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
JournalJ Epidemiol Community Health
Date Published2014 Nov
ISSN Number1470-2738
KeywordsAged, Aged, 80 and over, Confounding Factors, Epidemiologic, Female, Health Behavior, Health Status, Health Surveys, Humans, Incidence, Interviews as Topic, Male, Mental Health, Middle Aged, Multilevel Analysis, Myocardial Infarction, Perception, Prospective Studies, Protective factors, Residence Characteristics, Self Report, Social Environment, Socioeconomic factors, United States

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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Endnote Keywords

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

Endnote ID


Alternate JournalJ Epidemiol Community Health
Citation Key8123
PubMed ID25135074
PubMed Central IDPMC4600604
Grant ListR01 AG040635 / AG / NIA NIH HHS / United States
U01 AG009740 / AG / NIA NIH HHS / United States