ArticleBMC public health2021
Association between neighborhood social cohesion, awareness of chronic diseases, and participation in healthy behaviors in a community cohort.
Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed, 39 citations in OpenAlex.
- Ethnic Identity and Chronic Disease Among Asian Americans: The Roles of Community Social Cohesion, Social Networks, and Ethnic Subgroup Differences.Journal of racial and ethnic health disparities · 2026Article
- The social environment and cognitive aging over the life course: laying out critical concepts and research gaps.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026Review
- Associations of Homebound State in Older Adults With Neighborhood Social Cohesion.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026Article
- Racial/ethnic variation of neighborhood social cohesion, loneliness, and cognitive functioning among midlife and older U.S. adults.The journals of gerontology. Series B, Psychological sciences and social sciences · 2026Article
- Perceived Neighborhood Environment and Objectively Assessed, Habitual Physical Activity Among US Adults: An All of Us Research Program Study.Journal of physical activity & health · 2026Article
- Greater Hypertension Risk among Foreign-born Adults: Examining the Roles of Language, Nativity, and Neighborhood Deprivation in an Ethnoracially Diverse U.S. Sample.Journal of racial and ethnic health disparities · 2026Article
- Community physical activity environments and physical activity levels among older adults: a hierarchical analysis of environmental dimensions.Frontiers in public health · 2026Article
- Social context matters: Neighborhood environment as a moderator of the longitudinal relationship between edentulism and cognitive function among older adults in the United States.Archives of gerontology and geriatrics · 2025Article
- Sociocultural Stressors and Asthma among Adults in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL).Annals of the American Thoracic Society · 2025Article
- Neighborhood Cohesion and Symptoms of Anxiety Across Racial/Ethnic Groups in the United States.Journal of community psychology · 2025Article
- Molecular connections between inflammation and social determinants of health.Frontiers in epidemiology · 2025Review
- Promoting Influenza Vaccination Uptake Among Chinese Older Adults Based on Information-Motivation-Behavioral Skills Model and Conditional Economic Incentive: Protocol for Randomized Controlled Trial.Healthcare (Basel, Switzerland) · 2024Article
- Social and Structural Determinants of Cardiovascular Complications of Diabetes.Current diabetes reports · 2024Review
- Frailty index trajectories in Chinese older adults with diverse levels of social participation: findings from a national population-based longitudinal study.Aging clinical and experimental research · 2023Article
- Conceptualisation and Measurement of Social Cohesion within the Sport and Physical Activity Context: A Scoping Review.Sports (Basel, Switzerland) · 2023Article
- The moderating role of neighborhood social cohesion in the mediation effects of the loneliness between acculturation stress and post-traumatic growth among female North Korean defectors.Scientific reports · 2023Article
- Association between neighbourhood cohesion and physical activity trajectories during the COVID-19 pandemic using data fromPreventive medicine reports · 2023Article
- The Role of Community Cohesion in Older Adults During the COVID-19 Epidemic: Cross-sectional Study.JMIR public health and surveillance · 2023Article
- The impact of social and environmental factors on cancer biology in Black Americans.Cancer causes & control : CCC · 2023Review
- Black men's awareness of peripheral artery disease and acceptability of screening in barbershops: a qualitative analysis.BMC public health · 2023Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundNeighborhood social cohesion (NSC) is the network of relationships as well as the shared values and norms of residents in a neighborhood. Higher NSC has been associated with improved cardiovascular health, largely among Whites but not African Americans. In a bi-racial cohort, we aimed to study the association between NSC and chronic disease awareness and engagement in healthy self-management behaviors, two potential mechanisms by which NSC could impact cardiovascular health outcomes.
methodsUsing the Healthy Aging in Neighborhoods of Diversity Across the Lifespan Study (HANDLS), we cross-sectionally examined the association between NSC and awareness of three chronic conditions (diabetes, chronic kidney disease (CKD), and hypertension) and engagement in healthy self-management behaviors including physical activity, healthy eating, and cigarette avoidance.
resultsStudy participants (n = 2082) had a mean age of 56.5 years; 38.7% were White and 61.4% African American. Of the participants, 26% had diabetes, 70% had hypertension and 20.2% had CKD. Mean NSC was 3.3 (SD = 0.80) on a scale of 1 (lowest score) to 5 (highest score). There was no significant association between NSC and any chronic disease awareness, overall or by race. However, each higher point in mean NSC score was associated with less cigarette use and healthier eating scores, among Whites (adjusted odds ratio [aOR], 95% confidence interval [CI]: =0.76, 0.61-0.94; beta coefficient [βc]:, 95% CI: 1.75; 0.55-2.97, respectively) but not African Americans (aOR = 0.95, 0.79-1.13; βc: 0.46, - 0.48-1.39, respectively; P
conclusionsCommunity engagement and neighborhood social cohesion may be important targets for promotion of healthy behaviors and cardiovascular disease prevention. More research is needed to understand the different associations of NSC and healthy behaviors by race.
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