounding demographic variables. Any substance abuse was associated with all four social variables, while two or more disorders were associated with instrumental support and isolation. Any anxiety (isolation), any mood (critical appraisal), and any disorder (isolation) were each associated with one social variable. Overall, social undermining appears to have a stronger relationship with mental health than with social support.
PP - England
PY - 2007
SN - 1081-0730; 1081-0730
SP - 187
EP - 206
EP - 
T1 - Social support and social undermining as correlates for alcohol, drug, and mental disorders in American Indian women presenting for primary care at an Indian Health Service hospital
T2 - Journal of health communication
TI - Social support and social undermining as correlates for alcohol, drug, and mental disorders in American Indian women presenting for primary care at an Indian Health Service hospital
U1 - Healthcare Disparities; Opioids & Substance Use
U2 - 17365359
U3 - 10.1080/10810730601152771
VL - 12
VO - 1081-0730; 1081-0730
Y1 - 2007
ER -