Original article
Social networks as predictors of ischemic heart disease, cancer, stroke and hypertension: Incidence, survival and mortality

https://doi.org/10.1016/0895-4356(92)90138-DGet rights and content

Abstract

Three social network measures were obtained from a randomly sampled cohort of 2603 HMO members in 1970–1971. Mortality and first incidence of ischemic heart disease, cancer, stroke, and hypertension were assessed over the next 15 years. Outcome data were adjusted for age, sex, smoking, SES, and baseline health status. Persons with histories of a given morbidity at or prior to baseline were excluded from the analyses of that morbidity. Social network measures, particularly network scope (a measure of the number of different domains in which a person has social contacts), were powerful predictors of 15-year mortality hazard, but weak predictors of incident disease. Only network scope predicted IHD incidence, and none of the other morbidities was predicted by the social network measures. However, social network measures were strong predictors of both cause-specific and all-cause mortality among persons who had incident cases of IHD, cancer, and stroke. These data suggest that social networks may be more effective in supporting recovery after illness has occurred than in preventing the incidence of new disease.

References (28)

  • L. Welin et al.

    Prospective study of social influences on mortality. The study of men born in 1913 and 1923.

    Lancet

    (1985)
  • D.P. Funch et al.

    The role of stress, social support and age in survival from breast cancer

    J Psychosomatic Res

    (1983)
  • J.C. Cassel

    The contribution of the social environment to host resistance

    Am J Epidemiol

    (1976)
  • S. Cobb

    Social support as a moderator of life stress

    Psychosomatic Med

    (1976)
  • L.F. Berkman et al.

    Social networks, host resistance, and mortality: A nine year follow-up study of Alameda County residents

    Am J Epidemiol

    (1979)
  • J.S. House et al.

    The association of social relationships and activities with mortality: Prospective evidence from the Tecumseh Community Health Study

    Am J Epidemiol

    (1982)
  • V.J. Schoenbach et al.

    Social ties and mortality in Evans County, Georgia

    Am J Epidemiol

    (1986)
  • G. Tibblin et al.

    The theory of general susceptibility

  • K. Orth-Gomer et al.

    Social network interaction and mortality. A six year follow-up study of a random sample of the Swedish population

    J Chron Dis

    (1987)
  • G.A. Kaplan et al.

    Social connections and mortality from all causes and from cardiovascular disease: Prospective evidence from Eastern Finland

    Am J Epidemiol

    (1988)
  • M. Maxwell

    The Impact of Social Networks on Mortality, Disease Incidence, and Disease Progression

    (1986)
  • S. Cohen

    Psychosocial models of the role of social support in the etiology of physical disease

    Health Psychol

    (1988)
  • D.P. Funch et al.

    The role of support in relation to recovery from breast surgery

    Soc Sci Med

    (1982)
  • J.S. Norbeck et al.

    Life stress, social support, and emotional disequilibrium in complications of pregnancy: A prospective, multivariate study

    J Health Soc Behav

    (1983)
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