Personal social networks and organizational affiliation of South Asians in the United States

Namratha R Kandula, Andrew J Cooper, John A Schneider, Kayo Fujimoto, Alka M Kanaya, Linda Van Horn, Lawrence deKoning, Juned Siddique, Namratha R Kandula, Andrew J Cooper, John A Schneider, Kayo Fujimoto, Alka M Kanaya, Linda Van Horn, Lawrence deKoning, Juned Siddique

Abstract

Background: Understanding the social lives of South Asian immigrants in the United States (U.S) and their influence on health can inform interpersonal and community-level health interventions for this growing community. This paper describe the rationale, survey design, measurement, and network properties of 700 South Asian individuals in the Mediators of Atherosclerosis in South Asians Living in America (MASALA) social networks ancillary study.

Methods: MASALA is a community-based cohort, established in 2010, to understand risk factors for cardiovascular disease among South Asians living in the U.S. Survey data collection on personal social networks occurred between 2014 and 2017. Network measurements included size, composition, density, and organizational affiliations. Data on participants' self-rated health and social support functions and health-related discussions among network members were also collected.

Results: Participants' age ranged from 44 to 84 (average 59 years), and 57% were men. South Asians had large (size=5.6, SD=2.6), kin-centered (proportion kin=0.71, SD=0.28), and dense networks. Affiliation with religious and spiritual organizations was perceived as beneficial to health. Emotional closeness with network members was positively associated with participants' self-rated health (p-value <0.001), and networks with higher density and more kin were significantly associated with health-related discussions.

Discussion: The MASALA networks study advances research on the cultural patterning of social relationships and sources of social support in South Asians living in the U.S. Future analyses will examine how personal social networks and organizational affiliations influence South Asians' health behaviors and outcomes.

Trial registration: ClinicalTrials.gov identifier: NCT02268513.

Keywords: Asian American; Health; Health-related decision making; Self-rated health; Social networks; Social support.

Conflict of interest statement

Ethics approval and consent to participate

The study was approved by Institutional Review Board Office at Northwestern University and the University of California, San Francisco: STU00083722, MASALA Social Networks. Participants all consented to participate in this study. 'All study participants signed informed consent. All study participants signed informed consent.

Consent for publication

At the start of the survey, participants provided written, informed consent. There are no personally identifying details, images, or videos included in this manuscript.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

References

    1. South Asian Americans Leading Together: A Demographic Snapshot of South Asians in the United States. In.; Accessed on 2 June 2015.
    1. Bhopal R, Fischbacher C, Vartiainen E, Unwin N, White M, Alberti G. Predicted and observed cardiovascular disease in South Asians: application of FINRISK, Framingham and SCORE models to Newcastle Heart Project data. Journal of public health. 2005;27(1):93–100. doi: 10.1093/pubmed/fdh202.
    1. Joshi P, Islam S, Pais P, Reddy S, Dorairaj P, Kazmi K, Pandey MR, Haque S, Mendis S, Rangarajan S, et al. Risk factors for early myocardial infarction in South Asians compared with individuals in other countries. JAMA : the journal of the American Medical Association. 2007;297(3):286–294. doi: 10.1001/jama.297.3.286.
    1. McKeigue PM, Ferrie JE, Pierpoint T, Marmot MG. Association of early-onset coronary heart disease in South Asian men with glucose intolerance and hyperinsulinemia. Circulation. 1993;87(1):152–161. doi: 10.1161/01.CIR.87.1.152.
    1. McKeigue PM, Marmot MG. Mortality from coronary heart disease in Asian communities in London. Bmj. 1988;297(6653):903. doi: 10.1136/bmj.297.6653.903.
    1. Palaniappan L, Wang Y, Fortmann SP. Coronary heart disease mortality for six ethnic groups in California, 1990-2000. Ann Epidemiol. 2004;14(7):499–506. doi: 10.1016/j.annepidem.2003.12.001.
    1. Yusuf S, Joseph P. The epidemic of cardiovascular disease in South Asians: Time for action. American Heart Journal. 2017;185:150–153. doi: 10.1016/j.ahj.2016.11.009.
    1. Ramachandran A, Snehalatha C, Mary S, Mukesh B, Bhaskar AD, Vijay V, Indian Diabetes Prevention P. The Indian Diabetes Prevention Programme shows that lifestyle modification and metformin prevent type 2 diabetes in Asian Indian subjects with impaired glucose tolerance (IDPP-1) Diabetologia. 2006;49(2):289–297. doi: 10.1007/s00125-005-0097-z.
    1. Weber MB, Ranjani H, Staimez LR, Anjana RM, Ali MK, Narayan KM, Mohan V. The Stepwise Approach to Diabetes Prevention: Results From the D-CLIP Randomized Controlled Trial. Diabetes Care. 2016;39(10):1760–1767. doi: 10.2337/dc16-1241.
    1. Kandula NR, Dave S, De Chavez PJ, Bharucha H, Patel Y, Seguil P, Kumar S, Baker DW, Spring B, Siddique J. Translating a heart disease lifestyle intervention into the community: the South Asian Heart Lifestyle Intervention (SAHELI) study; a randomized control trial. BMC public health. 2015;15:1064. doi: 10.1186/s12889-015-2401-2.
    1. Auerbach JD, Parkhurst JO, Caceres CF. Addressing social drivers of HIV/AIDS for the long-term response: conceptual and methodological considerations. Glob Public Health. 2011;6(Suppl 3):S293–S309. doi: 10.1080/17441692.2011.594451.
    1. Watt L, Dix D, Gulati S, Sung L, Klaassen RJ, Shaw NT, Klassen AF. Family-centred care: a qualitative study of Chinese and South Asian immigrant parents' experiences of care in paediatric oncology. Child Care Health Dev. 2011;
    1. van Esch SC, Cornel MC, Geelhoed-Duijvestijn PH, Snoek FJ. Family communication as strategy in diabetes prevention: An observational study in families with Dutch and Surinamese South-Asian ancestry. Patient Educ Couns. 2012;87(1):23–29. doi: 10.1016/j.pec.2011.07.025.
    1. Grewal S, Bottorff JL, Hilton BA. The influence of family on immigrant South Asian women's health. J Fam Nurs. 2005;11(3):242–263. doi: 10.1177/1074840705278622.
    1. Sharma RK, Khosla N, Tulsky JA, Carrese JA. Traditional expectations versus US realities: first- and second-generation Asian Indian perspectives on end-of-life care. J Gen Intern Med. 2012;27(3):311–317. doi: 10.1007/s11606-011-1890-7.
    1. Yusuf S, Hawken S, Ounpuu S. on behalf of the INTERHEART Study Investigators. Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study. Lancet. 2004;364:937–952. doi: 10.1016/S0140-6736(04)17018-9.
    1. Anand SS, Yusuf S. Risk factors for cardiovascular disease in Canadians of South Asian and European origin: a pilot study of the Study of Heart Assessment and Risk in Ethnic Groups (SHARE) Clinical and investigative medicine Medecine clinique et experimentale. 1997;20(4):204–210.
    1. Giles-Corti B, Donovan RJ. The relative influence of individual, social and physical environment determinants of physical activity. Soc Sci Med. 2002;54(12):1793–1812. doi: 10.1016/S0277-9536(01)00150-2.
    1. Artinian NT, Fletcher GF, Mozaffarian D, Kris-Etherton P, Van Horn L, Lichtenstein AH, Kumanyika S, Kraus WE, Fleg JL, Redeker NS, et al. Interventions to promote physical activity and dietary lifestyle changes for cardiovascular risk factor reduction in adults: a scientific statement from the American Heart Association. Circulation. 122(4):406–41.
    1. Valente T. Social networks and health: models, methods, applications. New York: Oxford University Press; 2010.
    1. Berkman LF. Social networks, support, and health: taking the next step forward. Am J Epidemiol. 1986;123(4):559–562. doi: 10.1093/oxfordjournals.aje.a114276.
    1. Burt RS. Social Contagion and Innovation - Cohesion Versus Structural Equivalence. Am J Sociol. 1987;92(6):1287–1335. doi: 10.1086/228667.
    1. Fujimoto K, Unger JB, Valente TW. A network method of measuring affiliation-based peer influence: assessing the influences of teammates' smoking on adolescent smoking. Child Dev. 2012;83(2):442–451.
    1. Kanaya AM, Kandula N, Herrington D, Budoff MJ, Hulley S, Vittinghoff E, Liu K. Mediators of Atherosclerosis in South Asians Living in America (MASALA) Study: Objectives, Methods, and Cohort Description. Clin Cardiol. 2013;36(12):713–720. doi: 10.1002/clc.22219.
    1. Pollard TM, Carlin LE, Bhopal R, Unwin N, White M, Fischbacher C. Social networks and coronary heart disease risk factors in South Asians and Europeans in the UK. Ethnic Health. 2003;8(3):263–275. doi: 10.1080/1355785032000136452.
    1. Kelly L, Patel SA, Narayan KMV, Prabhakaran D, Cunningham SA. Measuring Social Networks for Medical Research in Lower-Income Settings. PLOS ONE. 2014;9(8):e105161. doi: 10.1371/journal.pone.0105161.
    1. McPherson M, Smith-Lovin L, Brashears ME. Social isolation in America: Changes in core discussion networks over two decades. Am Sociol Rev. 2006;71(3):353–375. doi: 10.1177/000312240607100301.
    1. Cornwell B, Schumm LP, Laumann EO, Graber J. Social Networks in the NSHAP Study: Rationale, Measurement, and Preliminary Findings. J Gerontol B-Psychol. 2009;64:I47–I55. doi: 10.1093/geronb/gbp042.
    1. Valente TW, Fujimoto K, Chou CP, Spruijt-Metz D. Adolescent Affiliations and Adiposity: A Social Network Analysis of Friendships and Obesity. J Adolescent Health. 2009;45(2):202–204. doi: 10.1016/j.jadohealth.2009.01.007.
    1. Bonacich P. Power and Centrality: A Family of Measures. The American Journal of Sociology. 1987;92:1170–1182. doi: 10.1086/228631.
    1. Marsden PV. Core discussion networks of Americans. American Sociological Review. 1987;52(1):122–131. doi: 10.2307/2095397.
    1. Moore JC. Self-Proxy Response Status and Survey Response Quality: A Review of the Literature. Journal of Office. Statistics. 1988;4:155–172.
    1. Cornwell B. Network Bridging Potential in Later Life Life-Course Experiences and Social Network Position. J Aging Health. 2009;21(1):129–154. doi: 10.1177/0898264308328649.
    1. Lakon CM, Valente TW. Social integration in friendship networks: The synergy of network structure and peer influence in relation to cigarette smoking among high risk adolescents. Social Science & Medicine. 2012;74(9):1407–1417. doi: 10.1016/j.socscimed.2012.01.011.
    1. Kandula NR, Lauderdale DS, Baker DW. Differences in self-reported health among Asians, Latinos, and non-Hispanic whites: the role of language and nativity. Ann Epidemiol. 2007;17(3):191–198. doi: 10.1016/j.annepidem.2006.10.005.
    1. Kanaya A, Ewing S, Vittinghoff E, Herrington D, Tegeler C, Mills C, Kandula N. Acculturation and Subclinical Atherosclerosis among U.S. South Asians: Findings from the MASALA study. Journal of clinical and experimental research in cardiology. 2014;1(1)
    1. Marquez B, Elder JP, Arredondo EM, Madanat H, Ji M, Ayala GX. Social network characteristics associated with health promoting behaviors among Latinos. Health Psychology. 2014;33(6):544–553. doi: 10.1037/hea0000092.
    1. Marsden PV. Core Discussion Networks of Americans. Am Sociol Rev. 1987;52(1):122–131. doi: 10.2307/2095397.
    1. Kim HS, Sherman DK, Ko D, Taylor SE. Pursuit of comfort and pursuit of harmony: Culture, relationships, and social support seeking. Pers Soc Psychol B. 2006;32(12):1595–1607. doi: 10.1177/0146167206291991.
    1. Phinney JS, Romero I, Nava M, Huang D. The role of language, parents, and peers in ethnic identity among adolescents in immigrant families. Journal of youth and Adolescence. 2001;30(2):135–153. doi: 10.1023/A:1010389607319.
    1. Rivas-Drake D, Umaña-Taylor AJ, Schaefer DR, Medina M. Ethnic-Racial Identity and Friendships in Early Adolescence. Child Development. 2017;88(3):710–724. doi: 10.1111/cdev.12790.
    1. Fujimoto K, Valente TW. Alcohol peer influence of participating in organized school activities: a network approach. Health Psychol. 2013;32(10):1084–1092. doi: 10.1037/a0029466.
    1. Youm Y, Laumann EO, Ferraro KF, Waite LJ, Kim HC, Park YR, Chu SH, Joo WT, Lee JA. Social network properties and self-rated health in later life: comparisons from the Korean social life, health, and aging project and the national social life, health and aging project. BMC Geriatr. 2014;14:102. doi: 10.1186/1471-2318-14-102.
    1. Litwin H. Social network type and health status in a national sample of elderly Israelis. Soc Sci Med. 1998;46(4-5):599–609. doi: 10.1016/S0277-9536(97)00207-4.
    1. Khosla N, Washington KT, Shaunfield S, Aslakson R. Communication Challenges and Strategies of U.S. Health Professionals Caring for Seriously Ill South Asian Patients and Their Families. Journal of palliative medicine. 2017;20(6):611–617. doi: 10.1089/jpm.2016.0167.
    1. O'Malley AJ, Marsden PV. The Analysis of Social Networks. Health Serv Outcomes Res Methodol. 2008;8(4):222–269. doi: 10.1007/s10742-008-0041-z.
    1. O’Malley AJ, Arbesman S, Steiger DM, Fowler JH, Christakis NA. Egocentric Social Network Structure, Health, and Pro-Social Behaviors in a National Panel Study of Americans. PLOS ONE. 2012;7(5):e36250. doi: 10.1371/journal.pone.0036250.
    1. Hoeffel E, Rostogi S, Kim M, Shahid H.: The Asian Population: 2010. In.: U.S. Census Bureau; 2010.

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