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Social distribution of social support: the mediating role of life events.

Although the relation of socioeconomic status (SES) to social support has been discussed for some time, researchers have rarely systematically examined the social patterning of this resource. In addition, potential explanatory mechanisms have not been investigated. This study examined both the social distribution of social support and the role of life events in the association between SES and social support in a nationally representative probability sample of adults from the National Cormorbidity Survey. Higher education and income were related to more emotional support and fewer negative interactions. Individuals with higher incomes were also less likely to report acute and chronic life events. Finally, acute (but not chronic) life events mediated the relation between SES and social support (both emotional support and negative interactions). These results suggest the inability of lower SES individuals to mobilize social support in times of need may be explained by their more frequent experience of acute life events.

Adolescent↗

Sex differences in social behavior. Are the social role and evolutionary explanations compatible?

The competing claims of two explanations of sex differences in social behavior, social role theory, and evolutionary psychology are examined. The origin and scope of research on sex differences in social behavior are outlined, and the application of social role theory is discussed. Research that is based on modern sexual selection theory is described, and whether its findings can be explained by social role theory is considered. Findings associated with social role theory are weighed against evolutionary explanations. It is concluded that evolutionary theory accounts much better for the overall pattern of sex differences and for their origins. A coevolutionary approach is proposed to explain cross-cultural consistency in socialization patterns.

Female↗

A longitudinal model of social contact, social support, depression, and alcohol use.

The longitudinal relations among contact with one's social network (social contact), perceived social support, depression, and alcohol use were examined. An integrative model was developed from affect regulation theory and theories of social support and dysfunctional drinking. Data were obtained from a random sample of 1,192 adults. The 3-wave panel model was tested using structural equation modeling analysis. Results revealed that (a) social contact was positively related to perceived social support; (b) perceived social support was, in turn, negatively related to depression; and (c) depression was, in turn, positively related to alcohol use for 1 of 2 longitudinal lags. There was partial support for the feedback hypothesis that increased alcohol use leads to decreased contact with family and friends. Although the results generally supported the authors' hypotheses, the significant coefficients in the model were generally small in size.

Adult↗

Social resources and social function in comorbid eating and substance disorder: a matched-pairs study.

OBJECTIVE: To assess social resources and function among patients with comorbid Eating Disorder (ED) and substance abuse/dependence, referred to here as Substance Related Disorder (SRD). DESIGN: Descriptive, cross-sectional, comparative. SETTINGS: A university medical center with an Alcohol-Drug Program located within a Department of Psychiatry. SUBJECTS: 70 patients with Substance Related Disorder and Eating Disorder (SRD-ED), matched for gender, age, and race-ethnicity with 70 SRD-only patients. METHODS: A research associate assessed current social resources and social function based on data obtained from patients and collateral sources while blind to the ED status of the patient. Addiction psychiatrists made the diagnoses of SRD and ED and conducted assessments for axis 4 psychosocial stressors and axis 5 psychosocial function. RESULTS: SRD-ED patients had more advantageous social resources than SRD-only patients, including residence with family or friends, more education, higher socioeconomic status, and larger social networks. However, SRD-ED patients manifested martial status, employment, stressors, and coping levels similar to SRD-only patients. CONCLUSIONS: Several alternative explanations exist for these expected though unusual findings. Further analyses will be required to understand this lack of articulation between social resources and social function across two diagnostic groups.

Adolescent↗

Harm reduction: a social work practice model and social justice agenda.

Efforts in the United States to eradicate drug use through supply reduction (that is, the War on Drugs) have increasingly violated the principles of social justice and human rights, both locally and globally. This has created ethical conflicts for social workers in policy making, practice, and research. Harm reduction has been conceptualized as a peace movement and is aligned with the humanistic values around which social work is organized. The authors examine how social workers may reduce the ethical conflicts associated with efforts to address substance abuse by adopting a harm reduction approach to policy, practice, and research. They examine current drug policies, the consequences of the policies, and, in particular, how the policies affect social workers as practitioners, agents of social control, and guardians of social justice.

Drug and Narcotic Control↗

Social capital and health: measuring and understanding social capital at a local level could help to tackle health inequalities more effectively.

This paper examines whether an understanding of the concept of social capital and its local measurement can help to tackle inequalities in health within and across communities. The paper concludes that the concept of social capital offers a valuable opportunity to help public health professionals understand how to approach inequalities in health with a greater awareness of the social processes affecting the health of communities. The measurement of social capital has been problematic. However, new guidance from the Health Development Agency (HDA) provides a useful tool for developing social capital research. A greater understanding of whether, and how social capital relates to health will help to improve strategies to reduce health inequalities at the community level. Public health professionals contributing to community development strategies such as Neighbourhood Renewal Projects, Community Safety Partnerships, Health Action Zones and Health Improvement Programmes (HImPs) should encourage thought to be given about the role that an understanding of social capital could play in making these strategies more effective. Using the HDA measurement tool locally could be one way of doing this.

Community Health Planning↗

Sex differences in social adjustment. Effects of sex role socialization and role stress.

This study focuses on the social role functioning component of psychiatric disorders. It assesses sex differences in social adjustment in regard to: work, marriage, parenthood, relations with friends and extended family, and the nuclear family as a whole. Hypotheses predicting sex differences in social adjustment are derived from socialization and role stress frameworks and tested with data from a New Haven community epidemiologic study, utilizing the Social Adjustment Scale-Self Report (SAS-SR). The data show that, consistent with socialization-derived predictions, women manifest greater feelings of inadequacy than men in instrumental work role performance, while men manifest greater emotional inhibition and interpersonal friction. Morever, consistent with role stress frameworks, women express greater conflict and resentment than men in regard to family relationships, but not in regard to friendship relationships. In addition, women's subjective disinterest and impaired functioning in their work role is greater for housewives than for employed women. The implications of these findings for social supports research are discussed.

Aggression↗

The relationships between social skills, social support, self-esteem and burden in adult caregivers.

The purpose of this study was to explore the relationships between social skills, self-esteem, social support and burden in a sample of adult caregivers. The Gambrill and Richey Assertion Inventory, Rosenberg's Self-Esteem Scale, Montgomery's Objective and Subjective Burden Scale, Norbeck's Social Support Questionnaire and Sarason's Social Support Questionnaire were administered to a convenience sample of 31 caregivers. Unassertive caregivers had less available social support. Those caregivers who felt more discomfort in situations also had less available social support. Caregivers who had significantly more affection, affirmation and aid from within their social network were found to have higher self-esteem. Those with lower self-esteem reported losing a greater number of important relationships in the past year. Nonassertive caregivers were more likely to experience lower subjective burden.

Adult↗

The relation between stressful life events and adjustment in elementary school children: the role of social support and social problem-solving skills.

This study investigated the relation between stressful life events and adjustment in elementary school children, with particular emphasis on the potential main and stress-buffering effects of social support and social problem-solving skills. Third through fifth graders (N = 361) completed social support and social problem-solving measures. Their parents provided ratings of stress in the child's environment and ratings of the child's behavioral adjustment. Teachers provided ratings of the children's behavioral and academic adjustment. Hierarchical multiple regressions revealed significant stress-buffering effects for social support and problem-solving skills on teacher-rated behavior problems, that is, higher levels of social support and problem-solving skills moderated the relation between stressful life events and behavior problems. A similar stress-buffering effect was found for problem-solving skills on grade-point average and parent-rated behavior problems. In terms of children's competent behaviors, analyses supported a main effect model of social support and problem-solving. Possible processes accounting for the main and stress-buffering effects are discussed.

Achievement↗

Are inequalities in height underestimated by adult social position? Effects of changing social structure and height selection in a cohort study.

OBJECTIVES: To investigate whether changing social structure and social mobility related to height generate (inflate) inequalities in height. DESIGN: Longitudinal 1958 British birth cohort study. SETTING: England, Scotland, and Wales. PARTICIPANTS: 10 176 people born 3-9 March 1958 for whom data were available at age 33 years. MAIN OUTCOME MEASURES: Adult height and social class at age 33 years; class of origin (father's occupation when participant was 7 years old). RESULTS: Adult height showed a social gradient with class at age 7 years and age 33 years. The difference in mean height between extreme groups was greater for class of origin than for adult class, reducing from 2.21 cm to 1.62 cm for men and from 2.18 cm to 1.74 cm for women. This narrowing inequality was due mainly to a decrease in mean height in classes I and II. This was because of the pattern of height related social mobility in which, for example, men moving into classes I and II were taller (mean 177.2 cm) than men remaining in class III manual (mean 176.1 cm) yet shorter than men with class I and II origins (mean 178.3 cm) and the relatively large number of individuals moving into classes I and II. Changes in the structure of society, seen here with the general trend of upward social mobility, have acted to diminish inequalities in adult height. CONCLUSIONS: The combination of changing social structure and height related mobility constrains, rather than inflates, inequalities in height and may lead to an underestimation of the role of childhood socioeconomic factors in the development of inequalities in adult disease.

Adolescent↗

Learning disabilities and social competence: a social ecological perspective.

To explore the relationship between learning disabilities (LD) and social competence, various indexes of social and academic competence were collected from a sample of students with LD, as well as a matched sample of children without disabilities, in Grades 3-6. Measures included academic grades, teacher perceptions, peer perceptions, self-perceptions, social network outside of school, and direct observation of social interactions. Results suggest that children with LD differ from children without disabilities on virtually all indexes of academic competence, regardless of social status. In the social domain, children with LD had higher self-concept scores than did children without disabilities. Most social differences were linked to the child's peer status, independent of disability.

Child↗

Social services and health services day care in mental health: the social networks and care needs of their users.

BACKGROUND: In view of the increasing integration of health and social care, there is an urgent need to know how health service day hospitals and social service day centres are being used, and by whom. AIMS: We aimed to compare users of day hospitals and centres in terms of their social networks, needs for care and demographics. METHODS: A cross-sectional, comparative study of service users at two day hospitals and four day centres compared their social networks, needs and characteristics. RESULTS: Day centre clients had much larger social networks, including a three-fold difference in total contacts and two-fold difference in confidants, but had more needs for care, particularly relating to psychological distress. They were also older on average than day hospital patients and were a more long-term group. CONCLUSION: It is vital to understand differences between health service day hospitals and social service day centres given the increasing integration of health and social care. The present study shows that the two user groups are significantly different. It is unlikely that the needs of most day care users could be met by either service interchangeably.

Adult↗

Social networks and social support: an overview of research, practice, and policy implications.

Following a brief overview of the stressful life events-illness model and its implications for intervention, this article highlights the role of social support as a resource for resisting stress-induced illness and disability. It identifies three different connotative meanings that have been assigned to the social support construct, and describes their empirical operationalizations in several recent studies. Specifically, the social integration/participation formulation, the social network approach, and the social intimacy measurement strategy are described and contrasted. Within the latter approach, one study that illuminated types of informal helping behaviors is discussed in greater detail. A review of possible mechanisms whereby social support accomplishes its health-protective impact is also offered, and two types of planned interventions involving the mobilization or optimization of social support are spotlighted. The article concludes with ideas about ways that professionals can safeguard the natural helping skills of citizens and achieve an appropriate balance between formal and informal systems of service delivery in the health and human services fields.

Adaptation, Psychological↗

Social indicators: for individual well-being or social control?

This article is concerned with the way that social statistics reflect particular views of the world, and focuses on the specific case of the Organization for Economic Cooperation and Development's program to develop a set of social indicators. Some illustrations of previous attempts to collect social indicators are given, but the bulk of the article discusses the series of contradictions which regulate the generation and use of statistics by governments, the principal one being between measures which play the ideological role of displaying economic and social "progress" and measures which are of direct use in social planning. This is discussed both for social indicators in general and for social concerns linked to the measurement of health. The article ends with an attempt to evaluate the future of the OECD program within the development of modern capitalism.

Government↗

Social support and social cognitive problem-solving in children with newly diagnosed cancer.

Children newly diagnosed with cancer have been documented to be at increased risk for difficulties in their return to school and ongoing positive social experiences. This article reviews the critical role of social support in helping children adjust to their illness and treatment. Social skills training for newly diagnosed children is presented as an important intervention strategy for increasing positive social interactions and overall psychosocial adjustment. A randomized, clinical research trial currently in progress that will evaluate the impact of social skills training on newly diagnosed children 5-13 years of age is delineated. The potentially positive impact of social skills training on the prevention of emotional problems and increased biologic survival are discussed.

Adolescent↗

Models of social networks based on social distance attachment.

We propose a class of models of social network formation based on a mathematical abstraction of the concept of social distance. Social distance attachment is represented by the tendency of peers to establish acquaintances via a decreasing function of the relative distance in a representative social space. We derive analytical results (corroborated by extensive numerical simulations), showing that the model reproduces the main statistical characteristics of real social networks: large clustering coefficient, positive degree correlations, and the emergence of a hierarchy of communities. The model is confronted with the social network formed by people that shares confidential information using the Pretty Good Privacy (PGP) encryption algorithm, the so-called web of trust of PGP.

Algorithms↗

[Effects of social origins and professional socialization on the vocational preferences of medical interns in Mexico].

Using data from a survey of 923 medical interns in Mexico, this article analyzes preferences for type of medical activity (general or specialized practice), type of site (ambulatory or hospital), and type of medical care institution (public assistance, social security, or private). Four independent variables are examined: social origin, medical school, place of internship, and assimilation to the internship hospital. The great majority of the interns expressed a preference for specialty practice, hospitals, and social security institutions. The role of social origin was to selectively direct students into different medical schools. From then on, the structural attributes of the school itself and of the place of internship, as well as the socialization experiences that took place there, emerged as the most important determinants of career preferences. Such a process, however, tended to produce a "social specialization" of interns in terms of the role they expect to play in the medical field. It is argued that this kind of specialization has negative implications for the professional status of physicians, although it also poses a challenge to the development of innovative theories about the process of professionalization in medicine.

Career Choice↗

Social indicators and social structure.

The findings from seven factor analytic studies of social indicators at the subnational level constitute the starting point for this review of the relationship of social indicators, defined as measures of individual and family welfare, and social structure. This definition acknowledges the normative element in social indicators, but it does not specify the direction that they must move in order to be considered "good" or "bad." Three approaches to explaining social indicators are then reviewed: an indicator-specific model as exemplified by Anderson's analysis of infant mortality; an institution-specific model illustrated by Bidwell and Kasarda's study of the effectiveness of Colorado school districts; and a systemic-structural model, embodies in R. Young's studies of the social organization of the 48 states in relationship to social indicators. Although all three approaches have problems, the last is claimed to be the most heuristic.

Factor Analysis, Statistical↗