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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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Linking Income, Transfers, and Social Support in an Agent-Based Family Exchange Model
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The Effects of Resources on Brand and Interpersonal Connection
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Stress, Coping, Social Support, and Illness
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Depression and Other Psychosocial Issues in Multiple Sclerosis
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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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