ArticleStroke2014
Social network, social support, and risk of incident stroke: Atherosclerosis Risk in Communities study.
Article in Stroke, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
48 citing papers in PubMed, 4 syntheses or guidelines pooled it, 86 citations in OpenAlex.
- Psychosocial stress and risk of first-ever stroke: a systematic review and meta-analysis.BMC neurology · 2026Pooled it
- Social relationships and risk of cardio-cerebrovascular diseases: a meta-analysis of longitudinal cohort studies.Social psychiatry and psychiatric epidemiology · 2026Pooled it
- The impact of social relationships on the risk of stroke and post-stroke mortality: a systematic review and meta-analysis.BMC public health · 2024Pooled it
- Loneliness and social isolation as risk factors for coronary heart disease and stroke: systematic review and meta-analysis of longitudinal observational studies.Heart (British Cardiac Society) · 2016Pooled it
- Measuring Ambulation, Motor, and Behavioral Outcomes with Post-stroke Fluoxetine in Tanzania: The Phase II MAMBO Trial.The American journal of tropical medicine and hygiene · 2021Trial
- Demographic, Clinical and Social Determinants of Blood Pressure Control Among Black men who have had Stroke or Transient Ischemic Attack.Journal of racial and ethnic health disparities · 2026Article
- Social frailty and mortality risk in middle-aged and older adults: a prospective cohort study.GeroScience · 2026Article
- Associations of social isolation and loneliness with neurological disorders, psychiatric disorders, brain structures and behavioural phenotypes among UK Biobank participants.Nature communications · 2026Article
- Association between social isolation and increased arterial stiffness in older adults: a cross-sectional study.Scientific reports · 2026Article
- The association between social support and quality of life in patients with severe stroke: a chain mediation analysis of resilience and self-efficacy.Frontiers in psychiatry · 2026Article
- Associations of social network size and perceived level of social support with age acceleration estimated by a proteomic aging clock: the Atherosclerosis Risk in Communities Study.American journal of epidemiology · 2025Article
- The link between red blood cell distribution width and 3-month prognosis in acute ischemic stroke patients: a secondary analysis of a cohort study.BMC neurology · 2025Article
- Social alienation and influencing factors among caregivers of stroke patients in China: a cross-sectional study.Frontiers in psychiatry · 2025Article
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- Social Isolation Changes and Long-Term Outcomes Among Older Adults.JAMA network open · 2024Article
- The Association between Social Support, Metabolic Syndrome, and Incidence of Cardio-Cerebrovascular Diseases in Older Adults: The ARIRANG Study.Yonsei medical journal · 2024Article
- Social Support, Social Isolation, and Outpatient Cardiac Rehabilitation Participation Among Older Adults in the Community: The ARIC Study.Journal of the American Heart Association · 2024Article
- Racial-Ethnic disparities in stroke prevalence among patients with heart failure.Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia · 2024Article
- Racial disparities in stroke incidence in the Women's Health Initiative: Exploring biological, behavioral, psychosocial, and social risk factors.SSM - population health · 2024Article
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
Abstract
background and purposeHaving a small social network and lack of social support have been associated with incident coronary heart disease; however, epidemiological evidence for incident stroke is limited. We assessed the longitudinal association of a small social network and lack of social support with risk of incident stroke and evaluated whether the association was partly mediated by vital exhaustion and inflammation.
methodsThe Atherosclerosis Risk in Communities study measured social network and social support in 13 686 men and women (mean, 57 years; 56% women; 24% black; 76% white) without a history of stroke. Social network was assessed by the 10-item Lubben Social Network Scale and social support by a 16-item Interpersonal Support Evaluation List-Short Form.
resultsDuring a median follow-up of 18.6 years, 905 incident strokes occurred. Relative to participants with a large social network, those with a small social network had a higher risk of stroke (hazard ratio [95% confidence interval], 1.44 [1.02-2.04]) after adjustment for demographics, socioeconomic variables, marital status, behavioral risk factors, and major stroke risk factors. Vital exhaustion, but not inflammation, partly mediated the association between a small social network and incident stroke. Social support was unrelated to incident stroke.
conclusionsIn this sample of US community-dwelling men and women, having a small social network was associated with excess risk of incident stroke. As with other cardiovascular conditions, having a small social network may be associated with a modestly increased risk of incident stroke.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.