Perceived neighbourhood social cohesion and myocardial infarction

TitlePerceived neighbourhood social cohesion and myocardial infarction
Publication TypeJournal Article
Year of Publication2014
AuthorsKim, ES, Hawes, AM, Smith, J
JournalJournal of Epidemiology and Community Health
Volume68
Issue11
Pagination1020-1026
KeywordsHealth Conditions and Status, Methodology, Risk Taking
Abstract

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 CI 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.

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DOI10.1136/jech-2014-204009
Endnote Keywords

coronary artery disease/heart disease/risk factors/logistic regression analysis/physical activity/stroke/mortality

Endnote ID

999999

Citation Key8123
PubMed ID25135074
PubMed Central IDPMC4600604