The protective effect of social support on all-cause and cardio-cerebrovascular mortality among middle-aged and older adults in the US
Abstract The relationship between social support and mortality, especially cardio-cerebrovascular mortality, still has some limitations in the assessment of social support, sample selection bias, and short follow-up time. We used the data from 2005 to 2008 National Health and Nutrition Examination S...
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Nature Portfolio
2024-02-01
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| Series: | Scientific Reports |
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| Online Access: | https://doi.org/10.1038/s41598-024-55012-w |
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| author | Yu Wang Jun-Jun Wang Hao-Feng Zhou Wei-Ya Li Ying-Xue Liao Ming-Yu Xu Chuan-Yu Gao Bo Lv |
| author_facet | Yu Wang Jun-Jun Wang Hao-Feng Zhou Wei-Ya Li Ying-Xue Liao Ming-Yu Xu Chuan-Yu Gao Bo Lv |
| author_sort | Yu Wang |
| collection | DOAJ |
| description | Abstract The relationship between social support and mortality, especially cardio-cerebrovascular mortality, still has some limitations in the assessment of social support, sample selection bias, and short follow-up time. We used the data from 2005 to 2008 National Health and Nutrition Examination Survey to examine this relationship. The study analyzed a total of 6776 participants, divided into Group 1, Group 2, and Group 3 according to the social support score (0–1; 2–3; 4–5). Multivariable adjusted COX regression analyses of our study showed that Group 3 and Group 2 had a reduced risk of all-cause and cardio-cerebrovascular mortality (Group 3 vs 1, HR: 0.55, P < 0.001; HR: 0.4, P < 0.001; Group 2 vs 1, HR: 0.77, P = 0.017; HR: 0.58, P = 0.014) compared with Group 1. The same results were observed after excluding those who died in a relatively short time. Additionally, having more close friends, being married or living as married, and enough attending religious services were significantly related to a lower risk of mortality after adjustment. In brief, adequate social support is beneficial in reducing the risk of all-cause mortality and cardio-cerebrovascular mortality in middle-aged and older adults, especially in terms of attending religious services frequency, the number of close friends, and marital status. |
| first_indexed | 2024-03-07T15:01:05Z |
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| id | doaj.art-1f647f7e4e594da9adb3b58ea2ad5c38 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-03-07T15:01:05Z |
| publishDate | 2024-02-01 |
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| spelling | doaj.art-1f647f7e4e594da9adb3b58ea2ad5c382024-03-05T19:07:51ZengNature PortfolioScientific Reports2045-23222024-02-0114111110.1038/s41598-024-55012-wThe protective effect of social support on all-cause and cardio-cerebrovascular mortality among middle-aged and older adults in the USYu Wang0Jun-Jun Wang1Hao-Feng Zhou2Wei-Ya Li3Ying-Xue Liao4Ming-Yu Xu5Chuan-Yu Gao6Bo Lv7Fuwai Central China Cardiovascular HospitalGuangdong Cardiovascular Institute, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical SciencesGuangdong Cardiovascular Institute, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical SciencesInstitute of Cardiovascular Diseases, West China Hospital, Sichuan UniversityGuangdong Cardiovascular Institute, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical SciencesGuangdong Cardiovascular Institute, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical SciencesFuwai Central China Cardiovascular HospitalGuangdong Cardiovascular Institute, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical SciencesAbstract The relationship between social support and mortality, especially cardio-cerebrovascular mortality, still has some limitations in the assessment of social support, sample selection bias, and short follow-up time. We used the data from 2005 to 2008 National Health and Nutrition Examination Survey to examine this relationship. The study analyzed a total of 6776 participants, divided into Group 1, Group 2, and Group 3 according to the social support score (0–1; 2–3; 4–5). Multivariable adjusted COX regression analyses of our study showed that Group 3 and Group 2 had a reduced risk of all-cause and cardio-cerebrovascular mortality (Group 3 vs 1, HR: 0.55, P < 0.001; HR: 0.4, P < 0.001; Group 2 vs 1, HR: 0.77, P = 0.017; HR: 0.58, P = 0.014) compared with Group 1. The same results were observed after excluding those who died in a relatively short time. Additionally, having more close friends, being married or living as married, and enough attending religious services were significantly related to a lower risk of mortality after adjustment. In brief, adequate social support is beneficial in reducing the risk of all-cause mortality and cardio-cerebrovascular mortality in middle-aged and older adults, especially in terms of attending religious services frequency, the number of close friends, and marital status.https://doi.org/10.1038/s41598-024-55012-wSocial supportAll-cause mortalityCardio-cerebrovascular mortalityMiddle-aged and older adultsNHANES |
| spellingShingle | Yu Wang Jun-Jun Wang Hao-Feng Zhou Wei-Ya Li Ying-Xue Liao Ming-Yu Xu Chuan-Yu Gao Bo Lv The protective effect of social support on all-cause and cardio-cerebrovascular mortality among middle-aged and older adults in the US Scientific Reports Social support All-cause mortality Cardio-cerebrovascular mortality Middle-aged and older adults NHANES |
| title | The protective effect of social support on all-cause and cardio-cerebrovascular mortality among middle-aged and older adults in the US |
| title_full | The protective effect of social support on all-cause and cardio-cerebrovascular mortality among middle-aged and older adults in the US |
| title_fullStr | The protective effect of social support on all-cause and cardio-cerebrovascular mortality among middle-aged and older adults in the US |
| title_full_unstemmed | The protective effect of social support on all-cause and cardio-cerebrovascular mortality among middle-aged and older adults in the US |
| title_short | The protective effect of social support on all-cause and cardio-cerebrovascular mortality among middle-aged and older adults in the US |
| title_sort | protective effect of social support on all cause and cardio cerebrovascular mortality among middle aged and older adults in the us |
| topic | Social support All-cause mortality Cardio-cerebrovascular mortality Middle-aged and older adults NHANES |
| url | https://doi.org/10.1038/s41598-024-55012-w |
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