Family Status and Health Behaviors: Social Control as a Dimension of Social Integration
Abstract
Age-adjusted mortality rates are higher for the unmarried and nonparents than for the married and parents. The effects of marital and parental status on mortality are usually attributed to the positive effects of social integration or social support. The mechanisms by which social support or integration is linked to health outcomes, however, remain largely unexplored. One mechanism may involve health behaviors; the family relationships of marriage and parenting may provide external regulation and facilitate self-regulation of health behaviors which can affect health. The present study employs a national sample to examine the relationships of marital and parenting status to a variety of health behaviors. Results indicate that marriage and presence of children in the home have a deterrent effect on negative health behaviors. It is suggested, within the theoretical framework of social integration, that family roles promote social control of health behaviors which affect subsequent mortality.
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Social control theory proposes that internalized obligations and overt influence from network members discourage unhealthy behaviors and encourage healthy ones.
“Social control theory holds that internalized obligations to, and the overt influence of, network members tend to discourage poor health behaviors and encourage good health behaviors.3”
From Social isolation (2011) · cites this paper as [3]
Marriage is associated with a greater likelihood of health-promoting behaviors such as exercise, presumably because spouses influence these behaviors.
“Being married is associated with an increased likelihood of engaging in health-promoting behaviors such as exercise,5–7 presumably because marital partners exert some influence over these behaviors.8,9”
From Social isolation (2011) · cites this paper as [8]
Young children, being unmarried, working long hours, overweight and obesity, and measures of poor health including acute and chronic respiratory conditions, pain, and anxiety increase the odds of short sleep and have a null or inverse association with long sleep.
“Young children, being unmarried (19,26), working long hours (11,27,28), overweight and obesity (3-5), and measures of poor health (13,14,16,20,37,38,40) including acute and chronic respiratory conditions, pain, and anxiety increase the odds of short sleep and have a null or inverse association with long sleep.”
From Sleep Duration in the United States: A Cross-sectional Population-based Study (2009) · cites this paper as [28]
Cites
(1951) · Cited by 8,693 · see citing works
Social support as a moderator of life stress
Cobb, S. (1976) · Psychosomatic Medicine · doi:10.1097/00006842-197609000-00003 · Cited by 6,936 · see citing works
BERKMAN, L. F., & SYME, S. L. (1979) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a112674 · Cited by 5,341 · see citing works
Department of Health, Education, and Welfare
Cooper, T. (1976) · Military Medicine · doi:10.1093/milmed/141.8.521 · Cited by 3,994 · see citing works
Suicide: A study in sociology.
Durkheim, É. (2004) · American Psychological Association eBooks · doi:10.1037/10406-003 · Cited by 3,944 · see citing works
Hirschi, T. (2017) · Routledge eBooks · doi:10.4324/9781315081649 · Cited by 3,076 · see citing works
Thoits, P. A. (1982) · Journal of Health and Social Behavior · doi:10.2307/2136511 · Cited by 1,513 · see citing works
HOUSE, J. S., ROBBINS, C., & METZNER, H. L. (1982) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a113387 · Cited by 1,381 · see citing works
Relationship of physical health status and health practices
Belloc, N. B., & Breslow, L. (1972) · Preventive Medicine · doi:10.1016/0091-7435(72)90014-x · Cited by 1,138 · see citing works
PERCEIVED HEALTH AND MORTALITY: A NINE-YEAR FOLLOW-UP OF THE HUMAN POPULATION LABORATORY COHORT1
Kaplan, G. A., & Camacho, T. C. (1983) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a113541 · Cited by 1,078 · see citing works
SOCIAL SUPPORT AND MORTALITY IN AN ELDERLY COMMUNITY POPULATION1
Blazer, D. G. (1982) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a113351 · Cited by 1,019 · see citing works
Peterson, V. W., & Wolfgang, M. E. (1960) · The Journal of Criminal Law Criminology and Police Science · doi:10.2307/1141446 · Cited by 937 · see citing works
THE EPIDEMIOLOGIC EVIDENCE FOR A RELATIONSHIP BETWEEN SOCIAL SUPPORT AND HEALTH
Broadhead, W. E., Kaplan, B. H., James, S. A., Wagner, E. H., Schoenbach, V. J., GRIMSON, R. C., Heyden, S., Tibblin, G., & Gehlbach, S. H. (1983) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a113575 · Cited by 917 · see citing works
Criminal Homicide as a Situated Transaction
Luckenbill, D. F. (1977) · Social Problems · doi:10.2307/800293 · Cited by 690 · see citing works
Does Marriage Have Positive Effects on the Psychological Well-Being of the Individual?
Gove, W. R., Hughes, M. D., & Style, C. B. (1983) · Journal of Health and Social Behavior · doi:10.2307/2136639 · Cited by 687 · see citing works
Assessing the Physical Health Effects of Social Networks and Social Support
Berkman, L. F. (1984) · Annual Review of Public Health · doi:10.1146/annurev.pu.05.050184.002213 · Cited by 561 · see citing works
Persistence of health habits and their relationship to mortality
Breslow, L., & Enstrom, J. E. (1980) · Preventive Medicine · doi:10.1016/0091-7435(80)90042-0 · Cited by 491 · see citing works
Health and Ways of Living: The Alameda County Study
Berkman, L. F., & Breslow, L. (1983) · Medical Entomology and Zoology · Cited by 480 · see citing works
Social Support and the Cancer Patient
Wortman, C. B. (1984) · Cancer · doi:10.1002/cncr.1984.53.s10.2339 · Cited by 457 · see citing works
Drugs, Society, and Human Behavior
Miller, R. W., & Ray, O. S. (1973) · The Family Coordinator · doi:10.2307/583337 · Cited by 411 · see citing works
Helping the Elderly: The Complementary Roles of Informal Networks and Formal Systems.
Streib, G. F., & Litwak, E. (1987) · Social Forces · doi:10.2307/2578924 · Cited by 406 · see citing works
Relationship of health practices and mortality
Belloc, N. B. (1973) · Preventive Medicine · doi:10.1016/0091-7435(73)90009-1 · Cited by 392 · see citing works
Living Alone, Social Integration, and Mental Health
Hughes, M. D., & Gove, W. R. (1981) · American Journal of Sociology · doi:10.1086/227419 · Cited by 366 · see citing works
Life-style and future health: Evidence from the Alameda County study
Wiley, J. A., & Camacho, T. C. (1980) · Preventive Medicine · doi:10.1016/0091-7435(80)90056-0 · Cited by 264 · see citing works
Helsing, K. J., & Szklo, M. (1981) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a113172 · Cited by 248 · see citing works
Family Relationships and Delinquent Behavior.
Toby, J., & Nye, F. I. (1959) · American Sociological Review · doi:10.2307/2089461 · Cited by 242 · see citing works
Warning: The Male Sex Role May Be Dangerous to Your Health
Harrison, J. (1978) · Journal of Social Issues · doi:10.1111/j.1540-4560.1978.tb02541.x · Cited by 212 · see citing works
Troll, L. E., Miller, S. J., & Atchley, R. C. (1979) · Medical Entomology and Zoology · Cited by 173 · see citing works
Perspectives on the Concept of Social Control
Meier, R. F. (1982) · Annual Review of Sociology · doi:10.1146/annurev.so.08.080182.000343 · Cited by 151 · see citing works
Do Family Ties Reduce Mortality? Evidence from the United States, 1966-1968
Kobrin, F. E., & Hendershot, G. E. (1977) · Journal of Marriage and the Family · doi:10.2307/350478 · Cited by 149 · see citing works
Sex roles as variables in preventive health behavior
Nathanson, C. A. (1977) · Journal of Community Health · doi:10.1007/bf01674236 · Cited by 128 · see citing works
Health and behavior : frontiers of research in the biobehavioral sciences
Hamburg, D. A., Elliott, G. R., & Parron, D. L. (1982) · DigitalGeorgetown (Georgetown University Library) · doi:10.1126/science.7089573 · Cited by 111 · see citing works
Levy, R. L. (1983) · Social Science & Medicine · doi:10.1016/0277-9536(83)90192-2 · Cited by 108 · see citing works
At Home and at Work: The Family's Allocation of Labor.
Fuller, M. M., Geerken, M. R., & Gove, W. R. (1984) · Social Forces · doi:10.2307/2579087 · Cited by 102 · see citing works
Habitual level of physical activity and risk of coronary heart disease: the Framingham study.
Wb, K. (1967) · PubMed · Cited by 96 · see citing works
Epidemiologic transition in the United States: the health factor in population change.
Omran, A. R. (1977) · PubMed · Cited by 82 · see citing works
Conjugal Social Support: Patterns in Later Life
Depner, C. E., & Ingersoll‐Dayton, B. (1985) · Journal of Gerontology · doi:10.1093/geronj/40.6.761 · Cited by 69 · see citing works
Norms, deviance, and social control
Gibbs, J. P. (1981) · Cited by 61 · see citing works
Parenthood and suicide: An examination of a neglected variable
Veevers, J. E. (1973) · Social Science & Medicine (1967) · doi:10.1016/0037-7856(73)90155-8 · Cited by 52 · see citing works
Syme, S. L. (1974) · American Journal of Public Health · doi:10.2105/ajph.64.11.1043 · Cited by 48 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Social Relationships and Health
House, J. S., Landis, K. R., & Umberson, D. (1988) · Science · doi:10.1126/science.3399889 · Cited by 7,073 · see citing works
Self-citationMechanisms Linking Social Ties and Support to Physical and Mental Health
Thoits, P. A. (2011) · Journal of Health and Social Behavior · doi:10.1177/0022146510395592 · Cited by 4,076 · see citing works
Uchino, B. N., Cacioppo, J. T., & Kiecolt-Glaser, J. K. (1996) · Psychological Bulletin · doi:10.1037/0033-2909.119.3.488 · Cited by 2,727 · see citing works
Uchino, B. N. (2006) · Journal of Behavioral Medicine · doi:10.1007/s10865-006-9056-5 · Cited by 2,507 · see citing works
Social support and patient adherence to medical treatment: a meta-analysis.
DiMatteo, M. R. (2004) · Health Psychology · doi:10.1037/0278-6133.23.2.207 · Cited by 2,107 · see citing works
Social disconnectedness, perceived isolation, and health among older adults
Cornwell, E. Y., & Waite, L. J. (2009) · Journal of Health and Social Behavior · doi:10.1177/002214650905000103 · Cited by 2,027 · see citing works
The Links Between Education and Health
Ross, C. E., & Wu, C.-L. (1995) · American Sociological Review · doi:10.2307/2096319 · Cited by 1,943 · see citing works
Gender, marital status and the social control of health behavior
Umberson, D. (1992) · Social Science & Medicine · doi:10.1016/0277-9536(92)90259-s · Cited by 1,357 · see citing works
Self-citationKelly, M. E., Duff, H., Kelly, S., McHugh Power, J. E., Brennan, S., Lawlor, B. A., & Loughrey, D. G. (2017) · Systematic Reviews · doi:10.1186/s13643-017-0632-2 · Cited by 1,027 · see citing works
The neuroendocrinology of social isolation
Cacioppo, J. T., Cacioppo, S., Capitanio, J. P., & Cole, S. W. (2015) · Annual Review of Psychology · doi:10.1146/annurev-psych-010814-015240 · Cited by 977 · see citing works
Sleep Duration in the United States: A Cross-sectional Population-based Study
Krueger, P. M., & Friedman, E. M. (2009) · American Journal of Epidemiology · doi:10.1093/aje/kwp023 · Cited by 791 · see citing works
Toward a neurology of loneliness
Cacioppo, S., Capitanio, J. P., & Cacioppo, J. T. (2014) · Psychological Bulletin · doi:10.1037/a0037618 · Cited by 623 · see citing works
Loneliness predicts reduced physical activity: Cross-sectional & longitudinal analyses.
Hawkley, L. C., Thisted, R. A., & Cacioppo, J. T. (2009) · Health Psychology · doi:10.1037/a0014400 · Cited by 608 · see citing works
Ross, C. E., & Mirowsky, J. (1999) · Demography · doi:10.2307/2648083 · Cited by 562 · see citing works
Cacioppo, J. T., Hawkley, L. C., Norman, G. J., & Berntson, G. G. (2011) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.2011.06028.x · Cited by 554 · see citing works
Successful Aging: A Life-Course Perspective on Women's Multiple Roles and Health
Moen, P., Dempster-McClain, D., & Williams (1992) · American Journal of Sociology · doi:10.1086/229941 · Cited by 503 · see citing works
Penninx, B. W. J. H., van Tilburg, T., Kriegsman, D. M. W., Deeg, D. J. H., Boeke, A. J. P., & van Eijk, J. T. M. (1997) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a009305 · Cited by 438 · see citing works
Becoming Married and Mental Health: A Longitudinal Study of a Cohort of Young Adults
Horwitz, A. V., White, H. R., & Howell-White, S. (1996) · Journal of Marriage and the Family · doi:10.2307/353978 · Cited by 407 · see citing works
Religion, Disability, Depression, and the Timing of Death
Idler, E. L., & Kasl, S. V. (1992) · American Journal of Sociology · doi:10.1086/229861 · Cited by 385 · see citing works
Buffering effect of religiosity for adolescent substance use.
Wills, T. A., Yaeger, A. M., & Sandy, J. M. (2003) · Psychology of Addictive Behaviors · doi:10.1037/0893-164x.17.1.24 · Cited by 358 · see citing works
Social Isolation, Loneliness, and Health Behaviors at Older Ages: Longitudinal Cohort Study
Kobayashi, L. C., & Steptoe, A. (2018) · Annals of Behavioral Medicine · doi:10.1093/abm/kax033 · Cited by 351 · see citing works
Psychobiology of social support: The social dimension of stress buffering
Ditzen, B., & Heinrichs, M. (2014) · Restorative Neurology and Neuroscience · doi:10.3233/rnn-139008 · Cited by 298 · see citing works
Social support and health: a review
Callaghan, P., & Morrissey, J. (1993) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.1993.18020203.x · Cited by 293 · see citing works
Hale, L. (2005) · Journal of Public Health · doi:10.1093/pubmed/fdi004 · Cited by 243 · see citing works
Caetano, S. C., Silva, C. M., & Vettore, M. V. (2013) · BMC Geriatrics · doi:10.1186/1471-2318-13-122 · Cited by 218 · see citing works
The relationship of adverse childhood experiences to a history of premature death of family members
Anda, R. F., Dong, M., Brown, D. W., Felitti, V. J., Giles, W. H., Perry, G. S., Valerie, E. J., & Dube, S. R. (2009) · BMC Public Health · doi:10.1186/1471-2458-9-106 · Cited by 216 · see citing works
Eng, P. M., Kawachi, I., Fitzmaurice, G., & Rimm, E. B. (2005) · Journal of Epidemiology and Community Health · doi:10.1136/jech.2004.020073 · Cited by 208 · see citing works
The effects of friendship networks on adolescent depressive symptoms
Ueno, K. (2005) · Social Science Research · doi:10.1016/j.ssresearch.2004.03.002 · Cited by 197 · see citing works
Social anhedonia and schizotypy in a community sample: the Maryland longitudinal study of schizotypy
Blanchard, J. J., Collins, L. M., Aghevli, M., Leung, W. W., & Cohen, A. S. (2011) · Schizophrenia Bulletin · doi:10.1093/schbul/sbp107 · Cited by 187 · see citing works
Schneider, D. (2011) · American Journal of Sociology · doi:10.1086/661594 · Cited by 182 · see citing works
‘Does Religion Cause Health?’: Differing Interpretations and Diverse Meanings
Oman, D., & Thoresen, C. E. (2002) · Journal of Health Psychology · doi:10.1177/1359105302007004326 · Cited by 151 · see citing works
Park, S., Lee, Y., & Lee, J. H. (2016) · Nutrition Journal · doi:10.1186/s12937-016-0204-7 · Cited by 127 · see citing works
Social network type and health-related behaviors: Evidence from an American national survey
Shiovitz-Ezra, S., & Litwin, H. (2012) · Social Science & Medicine · doi:10.1016/j.socscimed.2012.04.031 · Cited by 115 · see citing works
Cognitive decline in Alzheimer disease: Impact of spirituality, religiosity, and QOL
Kaufman, Y., Anaki, D., Binns, M., & Freedman, M. (2007) · Neurology · doi:10.1212/01.wnl.0000260697.66617.59 · Cited by 109 · see citing works
Assessment of Modifiable Factors for the Association of Marital Status With Cancer-Specific Survival
Chen, Z.-H., Yang, K.-B., Zhang, Y.-Z., Wu, C.-F., Wen, D.-W., Lv, J.-W., Zhu, G.-L., Du, X.-J., Chen, L., Zhou, G.-Q., et al. (2021) · JAMA Network Open · doi:10.1001/jamanetworkopen.2021.11813 · Cited by 95 · see citing works
Hong, S., Walton, E., Tamaki, E., & Sabin, J. A. (2014) · Asian American Journal of Psychology · doi:10.1037/a0035680 · Cited by 91 · see citing works
Spousal involvement in CPAP adherence among patients with obstructive sleep apnea
Baron, K. G., Smith, T. W., Berg, C. A., Czajkowski, L. A., Gunn, H., & Jones, C. R. (2011) · Sleep And Breathing · doi:10.1007/s11325-010-0374-z · Cited by 88 · see citing works
Sticking it out in trauma-focused treatment for PTSD: It takes a village.
Meis, L. A., Noorbaloochi, S., Hagel Campbell, E. M., Erbes, C. R., Polusny, M. A., Velasquez, T. L., Bangerter, A., Cutting, A., Eftekhari, A., Rosen, C. S., et al. (2019) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000386 · Cited by 88 · see citing works
Yang, F., Pang, J. S., & Cheng, W. J. Y. (2016) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-016-9470-y · Cited by 12 · see citing works
Farhangi, M. A., & Jahangiry, L. (2020) · Diabetes & Metabolic Syndrome: Clinical Research & Reviews · doi:10.1016/j.dsx.2019.12.009 · Cited by 8 · see citing works
- Authors
- Umberson, D.
- Affiliations
- University of Michigan (US)
- Corresponding author
- Umberson, Debra
- ORCID
- Umberson, Debra
- Venue
- Journal of Health and Social Behavior
- Publisher
- SAGE Publications
- Published
- 1987-09
- Volume
- 28
- Issue
- 3
- Pages
- 306
- ISSN
- 0022-1465 (ISSN-L)
- OpenAlex
- W2064812121
- Cited by
- 1,224
- References
- 40
- Citations by year
- 2026: 17 · 2025: 32 · 2024: 40 · 2023: 31 · 2022: 38 · 2021: 37 · 2020: 39 · 2019: 50 · 2018: 55 · 2017: 74 · 2016: 36 · 2015: 39 · 2014: 48 · 2013: 58 · 2012: 45
- FWCI
- 40.84
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Health and Social Behavior (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (5-T32-MH16806-05, T32MH016806)
- Topics
- Social Sciences › Demography › Family Dynamics and Relationships
- Social Sciences › Health › Health disparities and outcomes
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Keywords
- marital status, parental status, family status, health behavior, social control, social integration, social support, mortality, self-regulation, family roles, unmarried adults
- MeSH terms
- Behavior, Family, Health, Humans, Models, Psychological, Mortality, Social Adjustment, Social Control, Informal, United States
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