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Social Network Characteristics Are Associated With Type 2 Diabetes Complications: The Maastricht Study

Stephanie Brinkhues · Nicole H. T. M. Dukers–Muijrers · Christian J. P. A. Hoebe · Carla Kallen · Annemarie Koster · Ronald M.A. Henry +4 more

55 citations0/0 files storedDiabetes Care

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Health disparities and outcomes Diabetes, Cardiovascular Risks, and Lipoproteins Diabetes Management and Education

Abstract

OBJECTIVE The relation between clinical complications and social network characteristics in type 2 diabetes mellitus (T2DM) has hardly been studied. Therefore, we examined the associations of social network characteristics with macro- and microvascular complications in T2DM and investigated whether these associations were independent of glycemic control, quality of life, and well-known cardiovascular risk factors. RESEARCH DESIGN AND METHODS Participants with T2DM originated from the Maastricht Study, a population-based cohort study (n = 797, mean age 62.7 ± 7.6 years, 31% female). Social network characteristics were assessed through a name generator questionnaire. Diabetes status was determined by an oral glucose tolerance test. Macro- and microvascular complications were defined as a history of cardiovascular disease and the presence of impaired vibratory sense and/or retinopathy and/or albuminuria, respectively. We assessed cross-sectional associations of social network characteristics with macro- and microvascular complications by use of logistic regression adjusted for age, HbA1c, quality of life, and cardiovascular risk factors, stratified for sex. RESULTS A smaller network size, higher percentages of family members, and lower percentages of friends were independently associated with macrovascular complications in both men and women. A smaller network size and less informational support were independently associated with microvascular complications in women, but not in men. CONCLUSIONS This study shows that social network characteristics were associated with macro- and microvascular complications. Health care professionals should be aware of the association of the social network with T2DM outcomes. In the development of strategies to reduce the burden of disease, social network characteristics should be taken into account.

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1992Health Behavior and Health Education: Theory, Research, and Practice 1994SF-36 physical and mental health summary scales : a user's manual 2016SOCIAL NETWORKS AND SOCIAL SUPPORT 1978A Procedure for Surveying Personal Networks 1996Age and sex differences in strategies of coping and defense across the life span.2008Differential Associations of Social Support and Social Connectedness With Structural Features of Social Networks and the Health Status of Older Adults 2014The Contribution of Social Networks to the Health and Self-Management of Patients with Long-Term Conditions: A Longitudinal Study 2007Social Support and Mortality Among Older Persons With Diabetes

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