Relationship Between Social Network and Hypertension in Older People in Spain

Redondo-Sendino, Áurea; Guallar‐Castillón, Pilar; Banegas, José R.; Rodríguez‐Artalejo, Fernando

doi:10.1016/s1885-5857(06)60417-9

Cited by 19 publications

(24 citation statements)

References 46 publications

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“…Contrary to our hypothesis, we did not observe a significant association between relationship status and HTN control for both sexes and in migrants and non-migrants. Several studies have shown the association between marital status and HTN control particularly for males [24, 26, 31], and thus, we anticipated similar associations in our study population. It is plausible that given the extended nature of the African family system, social support maybe offered directly and/or indirectly by other relations or adult children and not necessarily from a partner.…”

Section: Discussionsupporting

confidence: 74%

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Is social support associated with hypertension control among Ghanaian migrants in Europe and non-migrants in Ghana? The RODAM study

et al. 2019

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Hypertension (HTN) control is crucial in preventing HTN-related complications such as stroke and coronary heart disease. Yet, HTN control remains suboptimal particularly among sub-Saharan African (SSA) populations partly due to poor self-management. Self-management of HTN is influenced by social support, but the evidence on the role of social support on HTN control particularly among SSA populations is limited. This study assessed the association between multiple proxies for social support and HTN control among Ghanaians resident in Ghana and Europe. The Research on Obesity and Diabetes among African Migrants (RODAM) study participants with HTN and who self-reported HTN ( n = 1327) were included in this analysis. Logistic regression was used to assess the association between proxies of social support and HTN control (SBP < 140 mmHg and DBP < 90 mmHg) with adjustments for age and socioeconomic status (SES). Among Ghanaian males in both Europe and Ghana, cohabiting with more than two persons was associated with increased odds of having HTN controlled. Male hypertensive patients cohabiting with ≥ 5 persons had the highest odds of having HTN controlled after adjustment for age and SES (OR 0.30; 95% CI 0.16–0.57; 0.60; 0.34–1.04, respectively). This association was not observed among females. Relationship status, frequency of religious activity attendance and satisfaction with social support did not show any significant association with HTN control. Our study shows that cohabitation is significantly associated with HTN control but in males only. The other proxies for social support appeared not to be associated with HTN control. Involving persons living with Ghanaian men with HTN in the treatment process may help to improve adherence to HTN treatment. Further research is needed to explore in-depth, how these social support proxies could contribute to improved HTN control among SSA populations.

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Section: Discussionsupporting

confidence: 74%

“…A person’s social network often evolves social contacts [24] around the place of abode, work, relationship and religion. Four proxies for social support were used in this analysis: number of cohabitants, relationship status, religious attendance frequency and satisfaction with social support received.…”

Section: Methodsmentioning

confidence: 99%

Is social support associated with hypertension control among Ghanaian migrants in Europe and non-migrants in Ghana? The RODAM study

et al. 2019

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“…Prior research suggests that a low level of social support is a risk factor for the development of CVD in healthy individuals (17)(18)(19). In terms of social network, several studies have shown that a smaller social network is associated with higher blood pressure levels (20)(21)(22). Social isolation limits the amount of interactions and support that this population needs in order to maintain a healthy lifestyle.…”

Section: Introductionmentioning

confidence: 99%

The Association Between Perceived Stress and Hypertension Among Asian Americans: Does Social Support and Social Network Make a Difference?

Juon

et al. 2019

J Community Health

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Background: Prior research suggests that stress plays role in the etiology and progression of hypertension. To lend a more accurate depiction of the underlying mechanisms between stress and hypertension, this study aims to assess the associations between perceived stress and hypertension across varying levels of social support and social network among Asian Americans. Methods: We conducted a cross-sectional study using data on 530 Chinese, Korean and Vietnamese Americans recruited from a liver cancer prevention program in the Washington D.C.-Baltimore metropolitan area. Results: Hypertension prevalence was 29.1%. Individuals with high perceived stress were 61% more likely to have hypertension compared to those with low levels of perceived stress (Odds Ratio (OR): 1.61, 95% Confidence interval (CI): 1.15, 2.46). There was no evidence that social support and social network acted as effect modifiers. Social support had a direct beneficial effect on hypertension, irrespective of whether individuals were under stress. The relationship between perceived stress and hypertension was modified by gender and ethnicity whereby a significant positive association was only observed among male or Chinese participants. Conclusion: Our study highlights the importance of understanding the associations between stress, social support, and hypertension among Asian American subgroups. Findings from the study can be used to develop future stress management interventions, and incorporate culturally and linguistically appropriate strategies into community outreach and education to decrease hypertension risk within the Asian population.

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“…Little social support was found to be associated with a 50% to 100% higher risk of coronary heart disease events in both healthy patients and in those with established disease 11 . Additionally, participation in clubs and meetings, a larger number of siblings, and seeing friends more frequently were associated with lower systolic pressure 12 and higher awareness of hypertension 13 . Furthermore, social networks might have led to lower rates of cardiovascular‐related events 14 and mortality 15 .…”

mentioning

confidence: 99%

“…11 Additionally, participation in clubs and meetings, a larger number of siblings, and seeing friends more frequently were associated with lower systolic pressure 12 and higher awareness of hypertension. 13 Furthermore, social networks might have led to lower rates of cardiovascular-related events 14 and mortality. 15 A systematic review affiliated with the Mayo Clinic has even recommended considering the lack of social support network as a risk factor for subsequent morbidity and mortality after a myocardial infarction.…”

mentioning

confidence: 99%

Social Networks Help Control Hypertension

Shaya

Chirikov

Mullins

et al. 2012

J of Clinical Hypertension

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Cardiovascular health disparities continue to pose a major public health problem. We evaluated the effect of education administered within social networks on the improvement of hypertension in 248 African Americans compared to historical controls. Patients formed clusters with peers and attended monthly hypertension education sessions. We assessed the likelihood of reaching goal below predefined SBP and DBP thresholds as well as the absolute reduction in SBP and DBP, controlling for diabetes, smoking, baseline hypertension, and demographics. The intervention group was more likely to have ever reached treatment goal at 12 months follow-up (OR=1.72, P=0.11). At 18 months of follow-up, the MVP group had a statistically significant larger drop in SBP (−4.82 mmHg, P<0.0001) and DBP (−3.37 mmHg, P=0.01) than the control. The clustering of patients in social networks around hypertension education has a positive impact on the management of hypertension in minority populations and may help address cardiovascular health disparities.

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Relationship Between Social Network and Hypertension in Older People in Spain

Cited by 19 publications

References 46 publications

Is social support associated with hypertension control among Ghanaian migrants in Europe and non-migrants in Ghana? The RODAM study

Is social support associated with hypertension control among Ghanaian migrants in Europe and non-migrants in Ghana? The RODAM study

The Association Between Perceived Stress and Hypertension Among Asian Americans: Does Social Support and Social Network Make a Difference?

Social Networks Help Control Hypertension

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