Association between neighborhood social cohesion, awareness of chronic diseases, and participation in healthy behaviors in a community cohort.
Association between neighborhood social cohesion, awareness of chronic diseases, and participation in healthy behaviors in a community cohort.
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社区社会凝聚力，对慢性疾病的认识以及社区人群中健康行为的关联。
DOI：
10.1186/s12889-021-11633-8
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发表时间：
2021-09-03
影响因子：
4.5
通讯作者：
Tuot DS
中科院分区：
文献类型：
--
作者：
Rosenblatt AM;Crews DC;Powe NR;Zonderman AB;Evans MK;Tuot DS
邻里社会凝聚力（NSC）是一个社区中居民的关系网络以及共同的价值观和规范。较高的NSC与心血管健康的改善有关，主要是在白人中，而非裔美国人中。在一个双种族队列中，我们旨在研究NSC与慢性疾病意识和参与健康自我管理行为之间的关系，以及NSC影响心血管健康结果的两种潜在机制。利用多样性社区的健康老龄化研究（HANDLS），我们横断面研究了NSC与三种慢性疾病（糖尿病、慢性肾脏疾病（CKD）和高血压）的意识以及参与健康自我管理行为（包括体育活动、健康饮食和戒烟）之间的关系。研究参与者（n = 2082）的平均年龄为56.5岁；38.7%是白人，61.4%是非裔美国人。在参与者中，26%患有糖尿病，70%患有高血压，20.2%患有慢性肾病。平均NSC为3.3 (SD = 0.80)，评分范围为1（最低分）至5（最高分）。总体上或种族上，NSC与任何慢性疾病意识之间没有显著关联。然而，在白人中，NSC平均得分越高，吸烟越少，饮食越健康（校正优势比[aOR]， 95%可信区间[CI]: =0.76, 0.61-0.94； β系数[βc]:， 95% CI: 1.75; 0.55-2.97），但非裔美国人则不然（aOR = 0.95, 0.79-1.13; βc: 0.46, - 0.48-1.39； p交互作用= 0.08和0.06）。在白人和非裔美国人中，较高的NSC分数与自我报告的体力活动增加相关（βc: 0.12; 0.08-0.16； p交互作用= 0.40）。社区参与和邻里社会凝聚力可能是促进健康行为和预防心血管疾病的重要目标。需要更多的研究来了解不同种族的NSC和健康行为之间的不同联系。在线版本包含补充材料，可在10.1186/s12889-021-11633-8获得。
Neighborhood social cohesion (NSC) is the network of relationships as well as the shared values and norms of residents in a neighborhood. Higher NSC has been associated with improved cardiovascular health, largely among Whites but not African Americans. In a bi-racial cohort, we aimed to study the association between NSC and chronic disease awareness and engagement in healthy self-management behaviors, two potential mechanisms by which NSC could impact cardiovascular health outcomes. Using the Healthy Aging in Neighborhoods of Diversity Across the Lifespan Study (HANDLS), we cross-sectionally examined the association between NSC and awareness of three chronic conditions (diabetes, chronic kidney disease (CKD), and hypertension) and engagement in healthy self-management behaviors including physical activity, healthy eating, and cigarette avoidance. Study participants (n = 2082) had a mean age of 56.5 years; 38.7% were White and 61.4% African American. Of the participants, 26% had diabetes, 70% had hypertension and 20.2% had CKD. Mean NSC was 3.3 (SD = 0.80) on a scale of 1 (lowest score) to 5 (highest score). There was no significant association between NSC and any chronic disease awareness, overall or by race. However, each higher point in mean NSC score was associated with less cigarette use and healthier eating scores, among Whites (adjusted odds ratio [aOR], 95% confidence interval [CI]: =0.76, 0.61–0.94; beta coefficient [βc]:, 95% CI: 1.75; 0.55–2.97, respectively) but not African Americans (aOR = 0.95, 0.79–1.13; βc: 0.46, − 0.48–1.39, respectively; Pinteraction = 0.08 and 0.06). Among both Whites and African Americans, higher NSC scores were associated with increases in self-reported physical activity (βc: 0.12; 0.08–0.16; Pinteraction = 0.40). Community engagement and neighborhood social cohesion may be important targets for promotion of healthy behaviors and cardiovascular disease prevention. More research is needed to understand the different associations of NSC and healthy behaviors by race. The online version contains supplementary material available at 10.1186/s12889-021-11633-8.
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DOI：
10.1331/10865800360467042
发表时间：
2003-01-01
期刊：
Journal of the American Pharmaceutical Association (Washington,D.C. : 1996)
影响因子：
--
作者：
Mangum, Stacy A;Kraenow, Kim R;Narducci, Warren A
通讯作者：
Narducci, Warren A
影响因子：
5.5
作者：
Anderson, LM;Scrimshaw, SC;Fielding, JE
通讯作者：
Fielding, JE
影响因子：
5.5
作者：
Kim, Eric S.;Kawachi, Ichiro
通讯作者：
Kawachi, Ichiro
影响因子：
8.3
作者：
Clark, Cari Jo;Guo, Hongfei;Everson-Rose, Susan A.
通讯作者：
Everson-Rose, Susan A.
影响因子：
5
作者：
Kaiser, Paulina;Roux, Ana V. Diez;Lisabeth, Lynda
通讯作者：
Lisabeth, Lynda