Sex differences in the association of social network satisfaction and the risk for type 2 diabetes
| Autor: | Jens Baumert, Christine Meisinger, Johannes Kruse, K.H. Ladwig, Karoline Lukaschek |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Gerontology
Adult Male animal structures Incident type 2 diabetes Population 030209 endocrinology & metabolism Personal Satisfaction Social network satisfaction 03 medical and health sciences Social support 0302 clinical medicine Sex Factors Risk Factors Sex differences Medicine Humans 030212 general & internal medicine ddc:610 Prospective Studies Social isolation education Aged Proportional Hazards Models education.field_of_study Social network business.industry Proportional hazards model Incident Type 2 Diabetes Loneliness Sex Differences Social Isolation Social Network Satisfaction lcsh:Public aspects of medicine Hazard ratio Public Health Environmental and Occupational Health Social Support lcsh:RA1-1270 Middle Aged Diabetes Mellitus Type 2 Population study Female medicine.symptom business Research Article |
| Zdroj: | BMC Public Health, Vol 17, Iss 1, Pp 1-8 (2017) BMC Public Health BMC Public Health 17:379 (2017) |
| ISSN: | 1471-2458 |
| Popis: | Background The role of an individual’s social network satisfaction (SNS) in the association of social isolation or living alone and incident type 2 diabetes (T2D) is unclear. We assessed the association of SNS with incident T2D and analysed potential modifications of the SNS-T2D association by social isolation or living alone. Methods The study population (N = 6839 aged 25–74 years without diabetes at baseline) derived from the prospective population-based MONICA/KORA study (1989–2009). Social network satisfaction was assessed by a single item. Cox regression was used to estimate hazard ratios (HR) for SNS separately in men and women. Results In men with low SNS, risk for incident T2D increased significantly (HR: 2.15, 95% CI: 1.33–3.48, p value 0.002). After additional adjustments for social isolation or living alone, the risk for incident T2D was still significant, albeit less pronounced (HRs 1.85 or 2.05, p values 0.001 or 0.004). The interaction analysis showed an increased T2D risk effect for low SNS compared to high SNS in women living in a partnership (HR: 2.11, 95% CI: 1.00–4.44, p value for interaction: 0.047) and for moderate SNS compared to high SNS in socially connected women (1.56, 1.01–2.39, 0.010). Conclusions Further research is needed to address the complexities of the perception of social relationships and social interactions, or interdependence, especially when another major public health issue such as T2D is concerned. Electronic supplementary material The online version of this article (doi:10.1186/s12889-017-4323-7) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
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