SOCIAL TIES AND MORTALITY IN EVANS COUNTY, GEORGIA

SCHOENBACH, VICTOR J.; KAPLAN, BERTON H.; FREDMAN, LISA; KLEINBAUM, DAVID G.

doi:10.1093/oxfordjournals.aje.a114278

Cited by 503Health disparities and outcomesAging, Health, and DisabilitySocial Capital and Networks

SOCIAL TIES AND MORTALITY IN EVANS COUNTY, GEORGIA

SCHOENBACH, VICTOR J., KAPLAN, BERTON H., FREDMAN, LISA, KLEINBAUM, DAVID G.·1986·American Journal of Epidemiology

DOI 10.1093/oxfordjournals.aje.a114278

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Abstract

In an attempt to replicate Berkman and Syme's study of social networks and mortality in Alameda County, California, the authors investigated the relationship between a social network index and survivorship from 1967 to 1980 in the Evans County, Georgia, cohort. They constructed an index modeled after the Berkman Social Network Index and tested it in race- and sex-specific proportional hazards models for 2,059 subjects who were examined in 1967-1969 during the Evans County Cardiovascular Epidemiologic Study. The present study emphasized a priori specification of the social network index and statistical hypothesis test. Descriptive analyses were consistent with a modest social networks effect (e.g., hazard ratio (95 per cent confidence interval) of 1.6 (1.2-2.2) ). Among white males, the age-adjusted hazard ratio comparing the lowest to the highest value of our six-level index was 2.0 (1.2-3.4), but control for potential confounders (principally cardiovascular disease risk factors) reduced this value to 1.5 (0.8-2.6). The social networks effect among white females, black males, and black females was weaker and clearly nonsignificant. Exploratory analyses suggested that marital status, church activities, and an alternate social network index predicted survivorship, but not in a dose-response fashion. Reduced survivorship among older subjects with few social ties was the most important feature of the data.

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Of the 18 best studies, nine (50%) reported inverse relationships (less pain among the more R/S or reduced pain in response to an R/S intervention).
“Of the 18 best studies, nine (50%) reported inverse relationships (less pain among the more R/S [534] or reduced pain in response to a R/S intervention [535–542]), while three (20%) reported positive relationships (worse pain in the more R/S) [543–545].”
From Religion, Spirituality, and Health: The Research and Clinical Implications (2012) · cites this paper as [539]

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Authors: SCHOENBACH, V. J., KAPLAN, B. H., FREDMAN, L., & KLEINBAUM, D. G.
Affiliations: University of North Carolina at Chapel Hill (US)
ORCID: FREDMAN, LISA
KLEINBAUM, DAVID G.
Venue: American Journal of Epidemiology
Publisher: Oxford University Press (OUP)
Published: 1986-04
Volume: 123
Issue: 4
Pages: 577-591
ISSN: 0002-9262 (ISSN-L)
1476-6256
DOI: 10.1093/oxfordjournals.aje.a114278
OpenAlex: W2270423120
Cited by: 503
References: 0
Citations by year: 2026: 1 · 2025: 2 · 2024: 4 · 2023: 45 · 2022: 8 · 2021: 6 · 2020: 3 · 2019: 7 · 2018: 6 · 2017: 6 · 2016: 4 · 2015: 8 · 2014: 9 · 2013: 14 · 2012: 7
FWCI: 22.53
Type: journal article
Language: en
Open access: closed
Locations: American Journal of Epidemiology (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute on Aging (1 RO1-AG03518)
Topics: Social Sciences › Health › Health disparities and outcomes
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
Social Sciences › Sociology and Political Science › Social Capital and Networks
Keywords: social networks, social ties, mortality, social network index, cardiovascular disease, racial differences, sex differences, marital status, church attendance, dose-response relationship, older adults, survivorship
MeSH terms: Adolescent, Adult, Age Factors, Aged, Black or African American, Blood Pressure, Educational Status, Epidemiologic Methods, Female, Georgia, Health Surveys, Humans, Interpersonal Relations, Male, Marriage, Middle Aged, Mortality, Risk, Rural Population, Sex Factors, Smoking, Social Class, Social Isolation, Black People, White People

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SOCIAL TIES AND MORTALITY IN EVANS COUNTY, GEORGIA

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