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APHA Scientific Session and Event Listing

Recorded presentation

Richard M. Scheffler, PhD¹, Carlos Iribarren, MD, MPH, PhD², Timothy Brown, PhD¹, Irina Tolstykh, MS², Carol Somkin², Lynn Ackerson, PhD², Ichiro Kawachi, MD, PhD³, and Leonard Syme, PhD¹. (1) Nicholas C. Petris Center on Health Care Markets and Consumer Welfare, University of California Berkeley, School of Public Health, 140 earl Warren Hall, MC7360, Berkeley, CA 94720, 5106434099, skelly@berkeley.edu, (2) Division of Research, Kaiser Permanente, 2000 Broadway, Oakland, CA 94612, (3) Department of Health and Social Behavior, Harvard School of Public Health, 677 Huntington Avenue, Boston, MA 02115

Objectives: To determine the association between community social capital and the recurrence of acute coronary syndrome.

Methods: We estimated random-effects multi-level (person, census block group and county) Cox proportional hazards models, which predicted an additional ACS event. Fixed variables included age, sex, race/ethnicity, median household income, Gini coefficient, and racial Herfindahl Index. Time-dependent variables included co-morbidities, medication use, revascularization procedures, community social capital, and HMO penetration.

Rssults: The hazard ratio of a one standard deviation increase in community social capital on the recurrence of ACS was 0.92 with a 95% confidence interval of 0.88 – 0.97.

Conclusions: Community social capital is inversely related to the recurrence of acute coronary syndrome.

Learning Objectives:

• Recognize the importance of community social capital in cardiovascular health.
• Describe the Petris social capital index and its easy availability in evaluating one's own community relative to other communities.
• Discuss the pathways through which community social capital may affect cardiovascular outcomes.

Keywords: Chronic (CVD), Epidemiology

Related Web page: www.petris.org/project-social_cap_cardiovascular.htm

Presenting author's disclosure statement:

Any relevant financial relationships? No

Recorded presentation