Social Relations, Social Integration, and Social Support

Author(s):  
J. Blake Turner ◽  
R. Jay Turner
2020 ◽  
Author(s):  
Pragya G. Poudel ◽  
Hailey E. Bauer ◽  
Zhaoming Wang ◽  
I-Chan Huang

ABSTRACTImportanceNearly 89,000 adolescents and young adults (AYAs) aged 15 to 39 years old are diagnosed with cancer in U.S. annually. Cancer diagnosis in AYAs often alters achievement of age-specific milestones, interferes with interpersonal relations, and disrupts social life. However, social relations in AYA survivors and associations with patient-reported outcomes (PROs) have been understudied.ObjectiveTo investigate the impact of cancer on PROs in AYA survivors and identify social integration mechanisms through which cancer experiences influence PROs.DesignA cross-sectional study.SettingA national Internet survey panel maintained by Opinions 4 Good (Portsmouth, New Hampshire).Participants102 AYA survivors and 102 age/sex/race-matched noncancer controls.ExposureSurvivors were exposed to chemotherapy and/or radiotherapy during AYA.Main outcomes and measuresParticipants identified 25 closest friends/relatives they have contacted in past two years. Their interpersonal connections with each of 25 friends/relatives were used to create a social network index. The Duke-UNC Functional Social Support Questionnaire, UCLA Loneliness Scale, and PROMIS-29 Profile was used to measure social support, loneliness, and PROs (physical functioning, pain interference, fatigue, anxiety, and depression), respectively.ResultsAYA survivors of lymphoma, leukemia, and solid tumor had significantly better social networks than controls (all p-values <0.05). However, solid tumor and central nervous system malignancy survivors experienced higher loneliness than controls. Compared to controls, survivors had significantly poorer PROs in all domains. Cancer experience directly influenced all PRO domains (all p-values <0.05 except fatigue) and indirectly through social network-social support-loneliness pathways (all p-values <0.05). Survivors with high loneliness had lower physical functioning, higher pain interference, fatigue, anxiety, and depression compared with noncancer controls (all p-values <0.05).Conclusions and relevanceAYA survivors were more socially connected, but experienced greater loneliness than controls. The perceived loneliness greatly influenced PROs. Future research should focus on the functional aspects of social relations rather than considering the structural aspects of social integration, which would provide an opportunity for appropriate interventions to improve health outcomes through social integration.KEY POINTSQuestionHow do social relationships associate with self-reported health outcomes between adolescent and young adult (AYA) cancer survivors and noncancer controls?FindingsThis cross-sectional study revealed that AYA survivors were more socially connected, but perceived greater loneliness compared to noncancer controls. AYA survivors with high loneliness had lower physical functioning, higher pain interference, fatigue, anxiety, and depression compared to noncancer controls.MeaningThe findings of this study suggest that appropriate interventions, focused on improving functional social networks to further meet the needs of AYA cancer survivors, may function as a mean to prevent perceived loneliness and help achieve optimal health outcomes.


2015 ◽  
Vol 40 (4) ◽  
pp. 324-333 ◽  
Author(s):  
Heather R. Fuller-Iglesias ◽  
Toni Antonucci

The Convoy Model suggests that at different stages of the lifespan the makeup of the social support network varies in step with developmental and contextual needs. Cultural norms may shape the makeup of social convoys as well as denote socio-demographic differences in social support. This study examines the social convoys of adults in Mexico. Specifically, it examines whether social network structure varies by age, gender, and education level, thus addressing the paucity of research on interpersonal relations in Mexico. A sample of 1,202 adults (18–99 years of age) was drawn from the Study of Social Relations and Well-being in Mexico. Hierarchical regression analyses indicated older adults had larger, more geographically proximate networks with a greater proportion of kin but less frequent contact. Women had larger, less geographically proximate networks with less frequent contact. Less educated individuals had smaller, more geographically proximate networks with more frequent contact and a greater proportion of kin. Age moderated gender and education effects indicated that younger women have more diverse networks and less educated older adults have weaker social ties. This study highlights socio-demographic variation in social convoys within the Mexican context, and suggests implications for fostering intergenerational relationships, policy, and interventions. Future research on Mexican convoys should further explore sources of support, and specifically address implications for well-being.


2008 ◽  
Vol 16 (4) ◽  
pp. 465-483 ◽  
Author(s):  
Kelly A. Cotter ◽  
Aurora M. Sherman

Exercise self-efficacy is a powerful predictor of physical activity behavior, which enhances health and well-being for older adults. Social relations have been proposed as influential precursors for exercise self-efficacy. In a longitudinal study of 160 older adults with osteoarthritis (76.9% women), the authors found that social support (but not social strain) significantly predicted exercise self-efficacy in a structural equation model examining cross-sectional data: χ2(178, N = 160) = 264.57, p < .01; RMSEA = .06; CFI = .92; TLI = .90. When data were examined longitudinally, however, social strain (but not social support) significantly predicted lower exercise self-efficacy 1 year later: χ2(233, N = 160) = 288.64, p < .01; RMSEA = .04; CFI = .96; TLI = .95. Results support the negativity effect, suggesting that social strain might be the more potent aspect of social relations and should be the target of interventions.


Sexualities ◽  
2017 ◽  
Vol 22 (3) ◽  
pp. 418-435 ◽  
Author(s):  
Jen Gilbert ◽  
Jessica Fields ◽  
Laura Mamo ◽  
Nancy Lesko

In 2014, Beyond Bullying, a research project examining LGBTQ sexualities and lives at school, installed private storytelling booths in three US high schools. Students, teachers, and staff were invited to use the booths to share stories about LGBTQ sexualities—their stories often invoked the pleasures and disappointments of being and having a friend. This article analyzes narratives of friendship as told in the Beyond Bullying storytelling booths. Drawing on Foucault’s (1996) interview, ‘Friendship as a way of life,’ we explore participants’ stories of friendship as heralding ‘new relational modes’ that chart a liminal space between family and sexuality. These relational modes of friendship disrupt the familiar trope of the ‘ally’ in anti-bullying programs and complicate what empirical research on LGBTQ youth calls, ‘peer social support.’ Theorizing friendship allows LGBTQ sexuality in schools to reside in an ethics of discomfort, which accommodates complex social relations and varied forms of desire, intimacy, and yearning.


2016 ◽  
Vol 32 (12) ◽  
Author(s):  
Flávia Batista Portugal ◽  
Mônica Rodrigues Campos ◽  
Celina Ragoni Correia ◽  
Daniel Almeida Gonçalves ◽  
Dinarte Ballester ◽  
...  

The objective of this study was to identify the association between emotional distress and social support networks with quality of life in primary care patients. This was a cross-sectional study involving 1,466 patients in the cities of São Paulo and Rio de Janeiro, Brazil, in 2009/2010. The General Health Questionnaire, the Hospital Anxiety and Depression Scale and the brief version of the World Health Organization Quality of Life Instrument were used. The Social Support Network Index classified patients with the highest and lowest index as socially integrated or isolated. A bivariate analysis and four multiple linear regressions were conducted for each quality of life outcome. The means scores for the physical, psychological, social relations, and environment domains were, respectively, 64.7; 64.2; 68.5 and 49.1. In the multivariate analysis, the psychological domain was negatively associated with isolation, whereas the social relations and environment domains were positively associated with integration. Integration and isolation proved to be important factors for those in emotional distress as they minimize or maximize negative effects on quality of life.


2014 ◽  
Vol 30 (5) ◽  
pp. 1018-1028 ◽  
Author(s):  
Juliana Lustosa Torres ◽  
Rosângela Corrêa Dias ◽  
Fabiane Ribeiro Ferreira ◽  
James Macinko ◽  
Maria Fernanda Lima-Costa

This study was conducted in a probabilistic sam- ple of 2,055 elderly in Greater Metropolitan Belo Horizonte, Minas Gerais State, Brazil, to examine components of social network (conjugal status and visits by the children, other relatives, and friends) and social support (satisfaction with personal relations and having persons on whom to rely) associated with limitations in performing basic activities of daily living (ADL). Multivariate analysis used the Hurdle model. Performance of ADL showed independent and statistically significant associations with social network (fewer meetings with friends and not having children) and personal support (dissatisfaction/indifference towards personal relations). These associations remained after adjusting for social and demographic characteristics, health status, and other indicators of social relations. Our results emphasize the need for greater attention to social network and social support for elderly with functional limitations and those with weak social networks and social support.


2015 ◽  
Vol 18 (4) ◽  
pp. 871-880 ◽  
Author(s):  
Mafalda Duarte ◽  
Constança Paúl

The present study is based on the conceptual model defined by Fried which explains phenotypic frailty through the presence of the following criteria: weight loss; exhaustion; low physical activity; slowness and weakness. The aim of the present study was to identify the behaviour of phenotypic frailty and outline the profile of the frail elderly person. In order to do this, a random stratified sample of 339 individuals residing in the community was obtained. A frailty protocol was developed, composed of measures related to the aging process and phenotypic frailty. The results indicated a high prevalence of this syndrome (34.9%). It occurs more frequently among women (40.9%) and at more advanced ages (60.4%). The criteria that appeared most frequently in association with frailty are low physical activity (88.9%) and slowness (86.4%). Frail elderly individuals were characterized by being widow/separated/divorced (46.7%); illiterate (71.1%); living within a family with some degree of dependence (41.6%); living in unsuitable conditions (44.9%); having limited social relations (54.2%) and not receiving social support (37.6%). It can be concluded that frailty is a prevalent condition, and that the profile of the frail individual is associated with a set of characteristics that result in greater vulnerability, which suggests possible areas of intervention to minimize and delay this syndrome.


2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
V Gafarov ◽  
E Gromova ◽  
D Panov ◽  
I Gagulin ◽  
A Gafarova ◽  
...  

Abstract Aim To determine the gender differences in the effect of social support on risk of myocardial infarction (MI) in an open population 25–64 years in Russia/Siberia. Methods Under the third screening of WHO program MONICA-Psychosocial a random representative sample of both gender aged 25- 64 years in Novosibirsk was examined in 1994 (n=1346, males 48.8%, mean age 44,9±0,4 years). Indices of close contacts (ICC) and social relations (SNI) were evaluated at the baseline by Berkman-Syme test. New-onset MI incidences were identified over 16-years (1994–2010yy) of follow-up in the cohort. Results The prevalence of low ICC levels was higher in men compared to women (63.9% and 57.1%, respectively); the prevalence of low SNI levels was higher in women compared to men (77.7% and 43%, respectively). The risk of MI over 16 years of follow-up was 5.2-fold higher in men (95% CI 1.947–19.383; p<0.05) and4.9-fold higher in women (1.108–21.762; p<0.05) with low ICC. Low SNI increases risk of MI in 3.1 times in men (1.138–9.247; p<0.05) and in 2.9 times in women (95% CI 1.040–8.208; p<0.05). After adjustment for social variables multivariate model showed significant results in higher risk of MI in those males who are living alone with manual occupational status and in women with low educational degree. Conclusions Social support is a protective factor for MI incidence both in men and women. Better social gradient improves this influence. Family status and occupation are stronger to be attributable to risk in males while level of degree in females with low social support.


2017 ◽  
Vol 7 (2) ◽  
pp. 42-47
Author(s):  
Aysegul Ozdemir Topaloglu

Abstract   Social support is a basic need for a young person. Social relations are of great importance to maintain psychological well-being and social relations at a satisfying level, to stop feeling lonely and adapt oneself to society. This study was planned and conducted within a descirptive framework in order to examine the factors related to the social loneliness levels perceived by the students of Vocational School of Health Services, Faculty of Health Sciences and Faculty of Education at Biruni University. Method: a total of 218 students from Vocational School of Health Services, Faculty of Health Sciences and Faculty of Education at Biruni University who agreed to participate in the research were included with a participation rate of 83 percent. Data was collected with socio-demographic information form and 20-question UCLA Loneliness Scale at the beginning of 2014-2015 academic year. Written and oral permissions were taken from the related institutions and the students before the study was conducted. Independent t test corelation, variance analyses and descriptive statistics were utilized for data analysis with SPSS 20.0 package. This study is a descriptive one and general screening method was used. Keywords: Social support, medical school students, loneliness.


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