142nd APHA Annual Meeting and Exposition

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Network social capital reduces the odds of developing hypertension in urban adults

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014 : 5:10 PM - 5:30 PM

Spencer Moore, PhD, MPH , Department of Health Promotion, Education, and Behavior, University of South Carolina, Columbia, SC
Background: Hypertension is the most significant risk factor for death and disability globally.  Recent research on social capital and hypertension has suggested an important role for social capital in preventing hypertension, particularly in workplace settings.  Less research has examined prospectively whether network social capital might prevent the development of hypertension in a representative sample of urban-dwelling adults.  

Methods:  In 2010, a two-year follow-up study was conducted with participants of the Montreal Neighbourhood Networks and Healthy Aging Study.  Participants were asked in 2008 and 2010 whether they had been diagnosed with hypertension.  A position generator was used to collect data on network social capital.  Adjusting for demographic and socioeconomic factors, multilevel logistic regression was used to assess whether a person's network social capital in 2008 predicted their chances of developing hypertension in 2010.  

Results:  Of the 1400 MoNNET participants in 2010, 1070 reported not having hypertension in 2008.  Among those, 84 (7.9%) participants had hypertension in 2010.  Results showed that participants with higher network social capital were less likely (OR: 0.70; 95% CI: 0.54, 0.92) to develop hypertension in 2010.  Being female and younger also decreased the odds of developing hypertension. 

Discussion:  Having diverse networks and access to a range of resources may be protective against the development of hypertension.   Developing health promotion programs that leverage the benefits of network capital and diversity may help reduce the burden of chronic disease in North America. 

Learning Areas:

Chronic disease management and prevention
Social and behavioral sciences

Learning Objectives:
Differentiate the different measures of social capital Describe the Montreal Neighbourhood Networks and Healthy Aging Study Discuss the mechanisms by which social capital may prevent chronic disease Explain the relationship between social capital and hypertension

Keyword(s): Chronic Disease Prevention, Epidemiology

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Principal Investigator of the Canadian Institutes of Health Research operating grant that funded the Montreal Neighbourhood Networks and Healthy Aging Study from which the abstract draws data, and I have been principal investigator and co-investigator on numerous CIHR and NIH funded research grants. I am tenured Associate Professor in the School of Kinesiology and Health Studies and Department of Public Health Sciences at Queen's University, Canada.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.