Division of Research, Kaiser Permanente Northern California, Oakland, CA, United States of America.
Division of General Internal Medicine, Department of Medicine, UCSF Center for Vulnerable Populations, UCSF, San Francisco, CA, United States of America.
PLoS One. 2020 May 6;15(5):e0232239. doi: 10.1371/journal.pone.0232239. eCollection 2020.
Social networks have been shown to influence lifestyle behaviors in non-Latinx white (NLW) populations. We examined their influence in Asian American, Native Hawaiian and Pacific Islander (AANHPI) women.
We included 477 AANHPI women from the Asian Community Health Initiative Study who provided egocentric (degree, density, composition) and epidemiologic (size, types of ties) social network data and data on alcohol intake, physical activity, smoking, diet, and body size. We used logistic regression to evaluate associations of social network measures and dichotomous outcomes, and linear regression for continuous outcomes.
In multivariable-adjusted analyses, higher degree and/or proportion of friends were significantly related to higher Western diet, higher odds of any alcohol consumption, and lower odds of physical inactivity and body mass index (BMI)≥23 kg/m2. Additionally, a higher proportion of NLW in women's networks was related to lower Asian diet but also lower waist size. Community participation was related to higher Western diet and lower Asian diet. By contrast, degree and/or proportion of relatives were positively related to BMI, waist size and to a higher odds of BMI≥23 kg/m2 and of ever smoking 100 cigarettes. Being married was related to fewer alcoholic drinks per week and higher Asian diet. A higher density of relationships with frequent contact was also associated with higher Asian diet.
AANHPI women with larger proportions of friends and NLWs in their networks had more Western health behaviors and smaller body size. Norms for health behaviors and body size may be influenced by the size, composition, and structure of social networks, relevant to chronic disease prevention.
社交网络已被证明会影响非拉丁裔白人群体（NLW）的生活方式行为。我们研究了它们对亚裔美国、夏威夷原住民和太平洋岛民（AANHPI）女性的影响。
我们纳入了来自亚洲社区健康倡议研究的 477 名 AANHPI 女性，她们提供了以自我为中心的（程度、密度、组成）和流行病学的（大小、关系类型）社交网络数据以及酒精摄入、身体活动、吸烟、饮食和身体大小的数据。我们使用逻辑回归评估社交网络措施与二分结局的关联，以及线性回归与连续结局的关联。
在多变量调整分析中，较高的朋友数量和/或比例与较高的西方饮食、较高的任何饮酒可能性以及较低的身体活动不足和体重指数（BMI）≥23 kg/m2的可能性显著相关。此外，女性网络中 NLW 的比例较高与较低的亚洲饮食有关，但也与较低的腰围有关。社区参与与较高的西方饮食和较低的亚洲饮食有关。相比之下，程度和/或比例的亲属与 BMI、腰围以及 BMI≥23 kg/m2和吸烟 100 支的可能性较高呈正相关。已婚与每周饮酒量较少和较高的亚洲饮食有关。与经常联系的关系密度较高也与较高的亚洲饮食有关。
AANHPI 女性的网络中朋友和 NLW 的比例越高，其西方健康行为越多，身体尺寸越小。健康行为和身体尺寸的规范可能受到社交网络的大小、组成和结构的影响，这与慢性病预防有关。
