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

Authors Fang J, Wang JW, Li J, Li H, Shao C

Received 1 May 2017

Accepted for publication 1 August 2017

Published 30 September 2017 Volume 2017:11 Pages 1701—1707

DOI https://doi.org/10.2147/PPA.S140787

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Akshita Wason

Peer reviewer comments 2

Editor who approved publication: Dr Naifeng Liu

Jialie Fang,1,* Ji-Wei Wang,2,* Jiang Li,3 Hua Li,4 Chunhai Shao5

1Shanghai Jing’an District Center for Disease Control and Prevention, Shanghai, People’s Republic of China; 2Key Lab of Health Technology Assessment of Ministry of Health, School of Public Health, Fudan University, Shanghai, People’s Republic of China; 3Faculty of Health, University of Canberra, Canberra, Australian Capital Territory, Australia; 4Department of Cardiac Surgery, Zhongshan Hospital, Fudan University, Shanghai, People’s Republic of China; 5Department of Nutrition, Huashan Hospital, Fudan University, Shanghai, People’s Republic of China

*These authors contributed equally to this work

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: social capital, adherence, healthy lifestyle, coronary heart disease

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