Social networks and patterns of health risk behaviours over two decades: A multi-cohort study.

Abstract:

OBJECTIVE:To determine the associations between social network size and subsequent long-term health behaviour patterns, as indicated by alcohol use, smoking, and physical activity. METHODS:Repeat data from up to six surveys over a 15- or 20-year follow-up were drawn from the Finnish Public Sector study (Raisio-Turku cohort, n=986; Hospital cohort, n=7307), and the Health and Social Support study (n=20,115). Social network size was determined at baseline, and health risk behaviours were assessed using repeated data from baseline and follow-up. We pooled cohort-specific results from repeated-measures log-binomial regression with the generalized estimating equations (GEE) method using fixed-effects meta-analysis. RESULTS:Participants with up to 10 members in their social network at baseline had an unhealthy risk factor profile throughout the follow-up. The pooled relative risks adjusted for age, gender, survey year, chronic conditions and education were 1.15 for heavy alcohol use (95% CI: 1.06-1.24), 1.19 for smoking (95% CI: 1.12-1.27), and 1.25 for low physical activity (95% CI: 1.21-1.29), as compared with those with >20 members in their social network. These associations appeared to be similar in subgroups stratified according to gender, age and education. CONCLUSIONS:Social network size predicted persistent behaviour-related health risk patterns up to at least two decades.

journal_name

J Psychosom Res

authors

Kauppi M,Elovainio M,Stenholm S,Virtanen M,Aalto V,Koskenvuo M,Kivimäki M,Vahtera J

doi

10.1016/j.jpsychores.2017.06.003

subject

Has Abstract

pub_date

2017-08-01 00:00:00

pages

45-58

eissn

0022-3999

issn

1879-1360

pii

S0022-3999(16)30535-9

journal_volume

99

pub_type

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