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Perceived neighborhood social cohesion and stroke
Eric S Kim1, Nansook Park, Christopher Peterson
1Department of Psychology, University of Michigan, 530 Church Street, Ann Arbor, MI 48109-1043, USA.
Social Science & Medicine (1982)
|October 29, 2013
Summary
Higher neighborhood social cohesion, a measure of community connection, is linked to a reduced risk of stroke. This finding highlights the protective role of social cohesion in cardiovascular health.
Area of Science:
- Public Health
- Sociology
- Epidemiology
Background:
- Negative neighborhood factors are known to increase health risks.
- Fewer studies have explored the protective effects of neighborhood factors on health, especially stroke.
- Perceived neighborhood social cohesion is a key factor to investigate for its potential health benefits.
Purpose of the Study:
- To examine the association between perceived neighborhood social cohesion and stroke incidence.
- To determine if social cohesion offers a protective effect against stroke.
- To adjust for traditional stroke risk factors and psychosocial influences.
Main Methods:
- Utilized prospective data from the Health and Retirement Study, a national panel study of adults over 50.
- Analyzed a subset of 6740 stroke-free adults at baseline.
- Conducted analyses adjusting for chronic illnesses, sociodemographic, behavioral, and psychosocial factors over a four-year follow-up.
Main Results:
- Higher perceived neighborhood social cohesion was significantly associated with a lower risk of stroke.
- Each standard deviation increase in social cohesion correlated with an 15% reduced odds of stroke (OR 0.85, 95% CI 0.75-0.97).
- This protective association remained robust after comprehensive risk factor adjustment.
Conclusions:
- Perceived neighborhood social cohesion plays a significant role in protecting against stroke incidence.
- Community-level social factors can mitigate individual health risks, including cardiovascular events.
- Interventions aimed at enhancing social cohesion may contribute to stroke prevention strategies.
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