IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v16y2019i9p1498-d226504.html
   My bibliography  Save this article

Social Integration, Social Support, and All-Cause, Cardiovascular Disease and Cause-Specific Mortality: A Prospective Cohort Study

Author

Listed:
  • Jinke Tan

    (School of Political Science and Public Administration, East China University of Political Science and Law, Shanghai 201620, China)

  • Yafeng Wang

    (Department of Epidemiology and Biostatistics, School of Health Sciences, Wuhan University, Wuhan 430071, China)

Abstract

Social relationships are associated with all-cause mortality. Substantial uncertainties remain, however, for the associations of social relationships with mortality from subtypes of cardiovascular disease (CVD) and major non-vascular diseases. This prospective cohort study estimated mortality risks according to social support and social integration utilizing a nationally representative sample of 29,179 adults ages 18 years and older. Cox proportional hazards regression models were employed. Social integration, but not social support was associated with all-cause mortality risk. For CVD mortality, social integration predicted a 33% lower risk (HR = 0.67, 95% CI = 0.53–0.86). The results were similar in magnitude for heart disease mortality. Participants with the highest social integration level had a 53%, 30%, and 47% decreased mortality risk of diabetes, Alzheimer’s disease, and chronic lower respiratory diseases (CLRD) than those with the lowest level. These social integration associations were linear and consistent across baseline age, sex and socioeconomic status. We did not observe an association of social integration with the risk of cancer mortality. Our findings support the linear association of social integration but not social support with mortality from a range of major chronic diseases in the US adult population, independent of socioeconomic status (SES), behavioral risk factors, and health status.

Suggested Citation

  • Jinke Tan & Yafeng Wang, 2019. "Social Integration, Social Support, and All-Cause, Cardiovascular Disease and Cause-Specific Mortality: A Prospective Cohort Study," IJERPH, MDPI, vol. 16(9), pages 1-11, April.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:9:p:1498-:d:226504
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/16/9/1498/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/16/9/1498/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Peter Libby, 2002. "Inflammation in atherosclerosis," Nature, Nature, vol. 420(6917), pages 868-874, December.
    2. Julianne Holt-Lunstad & Timothy B Smith & J Bradley Layton, 2010. "Social Relationships and Mortality Risk: A Meta-analytic Review," PLOS Medicine, Public Library of Science, vol. 7(7), pages 1-1, July.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Lok Ming Tam & Kristin Hocker & Tamala David & Edith Marie Williams, 2024. "The Influence of Social Dynamics on Biological Aging and the Health of Historically Marginalized Populations: A Biopsychosocial Model for Health Disparities," IJERPH, MDPI, vol. 21(5), pages 1-20, April.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Joshua D. Landvatter & Bert N. Uchino & Timothy W. Smith & Jos A. Bosch, 2022. "Partner’s Perceived Social Support Influences Their Spouse’s Inflammation: An Actor–Partner Analysis," IJERPH, MDPI, vol. 19(2), pages 1-9, January.
    2. Maria Alzira Pimenta Dinis & Helder Fernando Pedrosa Sousa & Andreia de Moura & Lilian M. F. Viterbo & Ricardo J. Pinto, 2019. "Health Behaviors as a Mediator of the Association Between Interpersonal Relationships and Physical Health in a Workplace Context," IJERPH, MDPI, vol. 16(13), pages 1-9, July.
    3. Evans-Polce, Rebecca J. & Staff, Jeremy & Maggs, Jennifer L., 2016. "Alcohol abstention in early adulthood and premature mortality: Do early life factors, social support, and health explain this association?," Social Science & Medicine, Elsevier, vol. 163(C), pages 71-79.
    4. Santini, Ziggi Ivan & Jose, Paul E. & Koyanagi, Ai & Meilstrup, Charlotte & Nielsen, Line & Madsen, Katrine R. & Koushede, Vibeke, 2020. "Formal social participation protects physical health through enhanced mental health: A longitudinal mediation analysis using three consecutive waves of the Survey of Health, Ageing and Retirement in E," Social Science & Medicine, Elsevier, vol. 251(C).
    5. Ruta Clair & Maya Gordon & Matthew Kroon & Carolyn Reilly, 2021. "The effects of social isolation on well-being and life satisfaction during pandemic," Palgrave Communications, Palgrave Macmillan, vol. 8(1), pages 1-6, December.
    6. Lena Lämmle & Alexander Woll & Gert B. M. Mensink & Klaus Bös, 2013. "Distal and Proximal Factors of Health Behaviors and Their Associations with Health in Children and Adolescents," IJERPH, MDPI, vol. 10(7), pages 1-35, July.
    7. Fernando L Vázquez & Patricia Otero & J Antonio García-Casal & Vanessa Blanco & Ángela J Torres & Manuel Arrojo, 2018. "Efficacy of video game-based interventions for active aging. A systematic literature review and meta-analysis," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-24, December.
    8. Marit Skogstad & Asgeir Mamen & Lars-Kristian Lunde & Bente Ulvestad & Dagfinn Matre & Hans Christian D. Aass & Reidun Øvstebø & Pia Nielsen & Kari N. Samuelsen & Øivind Skare & Per Anton Sirnes, 2019. "Shift Work Including Night Work and Long Working Hours in Industrial Plants Increases the Risk of Atherosclerosis," IJERPH, MDPI, vol. 16(3), pages 1-11, February.
    9. Valéria Teresa Saraiva Lino & Nádia Cristina Pinheiro Rodrigues & Mônica Kramer de Noronha Andrade & Inês Nascimento de Carvalho Reis & Lucília Almeida Elias Lopes & Soraya Atie, 2019. "Association between visual problems, insufficient emotional support and urinary incontinence with disability in elderly people living in a poor district in Rio de Janeiro, Brazil: A six-year follow-up," PLOS ONE, Public Library of Science, vol. 14(5), pages 1-12, May.
    10. Regina Kuppen & Mirjam de Leede & Jolanda Lindenberg & David van Bodegom, 2023. "Collective Prevention of Non-Communicable Diseases in an Ageing Population with Community Care," IJERPH, MDPI, vol. 20(4), pages 1-14, February.
    11. Joanne Brooke & Maria Clark, 2020. "Older people’s early experience of household isolation and social distancing during COVID‐19," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(21-22), pages 4387-4402, November.
    12. Qin Xiang Ng & Kuan Tsee Chee & Michelle Lee Zhi Qing De Deyn & Zenn Chua, 2020. "Staying connected during the COVID-19 pandemic," International Journal of Social Psychiatry, , vol. 66(5), pages 519-520, August.
    13. Fredrica Nyqvist & Bernd Pape & Tony Pellfolk & Anna Forsman & Kristian Wahlbeck, 2014. "Structural and Cognitive Aspects of Social Capital and All-Cause Mortality: A Meta-Analysis of Cohort Studies," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 116(2), pages 545-566, April.
    14. Clément Meier & Jürgen Maurer, 2022. "Buddy or burden? Patterns, perceptions, and experiences of pet ownership among older adults in Switzerland," European Journal of Ageing, Springer, vol. 19(4), pages 1201-1212, December.
    15. Jintao Li & Yan Dai & Cynthia Changxin Wang & Jun Sun, 2022. "Assessment of Environmental Demands of Age-Friendly Communities from Perspectives of Different Residential Groups: A Case of Wuhan, China," IJERPH, MDPI, vol. 19(15), pages 1-20, July.
    16. Nakagomi, Atsushi & Tsuji, Taishi & Saito, Masashige & Ide, Kazushige & Kondo, Katsunori & Shiba, Koichiro, 2023. "Social isolation and subsequent health and well-being in older adults: A longitudinal outcome-wide analysis," Social Science & Medicine, Elsevier, vol. 327(C).
    17. Haywantee Ramkissoon, 2021. "Social Bonding and Public Trust/Distrust in COVID-19 Vaccines," Sustainability, MDPI, vol. 13(18), pages 1-6, September.
    18. Di Novi, Cinzia & Martini, Gianmaria & Sturaro, Caterina, 2023. "The impact of informal and formal care disruption on older adults’ psychological distress during the COVID-19 pandemic in UK," Economics & Human Biology, Elsevier, vol. 49(C).
    19. Paulette M. Yamada & Joe Priest, 2022. "Utilizing a Team Kinesiology Model to Support Rehabilitative Care in Patients," IJERPH, MDPI, vol. 19(4), pages 1-13, February.
    20. Alexander Langenkamp, 2021. "Lonely Hearts, Empty Booths? The Relationship between Loneliness, Reported Voting Behavior and Voting as Civic Duty," Social Science Quarterly, Southwestern Social Science Association, vol. 102(4), pages 1239-1254, July.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:16:y:2019:i:9:p:1498-:d:226504. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.