Racial/ethnic differences in the associations between social support and cardiovascular morbidity and mortality in the Multi-Ethnic Study of Atherosclerosis (MESA).

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Title: Racial/ethnic differences in the associations between social support and cardiovascular morbidity and mortality in the Multi-Ethnic Study of Atherosclerosis (MESA).
Authors: Naqvi, Jeanean B., Formagini, Taynara, Allison, Matthew A., Kandula, Namratha R., Park, Jee Won, Larsen, Britta A.
Source: BMC Public Health; 1/16/2025, Vol. 25 Issue 1, p1-10, 10p
Subject Terms: ETHNOPSYCHOLOGY, PROPORTIONAL hazards models, COGNITIVE psychology, RACE, CHINESE people, ETHNIC differences
Abstract: Background: Despite the established link between social support and cardiovascular disease (CVD) outcomes, few studies have examined racial/ethnic variation in these associations. This study utilized data from the Multi-Ethnic Study of Atherosclerosis (MESA) to investigate racial/ethnic differences in perceived social support and in the link between support and incident hard CVD events and mortality. Method: Participants (N = 6,814) were 45–84 years of age who identified as White, Black, Hispanic/Latino, or Chinese without known clinical CVD at baseline (2000–2002). Racial/ethnic differences in perceived support (overall, emotional, informational, and instrumental) were tested using multiple regression with adjustments for demographic, socioeconomic, lifestyle/psychosocial, and clinical risk factors, and immigration history. Racial/ethnic differences in the association between perceived support and incident CVD events or mortality were tested using Cox proportional hazards models with progressive adjustments for the same covariates. Results: At baseline, the mean age was 62.15 years (SD = 10.23); 38.5% identified as White, 27.8% as Black, 22.0% as Hispanic/Latino, and 11.8% as Chinese. Black and Hispanic/Latino participants reported higher levels of overall support, emotional support, and informational support than White participants (p's < 0.05). Chinese participants reported less informational support (p =.010) than White participants. Higher informational support was associated with decreased risk for hard CVD events. This association did not differ by race/ethnic group. Conclusion: Despite racial/ethnic differences in perceptions of support, perceived informational support was protective against CVD for participants of all racial/ethnic backgrounds. [ABSTRACT FROM AUTHOR]
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  Data: Racial/ethnic differences in the associations between social support and cardiovascular morbidity and mortality in the Multi-Ethnic Study of Atherosclerosis (MESA).
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  Data: Background: Despite the established link between social support and cardiovascular disease (CVD) outcomes, few studies have examined racial/ethnic variation in these associations. This study utilized data from the Multi-Ethnic Study of Atherosclerosis (MESA) to investigate racial/ethnic differences in perceived social support and in the link between support and incident hard CVD events and mortality. Method: Participants (N = 6,814) were 45–84 years of age who identified as White, Black, Hispanic/Latino, or Chinese without known clinical CVD at baseline (2000–2002). Racial/ethnic differences in perceived support (overall, emotional, informational, and instrumental) were tested using multiple regression with adjustments for demographic, socioeconomic, lifestyle/psychosocial, and clinical risk factors, and immigration history. Racial/ethnic differences in the association between perceived support and incident CVD events or mortality were tested using Cox proportional hazards models with progressive adjustments for the same covariates. Results: At baseline, the mean age was 62.15 years (SD = 10.23); 38.5% identified as White, 27.8% as Black, 22.0% as Hispanic/Latino, and 11.8% as Chinese. Black and Hispanic/Latino participants reported higher levels of overall support, emotional support, and informational support than White participants (p&#39;s &lt; 0.05). Chinese participants reported less informational support (p =.010) than White participants. Higher informational support was associated with decreased risk for hard CVD events. This association did not differ by race/ethnic group. Conclusion: Despite racial/ethnic differences in perceptions of support, perceived informational support was protective against CVD for participants of all racial/ethnic backgrounds. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label:
  Group: Ab
  Data: &lt;i&gt;Copyright of BMC Public Health is the property of BioMed Central and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder&#39;s express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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        Value: 10.1186/s12889-024-21141-0
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        Text: English
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              Text: 1/16/2025
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