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Association of functional and structural social support with chronic kidney disease among African Americans: the Jackson Heart Study.

Publication ,  Journal Article
Hall, RK; Davenport, CA; Sims, M; Colón-Emeric, C; Washington, T; St Clair Russell, J; Pendergast, J; Bhavsar, N; Scialla, J; Tyson, CC ...
Published in: BMC Nephrol
July 15, 2019

BACKGROUND: There is limited evidence on the relationship between social support and renal outcomes in African Americans. We sought to determine the association of social support with prevalent chronic kidney disease (CKD) and kidney function decline in an African American cohort. We also examined whether age modifies the association between social support and kidney function decline. METHODS: We identified Jackson Heart Study (JHS) participants with baseline (Exam in 2000-2004) functional and structural social support data via the Interpersonal Support Evaluation List (ISEL) and social network size questions, respectively. With ISEL as our primary exposure variable, we performed multivariable regression models to evaluate the association between social support and prevalent CKD [estimated glomerular filtration rate (eGFR) < 60 ml/min/1.73 m2 or urine albumin-creatinine ratio (ACR) ≥30 mg/g], eGFR decline, and rapid renal function decline (RRFD) (> 30% decrease in eGFR over approximately 10 years). All models were adjusted for baseline sociodemographics, diabetes, hypertension, smoking status, and body mass index; models for eGFR decline and RRFD were additionally adjusted for eGFR and ACR. In models for eGFR decline, we assessed for interaction between age and social support. For secondary analyses, we replaced ISEL with its individual domains (appraisal, belonging, self-esteem, and tangible) and social network size in separate models as exposure variables. RESULTS: Of 5301 JHS participants, 4015 (76%) completed the ISEL at baseline. 843 (21%) had low functional social support (ISEL score < 32). Participants with low (vs. higher) functional social support were more likely to have lower income (47% vs. 28%), be current or former tobacco users (39% vs. 30%), have diabetes (25% vs. 21%) or CKD (14% vs. 12%). After multivariable adjustment, neither ISEL or social network size were independently associated with prevalent CKD, eGFR decline, or RRFD. Of the ISEL domains, only higher self-esteem was associated with lower odds of prevalent CKD [OR 0.94 (95% CI 0.89-0.99)]. The associations between social support measures and eGFR decline were not modified by age. CONCLUSIONS: In this African-American cohort, social support was not associated with prevalent CKD or kidney function decline. Further inquiry of self-esteem's role in CKD self-management and renal outcomes is warranted.

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Published In

BMC Nephrol

DOI

EISSN

1471-2369

Publication Date

July 15, 2019

Volume

20

Issue

1

Start / End Page

262

Location

England

Related Subject Headings

  • Urology & Nephrology
  • Social Support
  • Renal Insufficiency, Chronic
  • Middle Aged
  • Male
  • Longitudinal Studies
  • Humans
  • Glomerular Filtration Rate
  • Female
  • Cross-Sectional Studies
 

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Hall, R. K., Davenport, C. A., Sims, M., Colón-Emeric, C., Washington, T., St Clair Russell, J., … Diamantidis, C. J. (2019). Association of functional and structural social support with chronic kidney disease among African Americans: the Jackson Heart Study. BMC Nephrol, 20(1), 262. https://doi.org/10.1186/s12882-019-1432-9
Hall, Rasheeda K., Clemontina A. Davenport, Mario Sims, Cathleen Colón-Emeric, Tiffany Washington, Jennifer St Clair Russell, Jane Pendergast, et al. “Association of functional and structural social support with chronic kidney disease among African Americans: the Jackson Heart Study.BMC Nephrol 20, no. 1 (July 15, 2019): 262. https://doi.org/10.1186/s12882-019-1432-9.
Hall RK, Davenport CA, Sims M, Colón-Emeric C, Washington T, St Clair Russell J, et al. Association of functional and structural social support with chronic kidney disease among African Americans: the Jackson Heart Study. BMC Nephrol. 2019 Jul 15;20(1):262.
Hall, Rasheeda K., et al. “Association of functional and structural social support with chronic kidney disease among African Americans: the Jackson Heart Study.BMC Nephrol, vol. 20, no. 1, July 2019, p. 262. Pubmed, doi:10.1186/s12882-019-1432-9.
Hall RK, Davenport CA, Sims M, Colón-Emeric C, Washington T, St Clair Russell J, Pendergast J, Bhavsar N, Scialla J, Tyson CC, Wang W, Min Y-I, Young B, Boulware LE, Diamantidis CJ. Association of functional and structural social support with chronic kidney disease among African Americans: the Jackson Heart Study. BMC Nephrol. 2019 Jul 15;20(1):262.
Journal cover image

Published In

BMC Nephrol

DOI

EISSN

1471-2369

Publication Date

July 15, 2019

Volume

20

Issue

1

Start / End Page

262

Location

England

Related Subject Headings

  • Urology & Nephrology
  • Social Support
  • Renal Insufficiency, Chronic
  • Middle Aged
  • Male
  • Longitudinal Studies
  • Humans
  • Glomerular Filtration Rate
  • Female
  • Cross-Sectional Studies