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Sex differences in the association of social network satisfaction and the risk for type 2 diabetes
- Source :
- BMC Public Health, Vol 17, Iss 1, Pp 1-8 (2017), BMC Public Health, BMC Public Health 17:379 (2017)
- Publication Year :
- 2017
- Publisher :
- BMC, 2017.
-
Abstract
- 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.
- Subjects :
- 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
Subjects
Details
- Language :
- English
- ISSN :
- 14712458
- Volume :
- 17
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- BMC Public Health
- Accession number :
- edsair.doi.dedup.....893d4019d216102d95257d4234ea6312
- Full Text :
- https://doi.org/10.1186/s12889-017-4323-7