Social ties and change in social ties in relation to subsequent total and cause-specific mortality and coronary heart disease incidence in men
Social ties and change in social ties in relation to subsequent total and cause-specific mortality and coronary heart disease incidence in men
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DOI：
10.1093/aje/155.8.700
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发表时间：
2002-04-15
影响因子：
5
通讯作者：
Kawachi, I
中科院分区：
文献类型：
--
作者：
Eng, PM;Rimm, EB;Kawachi, I
作者前瞻性地研究了社会关系和社会关系的变化对1988年28，369名42-77岁的美国男性卫生专业人员的总死亡率和死因特异性死亡率以及冠心病发病率的影响，这些影响是通过众所周知的社会网络指数测量的。在控制了年龄、职业、健康行为、一般身体状况、冠状动脉危险因素和饮食习惯后，10年内，与社会融合程度较高的男性相比，社会融合程度较低的两个水平的男性总死亡率的相对风险为1.19（95%置信区间：1.06，1.34）。在多变量分析中，事故和自杀以及其他非癌症，非心血管原因的死亡在社会关系较少的男性中显着增加。社交孤立的男性也有致死性冠心病的风险增加（多变量相对风险= 1.82，95%置信区间：1.02，3.23）。在1988年至1996年之间的整体社会网络指数的增加与随后的2年死亡率没有显着相关。在仅限于老年男性的社会网络成分变化分析中，亲密朋友数量的每一分类单位增加与死亡风险降低29%显著相关。随着时间的推移，宗教服务出席率的增加也显著预示着死亡率的下降。
The authors prospectively examined the effects of social ties and change in social ties, as measured by a well-known social network index, on total and cause-specific mortality and on coronary heart disease incidence in 28,369 US male health professionals aged 42-77 years in 1988. Over 10 years, the relative risk of total mortality for men in the lower two levels of social integration compared with more socially integrated men was 1.19 (95% confidence interval: 1.06, 1.34) after controlling for age, occupation, health behaviors, general physical condition, coronary risk factors, and dietary habits. In multivariate analysis, deaths from accidents and suicide and from other noncancer, noncardiovascular causes were significantly increased among less socially connected men. Socially isolated men also had an increased risk of fatal coronary heart disease (multivariate relative risk = 1.82, 95% confidence interval: 1.02, 3.23). An increase in the overall social network index between 1988 and 1996 was not significantly associated with subsequent 2-year mortality. In analyses of change in social network components restricted to older men, each categorical unit increase in number of close friends was significantly associated with a 29% decrease in risk of death. Increase in religious service attendance over time was also significantly predictive of decreased mortality.