Abstract P328: Association of Functional and Structural Social Network Components With Medication Adherence Among Participants With Coronary Heart Disease Risk Factors: the REasons for Geographic and Racial Differences in Stroke Study

• DOI: 10.1161/circ.135.suppl_1.p328
• Publication Date: 2022-03-19T22:14:11Z
• Authors: Favel L Mondesir; April P Carson; Raegan W Durant; Marquita W Lewis; Monika M Safford; Emily B Levitan
• Keywords: Dyslipidemia; Social network (sociolinguistics); Stroke

Prior research suggests that functional (e.g., practical support) social network components are more strongly associated with chronic disease health outcomes than structural size, frequency of contacts) components. Yet, it is unclear whether strong networks help improve by promoting medication adherence, particularly among those coronary heart (CHD) risk factors. We included 17,133 black and white adults aged ≥45 years from the REasons for Geographic Racial Differences in Stroke (REGARDS) study who had diabetes, hypertension, dyslipidemia, or prevalent CHD used medications these conditions. Functional (i.e., someone to care you while sick disabled vs no-one available) presence absence household, married/in a marriage-like relationship not partnered, number close friends relatives, relatives seen at least monthly) were self-reported adherence was assessed using Morisky scale. A weighted composite score created participants categorized as reporting high low support based on median. Multi-variable adjusted logistic regression models demographics, factors cumulative medications, estimate association between adherence. Prevalence 68.9%. Compared reported they no one them disabled, available higher prevalence [OR=1.15 (95% CI: 1.04, 1.26)]. Participants (composite above median) similar compared lower [OR=1.09 0.87, 1.37)]. In conclusion, interventions aimed providing people may need consider preferentially focusing enhancing aspects individuals’ means potentially improving ultimately cardiovascular health.