TY - JOUR
T1 - Social engagement and chronic disease risk behaviors
T2 - The Multi-Ethnic Study of Atherosclerosis
AU - Samuel, Laura J.
AU - Dennison Himmelfarb, Cheryl R.
AU - Szklo, Moyses
AU - Seeman, Teresa E.
AU - Echeverria, Sandra E.
AU - Diez Roux, Ana V.
N1 - Publisher Copyright:
© 2014 Elsevier Inc.
PY - 2015/2/1
Y1 - 2015/2/1
N2 - 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.
AB - 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.
KW - Neighborhood social cohesion
KW - Physical activity
KW - Smoking
KW - Social engagement
KW - Social support
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UR - http://www.scopus.com/inward/citedby.url?scp=84919933298&partnerID=8YFLogxK
U2 - 10.1016/j.ypmed.2014.12.008
DO - 10.1016/j.ypmed.2014.12.008
M3 - Article
C2 - 25524614
AN - SCOPUS:84919933298
SN - 0091-7435
VL - 71
SP - 61
EP - 66
JO - Preventive Medicine
JF - Preventive Medicine
ER -