Aspirin use and cardiovascular events in social networks

Department of Sociology, University at Albany, State University of New York, 1400 Washington Ave, Albany, NY 12222, USA.
Social Science [?] Medicine (Impact Factor: 2.89). 04/2012; 74(7):1125-9. DOI: 10.1016/j.socscimed.2011.12.033
Source: PubMed


We tested whether friends' and family members' cardiovascular health events and also their own aspirin use are associated with the likelihood that an individual takes aspirin regularly. Analyses were based on longitudinal data on 2724 members of the Framingham Heart Study (based in Massachusetts, U.S.A.) who were linked to friends and family members who were also participants in the same study. Men were more likely to take aspirin if a male friend had recently been taking aspirin, and women were more likely to take aspirin if a brother had recently been taking aspirin. Men were also more likely to take aspirin if a brother recently had a cardiovascular event, and women were more likely to take aspirin if a female friend recently experienced a cardiovascular event. Aspirin use is correlated with the health and behavior of friends and family. These findings add to a growing body of evidence which suggests that behavioral changes that promote cardiovascular health may spread through social networks.

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    ABSTRACT: Here, we review the research we have conducted on social contagion. We describe the methods we have employed (and the assumptions they have entailed) to examine several datasets with complementary strengths and weaknesses, including the Framingham Heart Study, the National Longitudinal Study of Adolescent Health, and other observational and experimental datasets that we and others have collected. We describe the regularities that led us to propose that human social networks may exhibit a 'three degrees of influence' property, and we review statistical approaches we have used to characterize interpersonal influence with respect to phenomena as diverse as obesity, smoking, cooperation, and happiness. We do not claim that this work is the final word, but we do believe that it provides some novel, informative, and stimulating evidence regarding social contagion in longitudinally followed networks. Along with other scholars, we are working to develop new methods for identifying causal effects using social network data, and we believe that this area is ripe for statistical development as current methods have known and often unavoidable limitations. Copyright © 2012 John Wiley & Sons, Ltd.
    Statistics in Medicine 02/2013; 32(4). DOI:10.1002/sim.5408 · 1.83 Impact Factor
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    ABSTRACT: Drawing on health-related social control theory, we examine how young partners influence each other's mental health care use. We use the data of a sample of newlywed and recently cohabiting heterosexual couples (N = 798) of the survey “Relationships in Flanders.” Logistic regression analyses are performed, stratifying all analyses by gender. Results reveal that married men are less likely to use health care than cohabiting men. No effect of parenthood is shown. Women consume less mental health care the longer they live together with their male partner, and when their partner has not contacted a health care provider. Hence, the results show limited support for a social learning process.
    Social Work in Mental Health 03/2014; 12(2):132-154. DOI:10.1080/15332985.2013.817370
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    ABSTRACT: Cardiovascular diseases are the leading causes of disability and death in the United States. Primary prevention of these events may be achieved through aspirin use. The ability of a community-based intervention to increase aspirin use has not been evaluated. The objective of this study was to evaluate an educational intervention implemented to increase aspirin use for primary prevention of cardiovascular disease in a small city in Minnesota. A community-based intervention was implemented during 16 months in a medium-sized community in Minnesota. Messages for aspirin use were disseminated to individuals, health care professionals, and the general population. Independent cross-sectional samples of residents (men aged 45-79, women aged 55-79) were surveyed by telephone to identify candidates for primary prevention aspirin use, examine their characteristics, and determine regular aspirin use at baseline and after the campaign at 4 months and 16 months. In primary prevention candidates, regular aspirin use rates increased from 36% at baseline to 54% at 4 months (odds ratio = 2.05; 95% confidence interval, 1.09-3.88); the increase was sustained at 52% at 16 months (odds ratio = 1.89; 95% confidence interval, 1.02-3.49). The difference in aspirin use rates at 4 months and 16 months was not significant (P = .77). Aspirin use rates for primary prevention remain low. A combined public health and primary care approach can increase and sustain primary prevention aspirin use in a community setting.
    Preventing chronic disease 05/2014; 11(5):E83. DOI:10.5888/pcd11.130378 · 2.12 Impact Factor
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