Research since the 1970s has documented a positive relationship between social ties (despite large variations in measures) and health. Studies of the elderly have also indicated that the effect may vary according to source of contact. Using nationally representative Swedish data for the age group 77 to 98 (N = 537), this study examines differences in the effect of social contact on health outcomes, controlling for source of social contact. It also addresses the issue that causality may possibly be reversed. The results indicate that social contacts with friends are related to well-being and that consequently fewer contacts lead to less well-being. This relationship is valid, independent of earlier health status. The results indicate that it is essential that studies of the relationship between social contact and health not only distinguish between different sources of social contact but also address a range of health problems.
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References
1.
Antonucci, T. C.1990. “Social Support and Social Relationships.” Pp. 205-226 in Handbook of Aging and Social Sciences, edited by R. H. Binstock and L. K. George. San Diego: Academic Press.
2.
Antonucci, T. C.
and J. S. Jackson. 1987. “Social Support, Interpersonal Efficacy, and Health.” Pp. 291-311 in Handbook of Clinical Gerontology, edited by L. Carstensen and B. A. Edelstein. New York: Pergamon.
3.
Axelsson, C.1987. “Family and Social Integration.” Pp. 217-232 in Welfare in Transition, edited by R. Erikson and R. Åberg. Oxford, UK: Clarendon.
4.
Bengtson, V.
, C. Rosenthal, and L. Burton. 1990. “Families and Aging: Diversity and Heterogeneity.” Pp. 263-287 in Handbook of Aging and the Social Sciences, edited by R. H. Binstock and L. K. George. San Diego: Academic Press.
5.
Bengtson, V. L.
, N. E. Cutler, D. J. Mangen, and V. W. Marshall. 1985. “Generations, Cohorts, and Relations Between Age Groups.” Pp. 304-338 in Handbook of Aging and the Social Sciences, edited by R. H. Binstock and E. Shanas. New York: Van Nostrand Reinhold.
6.
Berkman, L. F.
and L. Syme. 1979. “Social Networks, Host Resistance, and Mortality: A Nine-Year Follow-Up Study of Alameda County Residents.”American Journal of Epidemiology109: 186-204.
7.
Blau, Z.1981. Aging in a Changing Society. New York: Franklin Watts.
8.
Blazer, D. G.1982. “Social Support and Mortality in an Elderly Community Population.”American Journal of Epidemiology115: 684-694.
9.
Bowling, A.1991. “Social Support and Social Networks: Their Relationship to the Successful and Unsuccessful Survival of Elderly People in the Community. An Analysis of Concepts and a Review of the Evidence.”Family Practice88: 68-83.
10.
Cohen, S.
, W. J. Doyle, D. P. Skoner, B. S. Rabin, and J. M. Gwaltney. 1997. “Social Ties and Susceptibility to the Common Cold.”Journal of the American Medical Association277: 1940-1944.
11.
Cook, N. R.
, D. A. Evans, P. A. Scherr, F. E. Speizer, J. O. Taylor, and C. H. Henneken. 1991. “Peak Expiratory Flow Rate and 5-Year Mortality in an Elderly Population.”American Journal of Epidemiology133: 784-794.
12.
Cook, N. R.
, D. A. Evans, P. A. Scherr, F. E. Speizer, S. Vedal, L. G. Branch, J. C. Huntley, and C. H. Henneken. 1989. “Peak Expiratory Flow Rate in an Elderly Population.”American Journal of Epidemiology13: 66-78.
13.
Crohan, S. E.
and T. C. Antonucci. 1989. “Friends as a Source of Social Support.” Pp. 129-146 in Older Adult Friendship: Structure and Process, edited by R. Adams and R. Bliezner. Beverly Hills, CA: Sage.
14.
Dean, A.
, B. Kolody, and P. Wood. 1990. “Effects of Social Support From Various Sources on Depression in Elderly Persons.”Journal of Health and Social Behavior31: 148-161.
15.
Dean, A.
, B. Kolody, P. Wood, and W. M. Ensel. 1989. “Measuring the Communication of Social Support From Adult Children.”Journal of Gerontology44: S71-S79.
16.
Dean, A.
, B. Kolody, P. Wood, and G. E. Matt. 1992. “The Influence of Living Alone on Depression in Elderly Persons.”Journal of Aging and Health4: 3-18.
17.
Erikson, R.
and R. Åberg. 1987. Welfare in Transition. Oxford, UK: Claredon.
18.
Governmental Bill
. 1988. “Äldreomsorgen Inför 90-talet” [The Care of the Elderly on the Eve of the 1990s]. 1987/88:176. Stockholm: Sveriges Riksdag.
19.
Hanson, B. S.1988. Social Network, Social Support and Health in Elderly Men. A Population Study. Lund: Studentlitteratur.
20.
Hanson, B. S.
, S.-O. Isacsson, L. Janzon, and S.-E. Lindell. 1989. “Social Network and Social Support Influence Mortality in Elderly Men—The Prospective Population Study of ‘Men Born in 1914, Malmö, Sweden.’”American Journal of Epidemiology130: 100-111.
21.
House, J. S.
and R. L. Kahn. 1985. “Measures and Concepts of Social Support.” Pp 83-108 in Social Support and Health, edited by S. Cohen and S. L. Syme. Orlando, FL: Academic Press.
22.
House, J. S.
, K. R. Landis, and D. Umberson. 1988. “Social Relationships and Health.”Science241: 540-545.
23.
House, J. S.
, C. Robbins, and H. L. Metzner. 1982. “The Association of Social Relationships and Activities With Mortality: Prospective Evidence From the Tecumseh Community Health Study.”American Journal of Epidemiology116: 123-140.
24.
Johansson, L.1991. Caring for the Next of Kin. Uppsala, Sweden: Uppsala University.
25.
Johnson, T. P.1991. “Mental Health, Social Relations, and Social Selection: A Longitudinal Analysis.”Journal of Social Behavior32: 408-423.
26.
Kaplan, G. A.
, J. T. Salonen, R. D. Cohen, R. J. Brand, S. L. Syme, and P. Puska. 1988. “Social Connections and Mortality From All Causes and Cardiovascular Disease: Prospective Evidence From Eastern Finland.”American Journal of Epidemiology128: 370-380.
27.
Kaplan, G. A.
, T. W. Wilson, R. D. Cohen, J. Kauhanen, M. Wu, and J. T. Salonen. 1994. “Social Functioning and Overall Mortality: Prospective Evidence From the Kuopio Ischemic Heart Disease Risk Factor Study.”Epidemiology5: 495-500.
28.
Kessler, R. C.
and J. D. MacLeod. 1985. “Social Support and Mental Health in Community Samples.” Pp. 219-240 in Social Support, edited by S. Cohen and S. L. Syme. Orlando, FL: Academic Press.
29.
Lee, G. R.
and M. Ishii-Kuntz. 1987. “Social Interaction, Loneliness, and Emotional Well-Being Among the Elderly.”Research on Aging9: 459-482.
30.
Lennartsson, C.1993. Fritid och Social Förankring [Leisure and Social Integration]. Stockholm: Swedish Institute for Social Research.
31.
Lundberg, O.1985. Hälsodimensioner i Levnadsnivåmaterialet—en Faktoranalys [Health Dimensions in the Level of Living Data Set—A Factor Analysis]. Mimeo: Swedish Institute for Social Research.
32.
Lundberg, O.1990. Den Ojämlika Ohälsan. Om Klass-och Könsskillnader i Sjuklighet [Inequality in Ill Health. On Class and Sex Differences in Illness]. Stockholm: Almqvist & Wiksell International.
33.
Lundberg, O.1991. “Causal Explanations for Class Inequalities in Health: An Empirical Analysis.”Social Science & Medicine32: 385-393.
34.
Lundberg, O.1992. “Health Inequalities in Sweden: Levels and Trends.”International Journal of Health Sciences3: 167-174.
35.
Lundberg, O.
and M. Thorslund. 1996. “Fieldwork and Measurement Considerations in Surveys of the Oldest Old. Experience From the Swedish Level of Living Surveys.”Social Indicators Research37: 165-167.
36.
Mor-Barak, M. E.
and L. S. Miller. 1991. “A Longitudinal Study of the Causal Relationship Between Social Networks and Health of the Poor Frail Elderly.”The Journal of Applied Gerontology10: 293-310.
37.
Orth-Gomér, K.
and J. V. Johnson. 1987. “Social Network Interaction and Mortality: A Six Year Follow-Up Study of a Random Sample of the Swedish Population.”Journal of Chronic Disease40: 949-957.
38.
Orth-Gomér, K.
, A. Rosengren, and L. Wilhelmsen. 1993. “Lack of Social Support and Incidence of Coronary Heart Disease in Middle-Aged Swedish Men.”Psychosomatic Medicine55: 37-43.
39.
Östergren, P.-O.1991. Psychosocial Resources and Health: With Special Reference to Social Network, Social Support and Cardiovascular Disease. Lund: Studentlitteratur.
40.
Plewis, I.1985. Analysing Change: Measurement and Explanation Using Longitudinal Data. Chichester, UK: Wiley.
41.
Rossi, A. S.
and P. H. Rossi. 1990. Of Human Bonding: Parent-Child Relation Across the Life Course. New York: Aldine deGruyter.
42.
SCB. 1993. Pensionärer 1980-1989. Levnadsförhållanden Rapport no 81 [Pensioners 1980-1989. Living Conditions report no 81]. Stockholm: Statistics Sweden.
43.
Seeman, T. E.1996. “Social Ties and Health: The Benefits of Social Integration.”Annals Epidemiology6: 442-451.
44.
Seeman, T. E.
and L. F. Berkman. 1988. “Structural Characteristics of Social Networks and Their Relationships With Social Support in the Elderly: Who Provides Support.”Social Sciences & Medicine26: 737-749.
45.
Seeman, T. E.
, L. F. Berkman, F. Kohout, A. LaCroix, R. Glynn, and D. Blazer. 1993. “Intercommunity Variation in the Association Between Social Ties and Mortality in the Elderly: A Comparative Analysis of Three Communities.”Annals of Epidemiology3: 325-335.
46.
Seeman, T. E.
, G. A. Kaplan, L. Knudse, R. Cohen, and J. Guralnik. 1987. “Social Network Ties and Mortality Among the Elderly in the Alameda County Study.”American Journal of Epidemiology126: 714-723.
47.
SoS
. 1994. ÄDEL Utvärderingen 94:17. Hemma påäldre dar [ÄDEL Evaluation 94:17]. Stockholm: Socialstyrelsen.
48.
Svallfors, S.1996. Svenskarna och välfärdkrisen [The Swedes and the welfare crisis]. Stockholm: TCO.
49.
Szebehely, M.1994. “Hotet Mot Välfärden—Exemplet Hemhjälp” [The Threat Against Welfare—The Example of Domestic Home Help]. Tro & Tanke, suppl. 9: 68-83.
50.
Thorslund, M.1990. “Kostnader för De äldres Service och Vård” [The Cost of Services and Care for the Elderly]. Pp. 135-155 in SOU 1990:77, Allmän Pension, Bilaga G. Stockholm: Socialdepartementet.
51.
Thorslund, M.
and O. Lundberg. 1994. “Health and Inequalities Among the Oldest Old.”Journal of Aging and Health6: 51-69.
52.
Thorslund, M. and M. G. Parker. 1992. The Care of Frail Elderly People in Sweden: National Report to OECD. Uppsala, Sweden: University Hospital Department of Social Medicine.
53.
Tibblin, G.1992. “1913 och 1923 Års Män” [Men Born 1913 and 1923]. Hässle information4, 3-10.
54.
Vogt, T. M.
, J. P. Mullooly, D. Ernst, C. R. Pope, and J. F. Hollis. 1992. “Social Networks as Predictors of Ischemic Heart Disease, Cancer, Stroke and Hypertension: Incidence, Survival and Mortality.”Journal of Clinical Epidemiology45: 659-666.
