Contributions of Social Context to Blood Pressure: Findings From a Multilevel Analysis of Social Capital and Systolic Blood Pressure

Hamano, Tsuyoshi; Fujisawa, Yoshikazu; Yamasaki, Masayuki; Ito, Keiichi; Nabika, Toru; Shiwaku, Kuninori

doi:10.1038/ajh.2011.37

Cited by 29 publications

(27 citation statements)

References 12 publications

(23 reference statements)

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“…32 These mistrustful social relationships are an important source of stress for all groups in society and have been associated with a higher level of systolic blood pressure. 42 Second, unfair treatment and stigmatization have also been associated with increased risk of high blood pressure. 43,44 As people who have been displaced move into the city and encounter the types of unfair treatment and stigmatization described in these interviews, they may experience social isolation and chronic stress that, ultimately, contribute to increased risk of hypertension.…”

Section: Discussionmentioning

confidence: 99%

Local Actors’ Frames of the Role of Living Conditions in Shaping Hypertension Risk and Disparities in a Colombian Municipality

2016

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Conditions in the social and physical environment influence population health and risk for CVD, including hypertension. These environmental conditions are influenced by the decisions of public officials, community leaders, and service providers. Examining the frames that local decision makers bring to understanding hypertension can provide important insights into the decisions that they make about strategies for addressing this problem in their jurisdiction. The goal of this study was to examine the frames that local decision makers in Quibdó, Colombia, bring to understanding hypertension risk, and in particular, whether and how they use frames that encompass associations between living conditions and hypertension risk. Data for this qualitative study were collected using a stratified sampling strategy. Semi-structured interviews were conducted in 2012 with 13 local decision makers and analyzed using a framework approach. Participants linked the structural conditions experienced in Quibdó, including displacement, limited economic opportunities, and the infrastructure of the city, to hypertension risk through multiple pathways, including behavioral risk factors for hypertension and physiologic responses to stress. They described the social patterning of these factors across socioeconomic, racial/ethnic, and gender hierarchies. Although several conditions associated with hypertension risk are widely distributed in the city's population, social processes of marginalization and stratification create additional disadvantages for those on the lower rungs of the social hierarchy.

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Section: Discussionmentioning

confidence: 99%

Local Actors’ Frames of the Role of Living Conditions in Shaping Hypertension Risk and Disparities in a Colombian Municipality

2016

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“…Other possible mediators between social capital and mortality are psychological distress and hypertension. A study from Japan found that lower social capital, measured by trust, was associated with psychological distress in the elderly (Hamano et al, 2011b), and that systolic blood pressure increased with an increasing perception of lack of fairness, after adjustment for individual confounders in a multilevel framework (Hamano et al, 2011a). Poor self-rated health is associated with increased mortality and it may represent another potential mediator between social capital and mortality.…”

Section: Discussionmentioning

confidence: 99%

“…During the past decades, there has been an upsurge of interest in the concept social capital and it has been referred to as a societal component that is positively associated with democracy (Putnam, 2000b;Putnam, 1993) and economic wealth (Holzmann et al, 1999;Woolcock et al, 2000). In contrast, lack of social capital has been associated with social disintegration and violent crime (Sampson et al, 1997) as well as adverse health-related outcomes in all ages (Green et al, 2000;Hyyppä et al, 2001;Kawachi et al, 1997a;Sundquist et al, 2006), such as poor selfrated health (Kawachi et al, 1999;Sundquist et al, 2007), poor mental health (Hamano et al, 2010;Lofors et al, 2007), hypertensive status (Hamano et al, 2011a) and coronary heart disease (Sundquist et al, 2006). Current definitions and measurements of social capital have usually been derived from leading social scientists such as Bourdieu, Coleman and Putnam.…”

Section: Introductionmentioning

confidence: 99%

Linking social capital and mortality in the elderly: A Swedish national cohort study

Sundquist

Hamano

et al. 2014

Experimental Gerontology

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Objectives Our objective was to examine the association between neighborhood linking social capital (a concept describing the amount of trust between individuals and societal institutions) and all-cause and cause-specific mortality in the elderly. DesignThe entire Swedish population aged 65+, a total of 1,517,336 men and women, was followed from 1 January 2002 until death, emigration, or the end of the study on 31December 2010. Small geographic units were used to define neighborhoods. The definition of linking social capital was based on neighborhood voting participation rates, categorized into three groups. Multilevel logistic regression was used to estimate odds ratios (ORs) and between-neighborhood variance in three different models. ResultsThe results showed an overall association between linking social capital and allcause mortality. The significant OR of 1.53 in the group with low linking social capital decreased, but remained significant (OR = 1.27), after accounting for age, sex, family income, marital status, country of birth, education level, and region of residence. There were also significant associations between linking social capital and cause-specific mortality in coronary heart disease, psychiatric disorders, cancer, stroke, chronic lower respiratory diseases, type 2 diabetes, and suicide. ConclusionThere are associations between low linking social capital and mortality from chronic disorders and suicide in the elderly population. Community support for elderly people living in neighborhoods with low levels of linking social capital may need to be strengthened.

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“…The social capital mechanism suggests that inequality is socially corrosive and leads to social conflict and increasing levels of mistrust between groups with greater and those with fewer resources 9,13 . There is some empirical support for this pathway, with one recent study concluding that social capital, assessed as a contextual phenomenon, may reduce blood pressure through decreasing chronic stress or increasing the modulation of stressful events 15 .…”

Section: Introductionmentioning

confidence: 99%

Income inequality and high blood pressure in Colombia: a multilevel analysis

et al. 2017

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The objective of this research was to examine the association between income inequality and high blood pressure in Colombia. Using a nationally representative Colombian sample of adults, and data from departments and municipalities, we fit sex-stratified linear and logistic multilevel models with blood pressure as a continuous and binary variable, respectively. In adjusted models, women living in departments with the highest quintile of income inequality in 1997 had higher systolic blood pressure than their counterparts living in the lowest quintile of income inequality (mean difference 4.42mmHg; 95%CI: 1.46, 7.39). Women living in departments that were at the fourth and fifth quintile of income inequality in 1994 were more likely to have hypertension than those living in departments at the first quintile in the same year (OR: 1.56 and 1.48, respectively). For men, no associations of income inequality with either systolic blood pressure or hypertension were observed. Our findings are consistent with the hypothesis that income inequality is associated with increased risk of high blood pressure for women. Future studies to analyze pathways linking income inequality to high blood pressure in Colombia are needed.

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Contributions of Social Context to Blood Pressure: Findings From a Multilevel Analysis of Social Capital and Systolic Blood Pressure

Cited by 29 publications

References 12 publications

Local Actors’ Frames of the Role of Living Conditions in Shaping Hypertension Risk and Disparities in a Colombian Municipality

Local Actors’ Frames of the Role of Living Conditions in Shaping Hypertension Risk and Disparities in a Colombian Municipality

Linking social capital and mortality in the elderly: A Swedish national cohort study

Income inequality and high blood pressure in Colombia: a multilevel analysis

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