Social network and health outcomes among African American cardiac rehabilitation patients

Heart Lung. 2011 May-Jun;40(3):193-200. doi: 10.1016/j.hrtlng.2010.05.049. Epub 2010 Aug 3.

Abstract

Objective: We tested the hypotheses that the number of close social network members and the health-related support provided by social network members are predictive of coping efficacy and health behaviors.

Methods: Cross-sectional data were collected from 115 African Americans enrolled in cardiac rehabilitation. Measures included the social convoy model, SF-36, the Social Interaction Questionnaire, the Patient Self-Efficacy Questionnaire, and an investigator-developed assessment of health behaviors.

Results: Bivariate relationships were found between the number of inner network members and coping efficacy (r = .19, P < .05) and health behaviors (r = .18, P < .06), and between health-related support and coping efficacy (r = .22, P < .05) and health behaviors (r = .28, P < .001). Regression analyses support the hypothesis that close network members predicted better coping efficacy (β = .18, P < .05) and health behaviors (β = .19, P < .05). Health-related support also predicted coping efficacy (β = .23, P < .05) and health behaviors (β = .30, P < .01).

Conclusion: African Americans with larger inner networks have more health support, better health behaviors, and higher coping efficacy. The number of close social network members and related health-support promote health through health behaviors and coping efficacy.

Publication types

  • Clinical Trial, Phase II
  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adaptation, Psychological
  • Adult
  • Aged
  • Aged, 80 and over
  • Black or African American / psychology*
  • Female
  • Health Behavior
  • Heart Diseases / ethnology
  • Heart Diseases / nursing*
  • Heart Diseases / psychology
  • Heart Diseases / rehabilitation*
  • Humans
  • Life Style
  • Male
  • Middle Aged
  • Social Support*
  • Surveys and Questionnaires