Perceived neighbourhood social cohesion and myocardial infarction

Perceived neighbourhood social cohesion and myocardial infarction

Background: The main strategy for alleviating heart disease has been to target individuals and encourage them to change their health behaviours. Although important, emphasis on individuals has diverted focus and responsibility away from neighbourhood characteristics, which also strongly influence pe...

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Veröffentlicht in:Journal of Epidemiology and Community Health (1979-). - BMJ Publishing Group Ltd. - 68(2014), 11, Seite 1020-1026
1. Verfasser: Kim, Eric S (VerfasserIn)
Weitere Verfasser: Hawes, Armani M, Smith, Jacqui
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2014
Zugriff auf das übergeordnete Werk:Journal of Epidemiology and Community Health (1979-)
Schlagworte:Social sciences Health sciences Behavioral sciences Biological sciences Applied sciences
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245 1 0 |a Perceived neighbourhood social cohesion and myocardial infarction 
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520 |a Background: The main strategy for alleviating heart disease has been to target individuals and encourage them to change their health behaviours. Although important, emphasis on individuals has diverted focus and responsibility away from neighbourhood characteristics, which also strongly influence people's behaviours. Although a growing body of research has repeatedly demonstrated strong associations between neighbourhood characteristics and cardiovascular health, it has typically focused on negative neighbourhood characteristics. Only a few studies have examined the potential health enhancing effects of positive neighbourhood characteristics, such as perceived neighbourhood social cohesion. Methods: Using multiple logistic regression models, we tested whether higher perceived neighbourhood social cohesion was associated with lower incidence of myocardial infarction. Prospective data from the Health and Retirement Study—a nationally representative panel study of American adults over the age of 50—were used to analyse 5276 participants with no history of heart disease. Respondents were tracked for 4 years and analyses adjusted for relevant sociodemographic, behavioural, biological and psychosocial factors. Results: In a model that adjusted for age, gender, race, marital status, education and total wealth, each SD increase in perceived neighbourhood social cohesion was associated with a 22% reduced odds of myocardial infarction (OR=0.78, 95% Cl 0.63 to 0.94. The association between perceived neighbourhood social cohesion and myocardial infarction remained even after adjusting for behavioural, biological and psychosocial covariates. Conclusions: Higher perceived neighbourhood social cohesion may have a protective effect against myocardial infarction. 
540 |a © 2014 BMJ Publishing Group 
650 4 |a Social sciences  |x Human geography  |x Social geography  |x Neighborhoods 
650 4 |a Health sciences  |x Medical conditions  |x Diseases  |x Cardiovascular diseases  |x Heart diseases  |x Myocardial infarction 
650 4 |a Behavioral sciences  |x Psychology 
650 4 |a Behavioral sciences  |x Sociology  |x Human societies  |x Social life  |x Social events 
650 4 |a Biological sciences  |x Biology  |x Physiology  |x Anthropometric measurements  |x Body mass index 
650 4 |a Health sciences  |x Health and wellness  |x Public health  |x Community health 
650 4 |a Health sciences  |x Health care industry  |x Health information  |x Biostatistics  |x Biometrics  |x Human physical characteristics  |x Age 
650 4 |a Applied sciences  |x Research methods  |x Survey research  |x Survey methods  |x Self reports 
650 4 |a Biological sciences  |x Biology  |x Physiology  |x System physiology  |x Cardiovascular physiology  |x Blood circulation  |x Hemodynamics  |x Blood pressure  |x Hypertension 
650 4 |a Applied sciences  |x Research methods  |x Modeling  |x Behavior modeling  |x Heart disease 
655 4 |a research-article 
700 1 |a Hawes, Armani M  |e verfasserin  |4 aut 
700 1 |a Smith, Jacqui  |e verfasserin  |4 aut 
773 0 8 |i Enthalten in  |t Journal of Epidemiology and Community Health (1979-)  |d BMJ Publishing Group Ltd  |g 68(2014), 11, Seite 1020-1026  |w (DE-627)319142868  |w (DE-600)2015405-7  |x 14702738  |7 nnns 
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