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Association between social trust and the risk of cardiovascular disease in older adults in Korea: a nationwide retrospective cohort study

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Authors
Hwang, Seo Eun; Choi, Seulggie; Kim, Kyuwoong; Lee, Jong-Koo; Oh, Juhwan; Park, Sang Min
Issue Date
2020-12-01
Publisher
BMC
Citation
BMC Public Health. 2020 Dec 01;20(1):1844
Keywords
Social capitalSocial trustCardiovascular disease
Abstract
Background
Although social capital has been shown to be one of the important social determinants of health, the association between social trust and the risk of cardiovascular disease (CVD) is not clear yet. We aimed to investigate the association of social trust with CVD risk using a large Korean population based data.

Methods
The data of this study was derived from the Korean National Health Insurance Service database. Community-level social trust was determined from the Korean Community Health Survey. The study population consisted of 2,156,829 participants. According to social trust index measured in the area of residence during 2011, participants were followed-up from 1 January 2012 to 31 December 2016. Multivariate Cox proportional hazards regression was used to determine the adjusted hazard ratios (aHRs) and 95% confidence intervals (CIs) for CVD risk according to quintiles of social trust.

Results
Compared to participants with the lowest quintile of social trust, those within the highest quintile had lower risk for CVD (aHR 0.91, 95% CI = 0.89 to 0.93), CHD (aHR 0.92, 95% CI = 0.89 to 0.95), and stroke (aHR 0.90, 95% CI = 0.87 to 0.93). The risk-reducing association of high social trust on CVD risk was preserved after additional adjustments for lifestyle behaviors including smoking, alcohol consumption, and physical activity.

Conclusion
Higher social trust was associated with reduced risk of CVD even after considering lifestyle behaviors. Social trust in a community level is an important determinant of CVD and enhancing social trust may lead to reduced risk of CVD.
ISSN
1471-2458
Language
English
URI
http://hdl.handle.net/10371/173371
DOI
https://doi.org/10.1186/s12889-020-09964-z
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College of Medicine/School of Medicine (의과대학/대학원)Dept. of Medicine (의학과)Journal Papers (저널논문_의학과)
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