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Structural social support and cardiovascular disease risk factors in Hispanic/Latino adults with diabetes: results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL).
Ethn Health. 2018 10; 23(7):737-751.EH

Abstract

OBJECTIVE(S)

Cross-sectional and longitudinal studies have yielded inconsistent findings on the associations of social support networks with cardiovascular health in Hispanic/Latino adults with diabetes. We examined the cross-sectional associations of structural social support and traditional cardiovascular disease (CVD) risk factors in a diverse sample of Hispanic/Latino adults with diabetes.

RESEARCH DESIGN AND METHODS

This analysis included 2994 adult participants ages 18-74 with diabetes from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL - 2008-2011). Select items from the Social Network Inventory (SNI) were used to assess indices of structural social support, i.e. network size (number of children, parents, and in-laws) and frequency of familial contact. Standardized methods were used to measure abdominal obesity, BMI, hypertension, hypercholesterolemia, and smoking status. Multivariate regression was used to examine associations of structural support with individual CVD risk factors with demographics, acculturation, physical health, and psychological ill-being (depressive symptoms and anxiety) included as covariates.

RESULTS

There were no significant cross-sectional associations of structural support indices with abdominal obesity, hypertension, hypercholesterolemia, or smoking status. There was a marginally significant (OR: 1.05; 95%CI 0.99-1.11) trend toward higher odds of obesity in participants reporting a larger family unit (including children, parents, and in-laws) and those with closer ties with extended family relatives (OR: 1.04; 95%CI 0.99-1.09).

CONCLUSIONS

Structural social support was marginally associated with higher odds of obesity in Hispanic/Latino adults with diabetes. Alternate forms of social support (e.g. healthcare professionals, friends, peers) should be further explored as potential markers of cardiac risk in Hispanics/Latinos with diabetes.

Authors+Show Affiliations

a School of Social Work , University of Illinois at Urbana-Champaign , Urbana , USA.b Department of Preventive Medicine , Northwestern University Feinberg School of Medicine , Chicago , USA.b Department of Preventive Medicine , Northwestern University Feinberg School of Medicine , Chicago , USA.c Department of Medical Social Sciences , Northwestern University Feinberg School of Medicine , Chicago , USA.d College of Medicine, Institute for Minority Health Research, University of Illinois at Chicago , Chicago , USA.e Department of Psychology, Behavioral Medicine Research Center , University of Miami , Miami , USA.f SDSU/UCSD Joint Doctoral Program in Global Health , San Diego , USA.g Department of Psychology , San Diego State University , Chula Vista , USA.h Department of Epidemiology and Population Health , Albert Einstein College of Medicine , Bronx , USA.i Department of Psychology , University of Miami , Miami , USA.j Collaborative Studies Coordinating Center , University of North Carolina at Chapel Hill , Chapel Hill , USA.j Collaborative Studies Coordinating Center , University of North Carolina at Chapel Hill , Chapel Hill , USA.b Department of Preventive Medicine , Northwestern University Feinberg School of Medicine , Chicago , USA. d College of Medicine, Institute for Minority Health Research, University of Illinois at Chicago , Chicago , USA.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

28277024

Citation

Hernandez, Rosalba, et al. "Structural Social Support and Cardiovascular Disease Risk Factors in Hispanic/Latino Adults With Diabetes: Results From the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)." Ethnicity & Health, vol. 23, no. 7, 2018, pp. 737-751.
Hernandez R, Carnethon M, Giachello AL, et al. Structural social support and cardiovascular disease risk factors in Hispanic/Latino adults with diabetes: results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Ethn Health. 2018;23(7):737-751.
Hernandez, R., Carnethon, M., Giachello, A. L., Penedo, F. J., Wu, D., Birnbaum-Weitzman, O., Giacinto, R. E., Gallo, L. C., Isasi, C. R., Schneiderman, N., Teng, Y., Zeng, D., & Daviglus, M. L. (2018). Structural social support and cardiovascular disease risk factors in Hispanic/Latino adults with diabetes: results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Ethnicity & Health, 23(7), 737-751. https://doi.org/10.1080/13557858.2017.1294660
Hernandez R, et al. Structural Social Support and Cardiovascular Disease Risk Factors in Hispanic/Latino Adults With Diabetes: Results From the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Ethn Health. 2018;23(7):737-751. PubMed PMID: 28277024.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Structural social support and cardiovascular disease risk factors in Hispanic/Latino adults with diabetes: results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). AU - Hernandez,Rosalba, AU - Carnethon,Mercedes, AU - Giachello,Aida L, AU - Penedo,Frank J, AU - Wu,Donghong, AU - Birnbaum-Weitzman,Orit, AU - Giacinto,Rebeca Espinoza, AU - Gallo,Linda C, AU - Isasi,Carmen R, AU - Schneiderman,Neil, AU - Teng,Yanping, AU - Zeng,Donglin, AU - Daviglus,Martha L, Y1 - 2017/02/23/ PY - 2017/3/10/pubmed PY - 2019/3/15/medline PY - 2017/3/10/entrez KW - Diabetes KW - Hispanics/Latinos KW - cardiovascular disease risk factors KW - social support SP - 737 EP - 751 JF - Ethnicity & health JO - Ethn Health VL - 23 IS - 7 N2 - OBJECTIVE(S): Cross-sectional and longitudinal studies have yielded inconsistent findings on the associations of social support networks with cardiovascular health in Hispanic/Latino adults with diabetes. We examined the cross-sectional associations of structural social support and traditional cardiovascular disease (CVD) risk factors in a diverse sample of Hispanic/Latino adults with diabetes. RESEARCH DESIGN AND METHODS: This analysis included 2994 adult participants ages 18-74 with diabetes from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL - 2008-2011). Select items from the Social Network Inventory (SNI) were used to assess indices of structural social support, i.e. network size (number of children, parents, and in-laws) and frequency of familial contact. Standardized methods were used to measure abdominal obesity, BMI, hypertension, hypercholesterolemia, and smoking status. Multivariate regression was used to examine associations of structural support with individual CVD risk factors with demographics, acculturation, physical health, and psychological ill-being (depressive symptoms and anxiety) included as covariates. RESULTS: There were no significant cross-sectional associations of structural support indices with abdominal obesity, hypertension, hypercholesterolemia, or smoking status. There was a marginally significant (OR: 1.05; 95%CI 0.99-1.11) trend toward higher odds of obesity in participants reporting a larger family unit (including children, parents, and in-laws) and those with closer ties with extended family relatives (OR: 1.04; 95%CI 0.99-1.09). CONCLUSIONS: Structural social support was marginally associated with higher odds of obesity in Hispanic/Latino adults with diabetes. Alternate forms of social support (e.g. healthcare professionals, friends, peers) should be further explored as potential markers of cardiac risk in Hispanics/Latinos with diabetes. SN - 1465-3419 UR - https://www.unboundmedicine.com/medline/citation/28277024/Structural_social_support_and_cardiovascular_disease_risk_factors_in_Hispanic/Latino_adults_with_diabetes:_results_from_the_Hispanic_Community_Health_Study/Study_of_Latinos__HCHS/SOL__ L2 - https://www.tandfonline.com/doi/full/10.1080/13557858.2017.1294660 DB - PRIME DP - Unbound Medicine ER -