Andrew M. Rosenblatt|Deidra C. Crews|Neil R. Powe|Alan B. Zonderman|Michele K. Evans|Delphine S. Tuot
Association between neighborhood social cohesion, awareness of chronic diseases, and participation in healthy behaviors in a community cohort
Florida State University|Cornell University|Johns Hopkins Medicine|Johns Hopkins University|San Francisco General Hospital|National Institute on Aging|National Institutes of Health|National Institute on Aging|National Institutes of Health|San Francisco General Hospital|University of California, San Francisco
abstract background neighborhood social cohesion nsc network relationships well shared values norms residents neighborhood higher nsc associated improved cardiovascular health largely among whites african americans biracial cohort aimed study association nsc chronic disease awareness engagement healthy selfmanagement behaviors two potential mechanisms nsc could impact cardiovascular health outcomes methods using healthy aging neighborhoods diversity across lifespan study handls crosssectionally examined association nsc awareness three chronic conditions diabetes chronic kidney disease ckd hypertension engagement healthy selfmanagement behaviors including physical activity healthy eating cigarette avoidance results study participants n 2082 mean age 565 years 387 white 614 african american participants 26 diabetes 70 hypertension 202 ckd mean nsc 33 sd 080 scale 1 lowest score 5 highest score significant association nsc chronic disease awareness overall race however higher point mean nsc score associated less cigarette use healthier eating scores among whites adjusted odds ratio aor 95 confidence interval ci 076 061094 beta coefficient c 95 ci 175 055297 respectively african americans aor 095 079113 c 046 048139 respectively p interaction 008 006 among whites african americans higher nsc scores associated increases selfreported physical activity c 012 008016 p interaction 040 conclusions community engagement neighborhood social cohesion may important targets promotion healthy behaviors cardiovascular disease prevention research needed understand different associations nsc healthy behaviors race