Laura J Samuel1, Cheryl R Dennison Himmelfarb2, Moyses Szklo3, Teresa E Seeman4, Sandra E Echeverria5, Ana V Diez Roux6. 1. Johns Hopkins University, School of Nursing, 525 N Wolfe St., Baltimore, MD 21205, USA. Electronic address: lsamuel@jhmi.edu. 2. Johns Hopkins University, School of Nursing, 525 N Wolfe St., Baltimore, MD 21205, USA. Electronic address: cdennis4@jhu.edu. 3. Johns Hopkins University, Bloomberg School of Public Health, 615 North Wolfe Street, Room W6009, Baltimore, MD 21205, USA. Electronic address: mszklo@jhsph.edu. 4. University of California, Los Angeles, David Geffen School of Medicine at UCLA, Department of Medicine, Division of Geriatrics, 10945 Le Conte Avenue, Suite 2339, Los Angeles, CA 90095, USA; University of California, Los Angeles, School of Public Health, 10945 Le Conte Avenue, Suite 2339, Los Angeles, CA 90095, USA. Electronic address: tseeman@mednet.ucla.edu. 5. Rutgers School of Public Health, RWJMS Research and School of Public Health Bldg., 683 Hoes Lane West, Room 205, Piscataway, NJ 08854, USA. Electronic address: sandra.echeverria@rutgers.edu. 6. University of Michigan, School of Public Health, 1415 Washington Heights, Ann Arbor, MI 48104, USA. Electronic address: avd37@drexel.edu.
Abstract
OBJECTIVE: Although engagement in social networks is important to health, multiple different dimensions exist. This study identifies which dimensions are associated with chronic disease risk behaviors. METHODS: Cross-sectional data on social support, loneliness, and neighborhood social cohesion from 5381 participants, aged 45-84 from the Multi-Ethnic Study of Atherosclerosis was used. RESULTS: After adjusting for individual characteristics and all social engagement variables, social support was associated with lower smoking prevalence (PR=0.88, 95% CI: 0.82, 0.94), higher probability of having quit (PR=1.03, 95% CI: 1.01, 1.06) and a slightly higher probability of achieving physical activity recommendations (PR=1.03, 95% CI: 1.01, 1.06). Neighborhood social cohesion was associated with very slightly higher probability of achieving recommended (PR=1.03, 95% CI: 1.01, 1.05) or any regular (PR=1.0, 95% CI: 1.01, 1.04) physical activity, and a higher probability of consuming at least five daily fruit and vegetable servings (PR=1.05, 95% CI: 1.01, 1.09). CONCLUSIONS: Both social support and neighborhood social cohesion, a less commonly considered aspect of social engagement, appear to be important for chronic disease prevention interventions and likely act via separate pathways.
OBJECTIVE: Although engagement in social networks is important to health, multiple different dimensions exist. This study identifies which dimensions are associated with chronic disease risk behaviors. METHODS: Cross-sectional data on social support, loneliness, and neighborhood social cohesion from 5381 participants, aged 45-84 from the Multi-Ethnic Study of Atherosclerosis was used. RESULTS: After adjusting for individual characteristics and all social engagement variables, social support was associated with lower smoking prevalence (PR=0.88, 95% CI: 0.82, 0.94), higher probability of having quit (PR=1.03, 95% CI: 1.01, 1.06) and a slightly higher probability of achieving physical activity recommendations (PR=1.03, 95% CI: 1.01, 1.06). Neighborhood social cohesion was associated with very slightly higher probability of achieving recommended (PR=1.03, 95% CI: 1.01, 1.05) or any regular (PR=1.0, 95% CI: 1.01, 1.04) physical activity, and a higher probability of consuming at least five daily fruit and vegetable servings (PR=1.05, 95% CI: 1.01, 1.09). CONCLUSIONS: Both social support and neighborhood social cohesion, a less commonly considered aspect of social engagement, appear to be important for chronic disease prevention interventions and likely act via separate pathways.
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