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At least 19 recordsLinked to original sources

The relationship of social environment, social networks, and health outcomes in the Seattle Longitudinal Study: two analytical approaches.

This study examined the relation of social networks and perceived social environment to health outcomes and cost utilization over a 1-year period in a community sample of 387 (173 males, 214 females). Two analytical strategies, a variable-oriented approach and a subject-oriented approach, were used to complement each other: structural equation modeling assessed the direct relationship between social relationships and health, while cluster analysis examined how social relationship patterns were related to health outcomes. Lower levels of perceived social environment were associated with an increased number of hospital visits. For unmarried individuals, increased age was associated with greater medical usage and estimated total health care cost, while low perceived social environment was related to a greater number of doctor visits. Among married individuals, women had more frequent doctor visits, medication usage, estimated outpatient costs, and primary care visits. Married individuals with low levels of social networks had increased total health care costs, outpatient costs, and primary care visits. Cluster analysis was used to group individuals by characteristics of perceived social environment and social networks. Members of the cluster groups with greater health problems were more likely to be isolated, had the least social contact, and had lower levels of education and income. Including subject-oriented approaches is useful in complementing more popular regression methods for data analysis.

Adult↗

The influence of social environment and social image on adolescent smoking.

This purpose of this article is to explore differences by gender and school grade in patterns of association among social influences and tobacco use. Data from the 1999 (N = 15,038) and 2000 (N = 35,828) National Youth Tobacco Survey (American Legacy Foundation, 1999, 2000), a nationally representative, repeated cross-sectional survey, were used in the analysis. The authors compared effects on adolescent smoking. Direct paths from social environment to current smoking increased from middle school to high school. Indirect paths with social image mediating this relationship revealed a smaller increase. The pattern was constant across subsamples. Social image of smokers mediated the influence of social environment on adolescent smoking. Social image had a greater effect on smoking among middle school boys and high school girls.

Adolescent↗

Social environment and social support.

Research on the relevance of social support to cancer has been plentiful since the first American Cancer Society workshop on methodological issues in behavioral and psychosocial science. Nonetheless, critical shortcomings continue to characterize the attempt empirically to establish such things as the extent to which social support predicts adjustment to cancer diagnosis and treatment. Prominent among these is the failure to adequately address large elements of the social structure, such as social class and urbanization, and to investigate how they shape the well being of persons with or at risk for cancer and their caregivers. We recommend that more psychosocial research on the link between social support and cancer be conducted within populations beset by poverty and without adequate access to health care. Funding is needed for the training and maintenance of multidisciplinary and multicultural teams of researchers working within community-based organizations and hospitals serving the underserved.

Humans↗

[Social environment and social network: extent and resources of the daily life of elderly persons].

The study asks for factors determining the activity space of the aged. Indicators of old people's activities space are the number of their outdoor activities and their use of the local supply of public facilities. Controversial hypothesis are won from ecological gerontology and psychological attachment theory. At issue in the first place is how personal social networks mold older people's outdoor behavior. Another hypothesis assumes social support of the elderly to be exposed to the laws of reciprocity. The study makes use of a poll titled "life-organization of older people" that was conducted by the German Youth Institute in 1993. Respondents were German 55- to 79-year-olds (N = 4130). Analyses rely on multifactorial analyses of variance. Results back attachment theory and the reciprocity thesis.

Activities of Daily Living↗

Methods for conducting systematic reviews of the evidence of effectiveness and economic efficiency of interventions to promote healthy social environments.

The social and physical surroundings in which people live affect their health. Knowing what basic conditions and opportunities in communities advance or impede improvement of community health can inform public health practice and policy. This article describes the methods for conducting systematic literature reviews of three community interventions to promote healthy social environments: early childhood development programs, programs to promote affordable family housing in safe neighborhoods, and interventions to increase the cultural and linguistic competence of healthcare systems. Existing methods, established for conducting systematic reviews for the Guide to Community Preventive Services, were applied to these interventions to promote healthy social environments.

Evidence-Based Medicine↗

Social environment and health--a social epidemiological frame of reference.

Growing interest in epidemiological studies and prevention has led to increased awareness of the importance of the social environment to health. In this field of research, which might be designated social epidemiology, there is today extensive research into the possible association between different types of social factors and ill-health in the population. This article presents a social epidemiological frame of reference and some social factors of importance when one is studying the relationships between the social environment and health. Important social factors in the model are social stratification, social network, social support and life-style factors. Two other main categories of social factors in the model are circumstances and events related to social stratification or occupation and social network respectively. These may be factors in the external or internal work environment and variables describing the general activity level of the individual or different types of stressful social network-related life events. Other important factors in the model are physiological and clinical factors and three different types of health indicator. In the field of social epidemiological research, there is an increasing need for the development of theoretical models and frameworks as support in the analysis of social factors and health. These could be based on experience and tradition in both epidemiological research and the social sciences.

Epidemiologic Methods↗

Social environment and health.

The social environment has a far greater effect on health than is generally assumed. As part of the overall environment, it is the setting in which man and agents (including exposures and other risk factors) interact, leading to symbiosis or disease; man is not proven resistant to most influences of the social environment. The social environment shapes man's perceptions of health and disease and man's reactions to disease. Social factors, and more specifically the urban environment, are thought to play major roles in most chronic diseases. The effects of the social environment are extremely complex, and much of our present knowledge is still hypothetical. Finally, for prevention of disease, only society can change significantly the social environment.

Attitude to Health↗

From molecules to mind. Stress, individual differences, and the social environment.

The social and physical environments in which we live have an enormous impact on our physiology and behavior and influence the process of adaptation, or "allostasis." Genes, early development, adult experiences, life style, and stressful life experiences all contribute to the way the body adapts to a changing environment; and these factors all help to determine the cost to the body, or "allostatic load." Studies of these processes involve the disciplines of biology and psychology, but they are incomplete without the input from other fields, such as cultural anthropology, economics, epidemiology, political science, and sociology. These fields provide a description and analysis of the social and cultural institutions and economic forces that affect individual human health. Specific examples of shared concepts and terminology are given to illustrate progress towards consilience in the study of socioeconomic determinants of health.

Adaptation, Physiological↗

Individual and common components of the social environment at work and psychological well-being.

Interpretations of correlational research on the social origins of psychological well-being are limited by the possibility of reciprocal influences between persons and their social situations and by respondent bias. These issues are addressed in a study of the relation between the social environment at work and mental health. Two components of a social environment were measured: a common social environment, the social climate shared by employees in the same work setting. The study related (a) averaged co-workers' ratings and individuals' own ratings of the social environment to (b) individuals' self-reported psychological well-being. A group of 37 bank branches represented work environments, and nonmanagerial personnel in the branches served as participants. Results indicated that the quality of the social environment at work is related to the mental health of employees. More important, the relation was confirmed with an independent measure of the social environment. Aggregate co-worker ratings of the common social environment were significantly correlated with individual depression and anxiety. However, an individual's perceptions appeared to mediate the social environment's impact. As hypothesized, well-being was more closely tied to the proximal individual social environment than to the more distal common social environment.

Adaptation, Psychological↗

Social environment and vulnerability of low birth weight children: a social-epidemiological perspective.

This study examined the impact of low birth weight on children's health and assessed the influence of the social environment on various aspects of health in low birth weight and normal birth weight children. Data on 8661 children aged 2 through 11 from the 1981 Child Health Supplement of the National Health Interview Survey provided strong evidence for two major conclusions: (1) Low birth weight children in high-risk social environments are at increased for poor health outcomes compared with comparable normal birth weight children. This vulnerability was found across all age groups, suggesting that the effects of low birth weight are long-lasting. The poor health outcomes for low birth weight children in high-risk social environments were found for all seven aspects of child health status studied: excessive bed days, restricted-activity days, and school-loss days; school failure, low school-ranking, behavior problems, and maternal perception of child health status as fair/poor. (2) The mechanism of risk was complex and differed by birth weight group. Whereas certain combinations of individual risk factors protected normal birth weight children from several adverse outcomes, none for low birth weight children were identified. However, low birth weight children in low- or moderate-risk social environments were not at greater risk for poor outcomes compared with comparable normal birth weight children. This study underscores the importance of a healthy social environment for children who are already at high risk for poor health outcomes by virtue of being low birth weight.

Age Factors↗

Season and social environment influence the membrane integrity of ejaculated boar spermatozoa as assessed by ouabain sensitivity.

Eight adult Landrace boars were housed for 12 months in one of two social environments. Socially nonrestricted boars were penned near estrual females and socially restricted boars were penned behind solid walls to eliminate visual and physical contact with other pigs. All animals were subjected to natural changes in day length. The sensitivity of ejaculated spermatozoa to ouabain (in inhibitor of Na+-K+ ATPase) was determined on 4 consecutive weeks in November, March-April, and July-August. Semen was diluted in Tyrode's solution (pH 7.4) with and without 10(-3) M ouabain. Duplicate samples of control and ouabain-treated spermatozoa were incubated at 37 degrees C for 4 h, and percent motile sperm, motility type, and motility index (combination of percent and type) were determined at hourly intervals. Ouabain-induced decreases in most motility parameters varied with season (season X treatment, P less than 0.05). At hour 4, induced decreases in percent motile sperm were more pronounced in November and July-August than in March-April for socially nonrestricted boars. Decreases in motility type were greater (P less than 0.05) in November and July-August than in March-April for socially nonrestricted boars and were greater (P less than 0.01) in November than in July-August for restricted boars. In March-April motility type decreased (P less than 0.01) to a greater extent for socially restricted vs. nonrestricted boars. Similar season and social environment differences were observed for motility index values. Given the interrelationships between ouabain sensitivity, the functional integrity of sperm cells, and fertilizing capacity, season and social environment differences in ouabain-induced motility depression probably reflect qualitative changes in boar spermatozoa.

Animals↗

Depressed patients and non-psychiatric controls: discriminant analysis on social environment variables.

A set of variables from the social environment (e.g. social contacts, confiding relationships, leisure activities, loneliness) was used to differentiate between a consecutive series of 111 patients diagnosed as having a depressive illness and a sample of 98 non-psychiatric controls. The function derived from the discriminant analysis correctly classified 83% of the subjects. The results indicate shortcomings in the social environment of depressives and point to the discriminating power of such variables.

Adjustment Disorders↗

Impact of social environment characteristics on neuroendocrine regulation.

OBJECTIVE: This article reviews evidence relating social environment characteristics to patterns of neuroendocrine regulation. To date, although there has been considerable interest in the effects of social ties and support on health and longevity, less attention has been given to the effects of such social environment characteristics on actual physiologic parameters. METHOD: Animal and human studies from 1960s to the present are reviewed for evidence linking social environment characteristics to patterns of hypothalamic-pituitary-adrenal (HPA) axis, sympathetic nervous system (SNS), and cardiovascular activity. RESULTS: Community and laboratory-based studies document that characteristics of the social environment influence patterns of neuroendocrine reactivity. These effects seem to be highly sensitive to aspects of the social environment such as relative social status, the relative stability of the social ordering and, importantly, the quality of social relationships. Although supportive social relationships are often associated with attenuated patterns of HPA and SNS activation, the converse also seems to be true as nonsupportive social interactions are frequently associated with enhanced reactivity. CONCLUSION: Available evidence regarding links between social environment characteristics and neuroendocrine regulation documents a link between the social and biological realms that may have important consequences for health and longevity. The data provide support for the hypothesis that observed associations between social ties and health and longevity result, at least partially, from the positive influence of such social environment characteristics in reducing neuroendocrine reactivity. The evidence regarding nonsupportive or hostile social relationships highlights the importance of taking a broader view of the potential health effects of the social environment, one that encompasses the potential for both positive and negative effects.

Adult↗

Social environment determines the long-term effects of social defeat.

A single social defeat by a dominant conspecific induces long-term changes in several physiological and behavioral parameters in rats. These changes may represent an increased vulnerability to subsequent stress and stress-related pathology. Environmental factors, in particular possibilities for social interactions, could modulate these effects. Therefore, we assessed the influence of social environment on susceptibility for the long-term effects of social defeat. Socially housed males of an unselected strain of wild-type rats were equipped with radio-telemetry transmitters that recorded heart rate, temperature and activity. They were individually subjected to defeat and subsequently either housed alone or returned to their group. Behavioral and physiological responses to various novelty stressors were determined during a three-week period after the social defeat. Furthermore, changes in baseline behavior and physiology following defeat were studied in the rat's homecage. The results show a complex interaction between defeat and housing conditions. Depending on the parameters measured, effects were caused by both isolation alone, defeat alone or a combination of both defeat and isolation. Individual housing alone caused a characteristic hyperactive response to novelty stress. Though defeat did not affect behavioral responses, it amplified the physiological response to novelty and social housing did not attenuate this effect. However, social housing did reduce the effects of defeat on heart rate, temperature and activity in the home cage and completely prevented defeat-induced weight loss. Together these results indicate that social housing may indeed positively affect the animal's capacity to cope with stressors.

Analysis of Variance↗

Sexual maturation in male prairie voles: effects of the social environment.

The effects of various social contexts on sexual maturation in captive male prairie voles were investigated. Sexual maturity was assessed as the ability of a young male to produce urine capable of activating a diestrous adult female into estrus, as females remain anestrus until they ingest a male urinary chemosignal. In five experiments the postweaning social environments of developing males were manipulated (e.g., presence or absence of dam, sire, or junior litter, exposure to unfamiliar adult voles, social isolation) to determine if the age at which males begin to produce potent urine was sensitive to social effects. In general, there was no difference in the age of potent urine production as a function of social environment. Findings are discussed in the context of dispersal, inbreeding avoidance, and mate acquisition.

Animals↗

Influence of season and social environment on basal and thyrotropin releasing hormone-induced prolactin secretion in the adult domestic boar.

Basal and TRH-induced PRL secretions were investigated for adult Landrace boars housed in two social environments. Socially nonrestricted boars (N = 4) were individually penned adjacent to ovariectomized gilts that were hormonally induced into estrus every 3 weeks, while socially restricted boars (N = 4) were individually kept in pens with solid walls. In February, May and August all boars were fitted with jugular catheters for serial blood sampling which took place 2 h prior to and 4 h following in iv injection of TRH (1 microgram/kg). Mean pre-injection serum PRL concentration was not influenced by either month or social environment. The PRL response to TRH injection, however, was influenced by both factors. The magnitude of the PRL response (peak delta value) increased (month, P less than 0.01) progressively in both groups of boars from February through August and was greater (P less than 0.05) in the nonrestricted versus the restricted boars in August. The total amount of PRL secreted was also maximal and greater in the socially nonrestricted boars in August (month x social group, P less than 0.05). These results indicate that TRH-induced and not basal PRL secretion is influenced by both season and social interaction of boars.

Animals↗

Effect of season and social environment on testis size and semen quality of the adult Landrace boar.

Eight adult Landrace boars were housed for 12 mo in one of two social environments. Socially nonrestricted boars were penned adjacent to and allowed minimal physical contact with ovariectomized gilts hormonally induced into estrus every 2 wk. Socially restricted boars were penned behind solid walls to eliminate visual and physical contact with other pigs. All animals were subjected to natural changes in daylength. Semen was collected weekly; gel-free volume, gel weight, sperm concentration and number per ejaculate, sperm motility (percent and type) and semen pH were determined. Total protein, citric acid contents and alkaline phosphatase activity were measured in seminal plasma. Testis length and width and various body temperature measurements were recorded monthly. Except for percent motile sperm and alkaline phosphatase activity, all semen characteristics varied (P less than .05) with month. The pattern of seasonal change in semen volume was modified by social environment (group X month, P less than .05). Sperm numbers were highest in winter and lowest in spring and summer. Ejaculate protein and citric acid contents were highest in fall and winter; decreases in spring were associated with moderate ambient temperatures and increases in daylength (r = -.80, P less than .05). Testicular length for socially nonrestricted boars was maximum in November through January and minimum in April through July, and did not vary as extensively for socially restricted boars. Scrotal temperature was elevated during periods of high ambient temperature, but not to values detrimental to spermatogenic function.(ABSTRACT TRUNCATED AT 250 WORDS)

Alkaline Phosphatase↗