Table 4.
HRs and 95% CIs of all-cause mortality according to aspects of social relationships in individuals with cirrhosis (n = 541) who participated in the Danish National Health Surveys 2010, 2013, and 2017.
No. of deaths (person-years) | Mortality rate per 100 person-years | Crude analysis |
Adjusted analysis∗ |
|||
---|---|---|---|---|---|---|
HR (95% CI) | p value | HR (95% CI) | p value | |||
Functional aspects of social relationships | ||||||
Social support | ||||||
Low social support | 74 (585) | 13 | ||||
Medium or high social support | 195 (2,210) | 8.8 | ||||
Social support, low vs. medium or high | 1.5 (1.1–1.9) | 0.005 | 1.4 (1.1–1.9) | 0.011 | ||
Loneliness | ||||||
Loneliness | 109 (908) | 12 | ||||
No loneliness | 160 (1,888) | 8.5 | ||||
Loneliness, yes vs. no |
1.4 (1.1–1.8) |
0.004 |
1.5 (1.2–1.9) |
0.003 |
||
Structural aspects of social relationships | ||||||
Cohabitation status | ||||||
Living alone | 132 (1,354) | 9.7 | ||||
Cohabitating | 137 (1,442) | 9.5 | ||||
Living alone vs. cohabitating | 1.0 (0.81–1.3) | 0.86 | 1.0 (0.82–1.3) | 0.85 | ||
Contact with relatives and friends | ||||||
≤2 times per week | 84 (806) | 10 | ||||
≥3 times per week | 161 (1,819) | 8.9 | ||||
≤2 times vs. ≥3 times per week |
1.2 (0.91–1.5) |
0.21 |
1.0 (0.8–1.4) |
0.74 |
||
HR of adjusting variables | ||||||
Age, per 10-year increase | 1.4 (1.2–1.6) | <0.001 | ||||
Men vs. women | 1.3 (1.0–1.7) | 0.07 | ||||
Decompensation history, yes vs. no | 1.3 (1.0–1.7) | 0.01 | ||||
Years since cirrhosis diagnosis | 0.9 (0.9–1.0) | 0.002 | ||||
Charlson Comorbidity Index, 1 vs. 0 | 1.4 (1.0–1.9) | 0.04 | ||||
Charlson Comorbidity Index, ≥2 vs. 0 | 1.5 (1.1–2.0) | 0.009 | ||||
Alcohol, drinking 1–20 drinks/week vs. abstaining | 1.1 (0.8–1.4) | 0.54 | ||||
Alcohol, drinking ≥21 drinks/week vs. abstaining | 1.4 (1.0–1.9) | 0.02 | ||||
Smoking, yes vs. no | 1.1 (0.8–1.4) | 0.65 |
HR, hazard ratio. Analyses were conducted for each aspect of social relationships separately.
Analyses were adjusted for age, sex, history of decompensation, comorbidity, smoking, alcohol consumption and time since cirrhosis diagnosis.