Obesity Clinical Trial
Official title:
The Montreal Neighbourhood Networks and Healthy Aging Panel (MoNNET-HA)
Social networks, social capital, i.e., network-accessed resources, and neighbourhood
environments have been shown associated with a range of health behaviours and conditions,
including obesity, physical activity, nutrition, and mental health. Research on social
capital and health in Montreal has shown the importance of network social capital for a
person's subjective health status, sense of control, self-reported physical activity, and
obesity. Research has also shown high social capital to reduce health service use, mental
health service use, and improve the management of chronic illnesses. Despite advances in the
understanding of social capital and its link to health and health service use, most research
on social capital is cross sectional and is unable to identify the causal pathways linking
social networks and capital to health and health care use. Longitudinal research would
strengthen the evidence base for designing interventions to prevent or delay the use of
health services, particularly in older adults.
This research has three main objectives: (1) transform the original sample of Montreal
Neighbourhood Networks and Healthy Aging (MoNNET-HA) households (n=2707) into a panel study,
(2) link the MoNNET-HA participant data to their Quebec Health Insurance Registry (Régie de
l'assurance maladie (RAMQ)) information, and (3) assess the feasibility of extending the
MoNNET-HA panel by one wave to include participant's core network members. Unique about the
original MoNNET-HA sample is that it purposefully oversampled older adults (> 64 years old)
but remains representative of Montreal adults at various ages and income levels. In addition,
MoNNET-HA data is integrated into a GIS database which allows researchers to examine the
effects of neighbourhood environmental characteristics on health. By linking MoNNET-HA data
to RAMQ, researchers will be able to examine patterns of diagnosed health conditions, (e.g.,
fractures, depression), pharmaceutical use and adherence, and formal health care use over
time. Transforming the cross-sectional study into a panel study would also allow researchers
to examine longitudinally the dynamics of health and health care utilization among Panel
participants over the life course, and the causal pathways linking neighbourhoods and
networks to health and health care use.
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