MPC Member Publications

This database contains a listing of population studies publications written by MPC Members. Anyone can add a publication by an MPC student, faculty, or staff member to this database; new citations will be reviewed and approved by MPC administrators.

Full Citation

Title: Social network, social support, and risk of incident stroke: Atherosclerosis Risk in Communities study

Citation Type: Journal Article

Publication Year: 2014

ISSN: 1524-4628; 0039-2499

DOI: 10.1161/STROKEAHA.114.005815 [doi]

PMCID: PMC4201236

PMID: 25139878

Abstract: BACKGROUND AND PURPOSE: Having 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. METHODS: The 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. RESULTS: During 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. CONCLUSIONS: In 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.

User Submitted?: No

Authors: Nagayoshi, M; Everson-Rose, Susan A; Iso, H; Mosley, Thomas H.; Rose, KM; Lutsey, Pamela L.

Periodical (Full): Stroke

Issue: 10

Volume: 45

Pages: 2868-5740

Countries:

IPUMS NHGIS NAPP IHIS ATUS Terrapop