Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2017 Sep 30:11:1701-1707.
doi: 10.2147/PPA.S140787. eCollection 2017.

The correlates of social capital and adherence to healthy lifestyle in patients with coronary heart disease

Jialie Fang #  1 , Ji-Wei Wang #  2 , Jiang Li  3 , Hua Li  4 , Chunhai Shao  5
Affiliations

The correlates of social capital and adherence to healthy lifestyle in patients with coronary heart disease

Jialie Fang et al. Patient Prefer Adherence. .

Abstract

Objective: To investigate the correlates of social capital and adherence to healthy lifestyle in patients with coronary heart disease (CHD).

Methods: This register-based, cross-sectional study consisted of individuals diagnosed with CHD at four community health service centers, Shanghai, China, between April and July 2016 (n=609). The sociodemographic characteristics, social capital, adherence to physical activity, and nutrition data were obtained through face-to-face interviews. Social capital was assessed by social participation, social networking, social support, social trust, and sense of belonging. Physical activity and nutrition were measured with the Health-Promoting Lifestyle Profile II. The independent two-sample t-test and Pearson's correlations were used to analyze associations among variables. Hierarchical multiple regression models were used to evaluate effects of social capital on adherence to physical activity and nutrition.

Results: The average age of the sample was 60.87 (standard deviation [SD] =6.91), with 54.4% being male and 45.6% female. The average score of physical activity and nutrition were 2.38 (SD =0.59) and 2.78 (SD =0.50), respectively. The final model significantly explained 28.9% of variance in physical activity (F=34.96, P<0.001) and 30.5% of variance in nutrition (F=37.73, P<0.001). Most of the subdimensions of social capital were significantly associated with physical activity and nutrition, after controlling for marital status and education level.

Conclusion: The results suggested that social capital was the correlate of adherence to long-term healthy lifestyle, including physical activity and nutrition. These findings highlight the need to take into account social capital in developing intervention strategies to improve the adherence to the long-term healthy lifestyle for patients with CHD.

Keywords: adherence; coronary heart disease; healthy lifestyle; social capital.

PubMed Disclaimer

Conflict of interest statement

Disclosure The authors report no conflicts of interest in this work.

References

    1. Lozano R, Naghavi M, Foreman K, et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380(9859):2095–2128. - PMC - PubMed
    1. Liu J, Liu Y, Wang L, et al. The disease burden of cardiovascular and circulatory diseases in China, 1990 and 2010. Chi J Prev Med. 2015;49(4):315–320. - PubMed
    1. Fuster V. Global burden of cardiovascular disease: time to implement feasible strategies and to monitor results. J Am Coll Cardiol. 2014;64:520–522. - PubMed
    1. National Heart Foundation of Australia . Improving Adherence in Cardiovascular Care. A Toolkit for Health Professionals. Australia: National Heart Foundation of Australia; 2011.
    1. Sabate E. Adherence to Long-Term Therapies: Evidence for Action. Geneva, Switzerland: World Health Organization; 2003.

LinkOut - more resources