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Perceived neighborhood social cohesion and stroke

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  • Kim, Eric S.
  • Park, Nansook
  • Peterson, Christopher
Abstract
Research in the last three decades has shown that negative neighborhood factors such as neighborhood violence, noise, traffic, litter, low neighborhood socioeconomic status, and poor air quality increase the risk of poor health. Fewer studies have examined the potential protective effect that neighborhood factors can have on health, particularly stroke. We examined whether higher perceived neighborhood social cohesion was associated with lower stroke incidence after adjusting for traditional risk and psychological factors that have been linked with stroke risk. Prospective data from the Health and Retirement Study—a nationally representative panel study of American adults over the age of 50—were used. Analyses were conducted on a subset of 6740 adults who were stroke-free at baseline. Analyses adjusted for chronic illnesses and relevant sociodemographic, behavioral, and psychosocial factors. Over a four-year follow-up, higher perceived neighborhood social cohesion was associated with a lower risk of stroke. Each standard deviation increase in perceived neighborhood social cohesion was associated with a multivariate-adjusted odds ratio (O.R.) of 0.85 for stroke incidence (95% CI, 0.75–0.97, p < 0.05). The effect of perceived neighborhood social cohesion remained significant after adjusting for a comprehensive set of risk factors. Therefore, perceived neighborhood social cohesion plays an important role in protecting against stroke.

Suggested Citation

  • Kim, Eric S. & Park, Nansook & Peterson, Christopher, 2013. "Perceived neighborhood social cohesion and stroke," Social Science & Medicine, Elsevier, vol. 97(C), pages 49-55.
    • Handle: RePEc:eee:socmed:v:97:y:2013:i:c:p:49-55
    DOI: 10.1016/j.socscimed.2013.08.001
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    References listed on IDEAS

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    Cited by:

    1. Boqin Xie & Chenjuan Ma & Junqiao Wang, 2020. "Independent and Combined Relationships of Perceived Neighborhood Social Cohesion and Physical Frailty on Functional Disability in Community-Dwelling Older Adults," IJERPH, MDPI, vol. 17(16), pages 1-12, August.
    2. Diego Zavaleta & Kim Samuel & China T. Mills, 2017. "Measures of Social Isolation," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 131(1), pages 367-391, March.
    3. Viniece Jennings & Omoshalewa Bamkole, 2019. "The Relationship between Social Cohesion and Urban Green Space: An Avenue for Health Promotion," IJERPH, MDPI, vol. 16(3), pages 1-14, February.
    4. Moses Wong & Pui Hing Chau & Francis Cheung & David R Phillips & Jean Woo, 2015. "Comparing the Age-Friendliness of Different Neighbourhoods Using District Surveys: An Example from Hong Kong," PLOS ONE, Public Library of Science, vol. 10(7), pages 1-16, July.
    5. Hyeah Park & Seulggie Choi & Kyae Hyung Kim & EunKyo Kang & Ahryoung Ko & Sang Min Park, 2020. "Association between Social Trust and Metabolic Syndrome in a Previously Healthy Population—A Longitudinal Cohort Study in South Korea," IJERPH, MDPI, vol. 17(16), pages 1-12, August.
    6. Eileen E. Avery & Joan M. Hermsen & Danielle C. Kuhl, 2021. "Toward a Better Understanding of Perceptions of Neighborhood Social Cohesion in Rural and Urban Places," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 157(2), pages 523-541, September.
    7. Rodgers, Justin & Valuev, Anna V. & Hswen, Yulin & Subramanian, S.V., 2019. "Social capital and physical health: An updated review of the literature for 2007–2018," Social Science & Medicine, Elsevier, vol. 236(C), pages 1-1.

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