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The Role of Social Relations in Health Promotion
Abstract
In considering new paradigms for the prevention and treatment of disease and disability, we need to incorporate ways to promote social support and develop family and community strengths and abilities into our interventions. There is now a substantial body of evidence that indicates that the extent to which social relationships are strong and supportive is related to the health of individuals who live within such social contexts. A review of population-based research on mortality risk over the last 20 years indicates that people who are isolated are at increased mortality risk from a number of causes. More recent studies indicate that social support is particularly related to survival postmyocardial infarction. The pathways that lead from such socioenvironmental exposures to poor health outcomes are likely to be multiple and include behavioral mechanisms and more direct physiologic pathways related to neuroendocrine or immunologic function. For social support to be health promoting, it must provide both a sense of belonging and intimacy and must help people to be more competent and self-efficacious. Acknowledging that health promotion rests on the shoulders not only of individuals but also of their families and communities means that we must commit resources over the next decade to designing, testing, and implementing interventions in this area.
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“However, less strenuous leisure activities, such as attending classes or volunteering, also have been associated with better functioning (Berkman et al., 1995;Herzog, Franks, Markus, & Holmberg, 1998) and survival (Glass, Mendes de Leon, Marottoli, & Berkman, 1999) among older adults.”
From Relationship of activity and social support to the functional health of older adults (2000) · cites this paper as Berkman et al., 1995
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BackgroundLambing, A. Y., Adams, D. L. C., Fox, D. H., & Divine, G. (2004) · Journal of the American Academy of Nurse Practitioners · doi:10.1111/j.1745-7599.2004.tb00457.x · Cited by 21
“…depression, acute confusion, and dementia (Inouye, 1998; Mentes, Culp, Maas, & Rantz, 1999; Rockwood, 1993; Zal, 1999); discharge planning (Berkman, 1995; Nicholias & Leuner, 1991); discussion of advance directives (Basile, 1998; Gamble, McDonald, & Lichstein, 1991; Tierney et al., 2001);…”
BackgroundSmall, L. F. F. (2010) · Mental Health and Substance Use · doi:10.1080/17523281003717871 · Cited by 22
“Decreased odds of obtaining mental health treatment were associated with being married (Berkman, 1995; Berkman & Glass, 2000), employed, and having no health insurance coverage (Wells et al., 2002).”
BackgroundGender and Social Support in the Context of Cardiovascular Disease
Rueda, B., & García, A. M. P. (2006) · Women & Health · doi:10.1300/j013v43n01_04 · Cited by 21
“One of the possible mechanisms through which social support could benefit health in CVD patients is medical adherence (Berkman, 1995; Cohen, Kaplan, & Manuck, 1994).”
BackgroundWong, L. Y., Ramon Lo, Y. I. U., Chiu, C.-H., Lee, W. K., Lee, Y. L., Kwong, P. K., & Lo, W. T.-L. (2015) · PubMed · Cited by 21
Nestler, S., Back, M. D., & Egloff, B. (2011) · Diagnostica · doi:10.1026/0012-1924/a000032 · Cited by 21
Berglund, E., Westerling, R., & Lytsy, P. (2017) · Community Dentistry And Oral Epidemiology · doi:10.1111/cdoe.12284 · Cited by 21
“contacts.(38) Accordingly, lack of social support is a factor with a broad impact on health.”
BackgroundMen’s Health Initiative Risk Assessment Study: Effect of Community Pharmacy–Based Screening
Boyle, T. C., Coffey, J., & Palmer, T. (2004) · Journal of the American Pharmacists Association · doi:10.1331/1544-3191.44.5.569.boyle · Cited by 20
[Social support in the short- and middle-term prediction of welfare volunteers' permanence].
Astray, A. A., & de Roda, A. B. L. (2008) · PubMed · Cited by 20
Myers, G., & James, G. D. (2008) · Progress in Cardiovascular Nursing · doi:10.1111/j.1751-7117.2008.00009.x · Cited by 20
Creating Community, Assessing Need
Whaley, D. E., & Haley, P. P. (2008) · Research Quarterly for Exercise and Sport · doi:10.1080/02701367.2008.10599487 · Cited by 20
“This concept of viewing inactivity as a form of host resistance—the degree that social conditions make people vulnerable to a wide variety of diseases and disabilities (Berkman, 1995)—rallied people to the idea of increasing physical activity to improve health.”
BackgroundThe social well-being of nurses shows a thirst for a holistic support: A qualitative study
Mozaffari, N., Peyrovi, H., & Nayeri, N. D. (2015) · International Journal of Qualitative Studies on Health and Well-Being · doi:10.3402/qhw.v10.27749 · Cited by 20
“In a study carried out by Berkman, social and family support and strong relationships were reported to be significant sources of individual health (Berkman, 1995).”
BackgroundD'Anna‐Hernandez, K., Garcia, E. R., Coussons‐Read, M. E., Laudenslager, M. L., & Ross, R. G. (2016) · Maternal and Child Health Journal · doi:10.1007/s10995-015-1840-9 · Cited by 19
“Women of low SES and racial/ethnic minority status may particularly benefit from social support [35, 36], a factor that improves health behavior [37, 38].”
BackgroundChikaraishi, M. (2017) · Springer eBooks · doi:10.1007/978-4-431-56472-0_10 · Cited by 20
Personal support and expressions of care for pregnant women in Soweto, South Africa
Mlotshwa, L., Manderson, L. H., & Merten, S. (2017) · Global Health Action · doi:10.1080/16549716.2017.1363454 · Cited by 24
Wang, Q., Liu, H., Ren, Z., Xiong, W., He, M., Fan, X., Guo, X., Li, X., Shi, H., Zha, S., et al. (2020) · PeerJ · doi:10.7717/peerj.8713 · Cited by 20
Social Support for Family Caregivers of Chronically Ill Persons in Cartagena
Lían, A. H., Torres, I. E. F., Massa, E. R., Montalvo, A., & de Cartagena, U. (2012) · Aquichan · doi:10.5294/aqui.2012.12.3.7 · Cited by 20
Community Capacity Building and Social Policy – What can be achieved
Casswell, S. (2001) · Cited by 20
Positive Social Interaction and Hearing Loss in Older Adults Living in Rural and Urban Communities
Hay-McCutcheon, M. J., Reed, P. E., & Cheimariou, S. (2018) · Journal of Speech Language and Hearing Research · doi:10.1044/2018_jslhr-h-17-0485 · Cited by 21
Social Support, Mental Health, Minorities, and Acculturative Stress
Goebert, D. A. (2008) · Springer eBooks · doi:10.1007/978-0-387-75659-2_7 · Cited by 20
Applying the Domain Management Model in Treating Patients with Chronic Diseases
Siebens, H. C. (2001) · The Joint Commission Journal on Quality Improvement · doi:10.1016/s1070-3241(01)27026-6 · Cited by 20
Effect of gender and age in fear and stress due to COVID-19
Bisht, I. P., Bisht, R. K., & Sagar, P. (2021) · Journal of Human Behavior in the Social Environment · doi:10.1080/10911359.2020.1851844 · Cited by 19
“Social relationships are quite important for the health of an individual (Berkman, 1995).”
BackgroundJanke, T. M., Kozon, V., Barysch, M. J., Valiukevičienė, S., Račkauskaitė, L., Reich, A., Stępień, K., Jankechova, M., van Montfrans, C., Amesz, S. F., et al. (2023) · International Wound Journal · doi:10.1111/iwj.14309 · Cited by 20
“34 Additionally, it can buffer stressful episodes.”
Nakajima, C., Tomida, K., Shimoda, T., Kawakami, A., & Shimada, H. (2023) · Archives of Gerontology and Geriatrics · doi:10.1016/j.archger.2023.105216 · Cited by 20
Sánchez, V., Stone, L. C., Moffett, M. L., Nguyen, P., Muhammad, M., Bruna, S. P., & Urias-Chauvin, R. (2014) · Health Promotion Practice · doi:10.1177/1524839913516343 · Cited by 19
“These strategies were instrumental (helping participants access health services and navigate eligibility, benefits, and financing options), informational or educational, and appraisal related (helping individuals self-evaluate their behaviors related to diet and physical activity; Berkman, 1995; Heaney & Israel, 2008).”
BackgroundAre Psycho-Behavioral Factors Accounting for Longevity?
Ballesteros, R. F., & Sánchez‐Izquierdo, M. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2019.02516 · Cited by 20
“…to behavioral routines and/or interventions regarding health and promotion of healthy life styles is mediated by psychological and intellectual factors: the understanding of health literacy, selfefficacy or conscientiousness, as well as networks of social support (for a review see Berkman, 1995).”
BackgroundProgram, U. C. F. D. C. A. P. E. (2015) · Epilepsy & Behavior · doi:10.1016/j.yebeh.2015.07.034 · Cited by 19
“Social support confers a number of advantages on health and well-being [1,2].”
BackgroundA distributional approach to measuring lifespan stratification
Shi, J., Aburto, J. M., Martikainen, P., Tarkiainen, L., & van Raalte, A. (2022) · Population Studies · doi:10.1080/00324728.2022.2057576 · Cited by 21
Sherman, A. M., Shumaker, S. A., Rejeski, W. J., Morgan, T. M., Applegate, W. B., & Ettinger, W. H. (2006) · Psychology and Health · doi:10.1080/14768320500380881 · Cited by 19
“There is an extensive literature on the relationship between social relations and health (see reviews by Berkman, 1995, Berkman et al., 2000; Seeman, 2000, 2001).”
Background
Metadata
- Authors
- Berkman, L. F.
- Affiliations
- Yale University (US)
- Corresponding author
- Berkman, Lisa F.
- ORCID
- Berkman, Lisa F.
- Venue
- Psychosomatic Medicine
- Published
- 1995
- Volume
- 57
- Issue
- 3
- Pages
- 245-254
- ISSN
- 0033-3174 (ISSN-L)
- OpenAlex
- W2066047381
- Cited by
- 1,233
- References
- 71
- Citations by year
- 2026: 18 · 2025: 23 · 2024: 21 · 2023: 36 · 2022: 47 · 2021: 38 · 2020: 26 · 2019: 48 · 2018: 44 · 2017: 37 · 2016: 51 · 2015: 50 · 2014: 59 · 2013: 64 · 2012: 59
- FWCI
- 6.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychosomatic Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (7r01ag011042-03)
- National Institute on Aging (1P60 AG10469-01A1, R01 AG11042-01A1, P60AG010469)
- Topics
- Social Sciences › Health › Health disparities and outcomes
- Health Sciences › Health Professions › General Health Professions › Health, psychology, and well-being
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Community Health and Development
- Keywords
- social support, interpersonal relationships, health promotion, social isolation, mortality risk, sense of belonging, self-efficacy, neuroendocrine pathways, behavioral mechanisms, disease prevention
- MeSH terms
- Disease Susceptibility, Health Promotion, Humans, Internal-External Control, Interpersonal Relations, Psychophysiologic Disorders, Risk Factors, Self Concept, Social Support, Health Behavior, Survival Rate
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