Rosalba Hernandez1, Mercedes Carnethon2, Aida L Giachello2, Frank J Penedo3, Donghong Wu4, Orit Birnbaum-Weitzman5, Rebeca Espinoza Giacinto6, Linda C Gallo7, Carmen R Isasi8, Neil Schneiderman9, Yanping Teng10, Donglin Zeng10, Martha L Daviglus2,4. 1. a School of Social Work , University of Illinois at Urbana-Champaign , Urbana , USA. 2. b Department of Preventive Medicine , Northwestern University Feinberg School of Medicine , Chicago , USA. 3. c Department of Medical Social Sciences , Northwestern University Feinberg School of Medicine , Chicago , USA. 4. d College of Medicine, Institute for Minority Health Research, University of Illinois at Chicago , Chicago , USA. 5. e Department of Psychology, Behavioral Medicine Research Center , University of Miami , Miami , USA. 6. f SDSU/UCSD Joint Doctoral Program in Global Health , San Diego , USA. 7. g Department of Psychology , San Diego State University , Chula Vista , USA. 8. h Department of Epidemiology and Population Health , Albert Einstein College of Medicine , Bronx , USA. 9. i Department of Psychology , University of Miami , Miami , USA. 10. j Collaborative Studies Coordinating Center , University of North Carolina at Chapel Hill , Chapel Hill , USA.
Abstract
OBJECTIVE(S): Cross-sectional and longitudinal studies have yielded inconsistent findings on the associations of social support networks with cardiovascular health in Hispanic/Latino adults with diabetes. We examined the cross-sectional associations of structural social support and traditional cardiovascular disease (CVD) risk factors in a diverse sample of Hispanic/Latino adults with diabetes. RESEARCH DESIGN AND METHODS: This analysis included 2994 adult participants ages 18-74 with diabetes from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL - 2008-2011). Select items from the Social Network Inventory (SNI) were used to assess indices of structural social support, i.e. network size (number of children, parents, and in-laws) and frequency of familial contact. Standardized methods were used to measure abdominal obesity, BMI, hypertension, hypercholesterolemia, and smoking status. Multivariate regression was used to examine associations of structural support with individual CVD risk factors with demographics, acculturation, physical health, and psychological ill-being (depressive symptoms and anxiety) included as covariates. RESULTS: There were no significant cross-sectional associations of structural support indices with abdominal obesity, hypertension, hypercholesterolemia, or smoking status. There was a marginally significant (OR: 1.05; 95%CI 0.99-1.11) trend toward higher odds of obesity in participants reporting a larger family unit (including children, parents, and in-laws) and those with closer ties with extended family relatives (OR: 1.04; 95%CI 0.99-1.09). CONCLUSIONS: Structural social support was marginally associated with higher odds of obesity in Hispanic/Latino adults with diabetes. Alternate forms of social support (e.g. healthcare professionals, friends, peers) should be further explored as potential markers of cardiac risk in Hispanics/Latinos with diabetes.
OBJECTIVE(S): Cross-sectional and longitudinal studies have yielded inconsistent findings on the associations of social support networks with cardiovascular health in Hispanic/Latino adults with diabetes. We examined the cross-sectional associations of structural social support and traditional cardiovascular disease (CVD) risk factors in a diverse sample of Hispanic/Latino adults with diabetes. RESEARCH DESIGN AND METHODS: This analysis included 2994 adult participants ages 18-74 with diabetes from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL - 2008-2011). Select items from the Social Network Inventory (SNI) were used to assess indices of structural social support, i.e. network size (number of children, parents, and in-laws) and frequency of familial contact. Standardized methods were used to measure abdominal obesity, BMI, hypertension, hypercholesterolemia, and smoking status. Multivariate regression was used to examine associations of structural support with individual CVD risk factors with demographics, acculturation, physical health, and psychological ill-being (depressive symptoms and anxiety) included as covariates. RESULTS: There were no significant cross-sectional associations of structural support indices with abdominal obesity, hypertension, hypercholesterolemia, or smoking status. There was a marginally significant (OR: 1.05; 95%CI 0.99-1.11) trend toward higher odds of obesity in participants reporting a larger family unit (including children, parents, and in-laws) and those with closer ties with extended family relatives (OR: 1.04; 95%CI 0.99-1.09). CONCLUSIONS: Structural social support was marginally associated with higher odds of obesity in Hispanic/Latino adults with diabetes. Alternate forms of social support (e.g. healthcare professionals, friends, peers) should be further explored as potential markers of cardiac risk in Hispanics/Latinos with diabetes.
Entities:
Keywords:
Diabetes; Hispanics/Latinos; cardiovascular disease risk factors; social support
Authors: Margaret A Powers; Joan Bardsley; Marjorie Cypress; Paulina Duker; Martha M Funnell; Amy Hess Fischl; Melinda D Maryniuk; Linda Siminerio; Eva Vivian Journal: Diabetes Educ Date: 2015-06-05 Impact factor: 2.140
Authors: Aram V Chobanian; George L Bakris; Henry R Black; William C Cushman; Lee A Green; Joseph L Izzo; Daniel W Jones; Barry J Materson; Suzanne Oparil; Jackson T Wright; Edward J Roccella Journal: JAMA Date: 2003-05-14 Impact factor: 56.272
Authors: Linda C Gallo; Frank J Penedo; Mercedes Carnethon; Carmen R Isasi; Daniela Sotres-Alvarez; Vanessa L Malcarne; Scott C Roesch; Marston E Youngblood; Martha L Daviglus; Patricia Gonzalez; Gregory T Talavera Journal: Ethn Dis Date: 2014 Impact factor: 1.847
Authors: Catherine C Cowie; Keith F Rust; Earl S Ford; Mark S Eberhardt; Danita D Byrd-Holt; Chaoyang Li; Desmond E Williams; Edward W Gregg; Kathleen E Bainbridge; Sharon H Saydah; Linda S Geiss Journal: Diabetes Care Date: 2008-11-18 Impact factor: 17.152
Authors: Carrie R Howell; Lucia Juarez; April A Agne; Ariann F Nassel; Isabel C Scarinci; Guadalupe X Ayala; Andrea L Cherrington Journal: J Immigr Minor Health Date: 2022-02-17
Authors: Rosenda Murillo; Amber Pirzada; Donghong Wu; Linda C Gallo; Sonia Davis; Natania W Ostrovsky; Frank J Penedo; Krista Perreira; Samantha A Reina; Linda Van Horn; Jeremiah Stamler; Martha L Daviglus Journal: J Behav Med Date: 2019-07-26
Authors: Ronald J Ellis; Jenny Iudicello; Ni Sun-Suslow; David Grelotti; Mariana Cherner; Erin Morgan; Scott L Letendre; Robert K Heaton Journal: J Acquir Immune Defic Syndr Date: 2021-04-15 Impact factor: 3.771