From social integration to health: Durkheim in the new millennium

Berkman, Lisa F.; Glass, Thomas A.; Brissette, Ian; Seeman, Teresa E.

doi:10.1016/s0277-9536(00)00065-4

Cited by 3,656 publications

(3,449 citation statements)

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“…This shows show the importance of linking the meso- and micro-level to conditions at the macro-level. Berkman et al have suggested that the causal connection and the social network structure is influenced by conditions at the macro-level, including culture, socioeconomic conditions and politics and mediated by factors such as social support and material resources [1]. In this study we have compared countries with different welfare regimes and found significant differences.…”

Section: Discussionmentioning

confidence: 76%

“…By analysing impact of social network satisfaction (meso-level) on SRH (micro-level) in 16 European countries with different welfare regimes (macro-level) we follow the framework suggested by Berkman et al [1], suggesting that the influence from social networks on health should be analysed in relation to socio-economic and political conditions at macro-level.…”

Section: Discussionmentioning

confidence: 99%

“…This applies to the ageing cohorts throughout Europe, across gender, socioeconomic groups, and countries with different welfare models. It is suggested that social networks may influence health through various mechanisms, including for instance social support, social influence and access to resources [1]. Several studies have revealed a significant influence of the density and functionality of social networks and social isolation on health [2,3], and confirm that well-being and social support are related to the quality and social density of relationships [4–6], perhaps particularly for the older segment of the population [6].…”

Section: Introductionmentioning

confidence: 99%

“…This suggests that the social network, concerning both its quantity and quality, will affect an individual’s degree of subjective well-being and self-rated health (SRH). However, it is obvious that the outcome depends on the character of social contacts and that high frequency of contacts may also have an adverse impact on health [1]. Therefore, we stress the importance of examining the subjective social network satisfaction.…”

Section: Introductionmentioning

confidence: 99%

“…While research on social network and health tend to focus on the meso- to micro-level, Berkman et al, already in a pivotal paper from 2000, stressed the importance of looking also at the macro-level to see how structural conditions shape the social network [1]. They suggested that the structure and function of social networks are shaped by macro-level conditions including culture, socio-economic factors and politics.…”

Section: Introductionmentioning

confidence: 99%

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Health disparities in Europe’s ageing population: the role of social network

Olofsson

Padyab

Malmberg

2018

Global Health Action

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Background: Previous research suggests that the social network may play very different roles in relation to health in countries with differing welfare regimes. Objective: The study aimed to assess the interplay between social network, socioeconomic position, and self-rated health (SRH) in European countries. Methods: The study used cross-sectional data on individuals aged 50+ from the fourth wave of the Survey of Health, Ageing and Retirement in Europe (SHARE) and includes data from 16 countries. The outcome is poor SRH. All analyses are adjusted for age and stratified by gender. Results: Low satisfaction with the social network was associated with poor SRH among women in all country groups, but predicted poor SRH among males in West/Central and Eastern Europe only. The results from the multivariable analysis showed an increased likelihood of poor SRH among those with relatively lower education, as well as among those with low satisfaction with the social network (women from all country groups and men from Western/Central and Eastern Europe). However, the results from interaction analysis show that poor SRH for those with lower relative position in educational level was greater among those with higher satisfaction with the social network among male and female participants from Northern Europe. The health of individuals who are highly satisfied with their social network is more associated with socioeconomic status in Northern Europe. Conclusions: This study highlights the significance of social network and socioeconomic gradients in health among the elderly in Europe.

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Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Health disparities in Europe’s ageing population: the role of social network

Olofsson

Padyab

Malmberg

2018

Global Health Action

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Association of Hearing Loss With Hospitalization and Burden of Disease in Older Adults

Genther¹,

Frick²,

Chen³

et al. 2013

JAMA

163

140

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Association of Social Isolation With Hospitalization and Nursing Home Entry Among Community-Dwelling Older Adults

et al. 2023

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ImportanceSocial isolation is associated with adverse health outcomes, yet its implications for hospitalization and nursing home entry are not well understood.ObjectiveTo evaluate whether higher levels of social isolation are associated with overnight hospitalization, skilled nursing facility stays, and nursing home placement among a nationally representative sample of community-dwelling older adults after adjusting for key health and social characteristics, including loneliness and depressive symptoms.Design, Setting, and ParticipantsThis observational cohort study included 7 waves of longitudinal panel data from the Health and Retirement Study, with community-dwelling adults aged 65 years or older interviewed between March 1, 2006, and June 30, 2018 (11 517 respondents; 21 294 person-years). Data were analyzed from May 25, 2022, to May 4, 2023.Main Outcomes and MeasuresSocial isolation was measured with a multidomain 6-item scale (range, 0-6, in which a higher score indicates greater isolation). Multivariate logistic regressions were performed on survey-weighted data to produce national estimates for the odds of self-reported hospitalization, skilled nursing facility stays, and nursing home placement over time.ResultsA total of 57% of this study’s 11 517 participants were female, 43% were male, 8.4% were Black, 6.7% were Hispanic or Latino, 88.1% were White, 3.5% were other (“other” includes American Indian or Alaska Native, Asian or Pacific Islander, and other race, which has no further breakdown available because this variable was obtained directly from the Health and Retirement Study), and 58.2% were aged 65 to 74 years. Approximately 15% of community-dwelling older adults in the US experienced social isolation. Higher social isolation scores were significantly associated with increased odds of nursing home placement (odds ratio, 2.01; 95% CI, 1.21-3.32) and skilled nursing facility stays (odds ratio, 1.16; 95% CI, 1.06-1.28) during 2 years. With each point increase in an individual’s social isolation score, the estimated probability of nursing home placement or a skilled nursing facility stay increased by 0.5 and 0.4 percentage points, respectively, during 2 years. Higher levels of social isolation were not associated with 2-year hospitalization rates.Conclusions and RelevanceThis cohort study found that social isolation was a significant risk factor for nursing home use among older adults. Efforts to deter or delay nursing home entry should seek to enhance social contact at home or in community settings. The design and assessment of interventions that optimize the social connections of older adults have the potential to improve their health trajectories and outcomes.

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From social integration to health: Durkheim in the new millennium

Cited by 3,656 publications

References 86 publications

Health disparities in Europe’s ageing population: the role of social network

Health disparities in Europe’s ageing population: the role of social network

Association of Hearing Loss With Hospitalization and Burden of Disease in Older Adults

Association of Social Isolation With Hospitalization and Nursing Home Entry Among Community-Dwelling Older Adults

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