ArticleCirculation research2017
Social Integration and Reduced Risk of Coronary Heart Disease in Women: The Role of Lifestyle Behaviors.
Article in Circulation research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.
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Who cites it
29 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Social relationships and risk of cardio-cerebrovascular diseases: a meta-analysis of longitudinal cohort studies.Social psychiatry and psychiatric epidemiology · 2026Pooled it
- Effects of Objective and Perceived Social Isolation on Cardiovascular and Brain Health: A Scientific Statement From the American Heart Association.Journal of the American Heart Association · 2022Pooled it
- Self-Care Agency in Cardiovascular Care: A Cross-Sectional Study on the Interplay Between Self-Efficacy, Loneliness and Physical Activity.Healthcare (Basel, Switzerland) · 2026Article
- Article
- Association between parities and duration of breastfeeding and the severity of coronary artery disease in women above 30 years old age (A pilot study).Caspian journal of internal medicine · 2024Article
- Association between Social Isolation and Loneliness with Estimated Atherosclerotic Cardiovascular Disease Risk in a UK Biobank Population-Based Study.International journal of environmental research and public health · 2023Article
- Associations of face-to-face and non-face-to-face social isolation with all-cause and cause-specific mortality: 13-year follow-up of the Guangzhou Biobank Cohort study.BMC medicine · 2022Article
- The association between social network index, atrial fibrillation, and mortality in the Framingham Heart Study.Scientific reports · 2022Article
- Invited Commentary: Religious Service Attendance and Implications for Clinical Care, Community Participation, and Public Health.American journal of epidemiology · 2022Article
- Associations between patterns of modifiable risk factors in mid-life to late life and longevity: 36 year prospective cohort study.BMJ medicine · 2022Article
- The Causal Effects of Anxiety-Mediated Social Support on Death in Patients with Chronic Heart Failure: A Multicenter Cohort Study.Psychology research and behavior management · 2022Article
- Constructed Measures and Causal Inference: Towards a New Model of Measurement for Psychosocial Constructs.Epidemiology (Cambridge, Mass.) · 2022Article
- Social determinants of atrial fibrillation.Nature reviews. Cardiology · 2021Review
- Social isolation and risk of heart disease and stroke: analysis of two large UK prospective studies.The Lancet. Public health · 2021Article
- Religious-service attendance and subsequent health and well-being throughout adulthood: evidence from three prospective cohorts.International journal of epidemiology · 2021Article
- Association of psychosocial factors with all-cause hospitalizations in patients with atrial fibrillation.Clinical cardiology · 2021Observational
- The Prospective Association of Social Integration With Life Span and Exceptional Longevity in Women.The journals of gerontology. Series B, Psychological sciences and social sciences · 2020Article
- Relationships Between Reproductive History and Mortality From Cardiovascular Diseases Among Japanese Women: The Japan Collaborative Cohort Study for Evaluation of Cancer Risk (JACC) Study.Journal of epidemiology · 2020Article
- Consensus statement: loneliness in older adults, the 21st century social determinant of health?BMJ open · 2020Article
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Abstract
rationaleHigher social integration is associated with lower cardiovascular mortality; however, whether it is associated with incident coronary heart disease (CHD), especially in women, and whether associations differ by case fatality are unclear.
objectivesThis study sought to examine the associations between social integration and risk of incident CHD in a large female prospective cohort. METHODS AND
resultsSeventy-six thousand three hundred and sixty-two women in the Nurses' Health Study, free of CHD and stroke at baseline (1992), were followed until 2014. Social integration was assessed by a simplified Berkman-Syme Social Network Index every 4 years. End points included nonfatal myocardial infarction and fatal CHD. Two thousand three hundred and seventy-two incident CHD events occurred throughout follow-up. Adjusting for demographic, health/medical risk factors, and depressive symptoms, being socially integrated was significantly associated with lower CHD risk, particularly fatal CHD. The most socially integrated women had a hazard ratio of 0.55 (95% confidence interval, 0.41-0.73) of developing fatal CHD compared with those least socially integrated (
conclusionsSocial integration is inversely associated with CHD incidence in women, but is largely explained by lifestyle/behavioral pathways.
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