Patient Preference and Adherence (Sep 2017)
The correlates of social capital and adherence to healthy lifestyle in patients with coronary heart disease
Abstract
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
