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Health, wartime stress, and unit cohesion: Evidence from Union Army veterans

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Demography

Abstract

We find that Union Army veterans of the American Civil War who faced greater wartime stress (as measured by higher battlefield mortality rates) experienced higher mortality rates at older ages, but that men who were from more cohesive companies were statistically significantly less likely to be affected by wartime stress. Our results hold for overall mortality, mortality from ischemic heart disease and stroke, and new diagnoses of arteriosclerosis. Our findings represent one of the first long-run health follow-ups of the interaction between stress and social networks in a human population in which both stress and social networks are arguably exogenous.

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References

  • Aizer, A. and J. Currie. 2004. “Networks or Neighborhoods? Correlations in the Use of Publicly-Funded Maternity Care in California.” Journal of Public Economics 88: 2573–85.

    Article  Google Scholar 

  • Amick III, B.C., P. McDonough, H. Chang, W.H. Rogers, C.F. Pieper, and G. Duncan. 2002. “Relationship Between All-Cause Mortality and Cumulative Working Life Course Psychological and Physical Exposures in the United States Labor Market From 1968 to 1992.” Psychosomatic Medicine 64: 370–81.

    Google Scholar 

  • Andrews, G., C. Tennant, D.M. Hewson, and G.E. Valiant. 1978. “Life Event Stress, Social Support, Coping Style, and Risk of Psychological Impairment.” Journal of Nervous and Mental Disease 166: 307–15.

    Article  Google Scholar 

  • Belenky, G.L., S. Noy, and Z. Solomon. 1987. “Battle Stress, Morale, Cohesion, Combat Effectiveness, Heroism and Psychiatric Casualties: The Israeli Experience.” Pp. 11–20 in Contemporary Studies in Combat Psychiatry, edited by G.L. Belenky. Westport, CT: Greenwood Press, Inc.

    Google Scholar 

  • Bolger, N. and D. Amarel. 2007. “Effects of Social Support Visibility on Adjustment to Stress: Experimental Evidence.” Journal of Personality and Social Psychology 92: 458–75.

    Article  Google Scholar 

  • Boscarino, J.A. 1997. “Diseases Among Men 20 Years After Exposure to Severe Stress: Implications for Clinical Research and Medical Care.” Psychosomatic Medicine 59: 605–14.

    Google Scholar 

  • — 2006a. “External-Cause Mortality After Psychologic Trauma: The Effects of Stress Exposure and Predisposition.” Comprehensive Psychiatry 47: 503–14.

    Article  Google Scholar 

  • —. 2006b. “Posttraumatic Stress Disorder and Mortality Among U.S. Army Veterans 30 Years After Military Service.” Annals of Epidemiology 16: 248–56.

    Article  Google Scholar 

  • — 2008. “Psychobiologic Predictors of Disease Mortality After Psychological Trauma: Implications for Research and Clinical Surveillance.” Journal of Nervous and Mental Disease 196: 100–107.

    Article  Google Scholar 

  • Capitanio, J.P., S.P. Mendoza, N.W. Lerche, and W.A. Mason. 1998. “Social Stress Results in Altered Glucocorticoid Regulation and Shorter Survival in Simian Acquired Immune Deficiency Syndrome.” Proceedings of the National Academy of Sciences, USA 95: 4714–19.

    Article  Google Scholar 

  • Caspi, A., H. Harrington, T.E. Moffitt, B.J. Milne, and R. Poulton. 2006. “Socially Isolated Children 20 Years Later: Risk of Cardiovascular Disease.” Archives of Pediatrics and Adolescent Medicine 160: 805–11.

    Article  Google Scholar 

  • Christakis, N.A. and J.H. Fowler. 2007. “The Spread of Obesity in a Large Social Network Over 32 Years.” New England Journal of Medicine 357: 370–79.

    Article  Google Scholar 

  • Cohen, S., W.J. Doyle, D.P. Skoner, B.S. Rabin, and J.M. Gawltney. 1997. “Social Ties and Susceptibility to the Common Cold.” Journal of the American Medical Association 277: 1940–44.

    Article  Google Scholar 

  • Cohen, S., J.R. Kaplan, J.E. Cunnick, S.B. Manuck, and B.S. Rabin. 1992. “Chronic Social Stress, Affiliation, and Cellular Immune Response in Nonhuman Primates.” Psychological Science 3: 301–304.

    Article  Google Scholar 

  • Cole, S.W., L.C. Hawkley, J.M. Arevalo, C.Y. Sung, R.M. Rose, and J.T. Cacioppo. 2007. “Social Regulation of Gene Expression in Human Leukocytes.” Genome Biology 8: R189. Available online at http://genomebiology.com/2007/8/9/R189.

    Article  Google Scholar 

  • Costa, D.L. 1998. The Evolution of Retirement: An American Economic History, 1880–1990. Chicago: The University of Chicago Press.

    Google Scholar 

  • —. 2000. “Understanding the Twentieth-Century Decline in Chronic Conditions Among Older Men.” Demography 37: 53–72.

    Article  Google Scholar 

  • —. 2002. “Changing Chronic Disease Rates and Long-Term Declines in Functional Limitation Among Older Men.” Demography 39: 119–38.

    Article  Google Scholar 

  • Costa, D.L. and M.E. Kahn. 2003a. “Civic Engagement and Community Heterogeneity: An Economist’s Perspective.” Perspectives on Politics 1: 103–11.

    Article  Google Scholar 

  • —. 2003b. “Cowards and Heroes: Group Loyalty in the American Civil War.” Quarterly Journal of Economics 118: 519–48.

    Article  Google Scholar 

  • —. 2008. Heroes and Cowards: The Social Face of War. Princeton, NJ: Princeton University Press.

    Google Scholar 

  • Costa, D.L. and J.N. Lahey. 2005. “Becoming Oldest-Old: Evidence From Historical U.S. Data.” Genus 61: 125–61.

    Google Scholar 

  • Dean Jr., E.T. 1997. Shook Over Hell: Post-Traumatic Stress, Vietnam, and the Civil War. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Gal, R. 1986. A Portrait of the Israeli Soldier. Westport, CT: Greenwood Press.

    Google Scholar 

  • Geronimus, A.T. 1992. “The Weathering Hypothesis and the Health of African-American Women and Infants: Evidence and Speculations.” Ethnicity & Disease 2: 207–21.

    Google Scholar 

  • Glover, D.A., M. Stuber, and R.E. Poland. 2006. “Allostatic Load in Women With and Without PTSD Symptoms.” Psychiatry 69: 191–203.

    Google Scholar 

  • Gresenz, C.R., J. Rogowski, and J.J. Escarce. 2007. “Social Networks and Access to Health Care Among Mexican-Americans.” NBER Working Paper No. 13460. National Bureau of Economic Research, Cambridge, MA.

    Google Scholar 

  • Hawkley, L.C., C.M. Masi, J.D. Berry, and J.T. Cacioppo. 2006. “Loneliness is a Unique Predictor of Age-Related Differences in Systolic Blood Pressure.” Psychology and Aging 21: 152–64.

    Article  Google Scholar 

  • Henry, J.P. and P.M. Stephens. 1977. Stress, Health, and the Social Environment: A Sociobiological Approach. New York: Springer-Verlag.

    Google Scholar 

  • Hess, E.J. 1997. The Union Soldier in Battle: Enduring the Ordeal of Combat. Lawrence, KS: The University of Kansas Press.

    Google Scholar 

  • Hobfoll, S.E. and S. Walfisch. 1984. “Coping With a Threat to Life: A Longitudinal Study of Self-Concept, Social Support, and Psychological Distress.” American Journal of Community Psychology 12: 87–100.

    Article  Google Scholar 

  • House, J.S., K.R. Landis, and D. Umberson. 1988. “Social Relationships and Health.” Science 241: 540–45.

    Article  Google Scholar 

  • Hyams, K.C., F.S. Wignall, and R. Roswell. 1996. “War Syndromes and Their Evaluation: From the U.S. Civil War to the Persian Gulf War.” Annals of Internal Medicine 125: 398–405.

    Google Scholar 

  • Kent, A.A., ed. 1976. Three Years With Company K: Sergt. Austin C. Stearns Company K 13th Mass. Infantry (Deceased). Cranberry, NJ: Associated University Presses.

    Google Scholar 

  • Kroenke, C.H., L.D. Kubzansky, E.S. Schernhammer, M.D. Holmes, and I. Kawachi. 2006. “Social Networks, Social Support, and Survival After Breast Cancer Diagnosis.” Journal of Clinical Oncology 24: 1105–11.

    Article  Google Scholar 

  • Lett, H.S., J.A. Blumenthal, M.A. Babyak, D.J. Catellier, R.M. Carney, L.F. Berkman, M.M. Burg, P. Mitchell, A.S. Jaffe, and N. Schneiderman. 2007. “Social Support and Prognosis in Patients at Increased Psychological Risk Recovering From Myocardial Infarction.” Health Psychology 26: 418–27.

    Article  Google Scholar 

  • Levine, S. and T. Mody. 2003. “The Long-Term Psychobiological Consequences of Intermittent Postnatal Separation in the Squirrel Monkey.” Neuroscience and Biobehavioral Reviews 27(1-22): 83–89.

    Article  Google Scholar 

  • Lyons, D.M., C.M. Ha, and S. Levine. 1995. “Social Effects and Circadian Rhythms in Squirrel Monkey Pituitary-Adrenal Activity.” Hormones and Behavior 29: 177–90.

    Article  Google Scholar 

  • Marmot, M. and R.G. Wilkinson, eds. 1999. Social Determinants of Health. Oxford: Oxford University Press.

    Google Scholar 

  • McPherson, J.M. 1997. For Cause and Comrades: Why Men Fought in the Civil War. New York and Oxford: Oxford University Press.

    Google Scholar 

  • Miguel, E. and M. Kremer. 2007. “The Illusion of Sustainability.” Quarterly Journal of Economics 122: 1007–65.

    Article  Google Scholar 

  • Murphy, A. 1949. To Hell and Back. New York: Holt.

    Google Scholar 

  • Pizarro, J., R.C. Silver, and J. Prause. 2006. “Physical and Mental Health Costs of Traumatic War Experiences Among Civil War Veterans.” Archives of General Psychiatry 63: 193–200.

    Article  Google Scholar 

  • Port, C.L., B. Engdahl, and P. Frazier. 2001. “A Longitudinal and Retrospective Study of PTSD Among Older Prisoners of War.” American Journal of Psychiatry 158: 1474–79.

    Article  Google Scholar 

  • Rao, N., M.M. Möbius, and T. Rosenblat. 2007. “Social Networks and Vaccination Decisions.” Federal Reserve Bank of Boston, Working Papers No. 07-12.

  • Reynolds, P. and G.A. Kaplan. 1990. “Social Connections and Risk for Cancer: Prospective Evidence From the Alameda County Study.” Behavioral Medicine 16: 101–10.

    Article  Google Scholar 

  • Seeman, T.E. 1996. “Social Ties and Health: The Benefits of Social Integration.” Annals of Epidemiology 6: 442–51.

    Article  Google Scholar 

  • Seeman, T.E., L.F. Berkman, D. Blazer, and J.W. Rowe. 1994. “Social Ties and Support and Neuroendocrine Function: The MacArthur Studies of Successful Aging.” Annals and Behavioral Medicine 16: 95–106.

    Google Scholar 

  • Shay, J. 2002. Odysseus in America: Combat Trauma and the Trials of Homecoming. New York and London: Scribner.

    Google Scholar 

  • Shils, E.A. and M. Janowitz. 1948. “Cohesion and Disintegration in the Wehrmacht in World War II.” Public Opinion Quarterly 12: 280–315.

    Article  Google Scholar 

  • Solomon, Z., M. Mikulincer, and S.E. Hobfoll. 1986. “Effects of Social Support and Battle Intensity on Loneliness and Breakdown During Combat.” Journal of Personality and Psychology 51: 1269–76.

    Article  Google Scholar 

  • —. 1987. “Objective Versus Subjective Measurement of Stress and Social Support: Combat-Related Reactions.” Journal of Consulting and Clinical Psychology 55: 577–83.

    Article  Google Scholar 

  • Subramanian, S.V., F. Elwert, and N. Christakis. 2008. “Widowhood and Mortality Among the Elderly: The Modifying Role of Neighborhood Concentration of Widowed Individuals.” Social Science and Medicine 66: 873–84.

    Article  Google Scholar 

  • Sutker, P.B., A.N. Allain Jr., and D.K. Winstead. 1993. “Psychopathology and Psychiatric Diagnoses of World War II Pacific Theater Prisoner of War Survivors and Combat Veterans.” American Journal of Psychiatry 150: 240–45.

    Google Scholar 

  • Thaker, P.H., L.Y. Han, A.A. Kamat, J.M. Arevalo, R. Takahashi, C. Lu, N.B. Jennings, G. Armaiz-Pena, J.A. Bankson, M. Ravoori, W.M. Merritt, Y.G. Lin, L.S. Mangala, T.J. Kim, R.L. Coleman, C.N. Landen, Y. Li, E. Felix, A.M. Sanguino, R.A. Newman, M. Lloyd, D.M. Gershenson, V. Kundra, G. Lopez-Berestein, S.K. Lutgendorf, S.W. Cole, and A.K. Sood. 2006. “Chronic Stress Promotes Tumor Growth and Angiogenesis in a Mouse Model of Ovarian Carcinoma.” Nature Medicine 12: 939–44.

    Article  Google Scholar 

  • Thomas, P.D., J.M. Goodwin, and J.S. Goodwin. 1985. “Effect of Social Support on Stress-Related Changes in Cholesterol Level, Uric Acid Level, and Immune Function in an Elderly Sample.” American Journal of Psychiatry 142: 735–37.

    Google Scholar 

  • Wilcox, B.L. 1981. “Social Support, Life Stress, and Psychological Adjustment: A Test of the Buffering Hypothesis.” American Journal of Community Psychology 9: 371–87.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Economics, UCLA, 9272 Bunche Hall, 90095-1477, Los Angeles, CA

    Dora L. Costa

  2. NBER, USA

    Matthew E. Kahn

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  1. Dora L. Costa
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  2. Matthew E. Kahn
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Correspondence to Dora L. Costa.

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Costa, D.L., Kahn, M.E. Health, wartime stress, and unit cohesion: Evidence from Union Army veterans. Demography 47, 45–66 (2010). https://doi.org/10.1353/dem.0.0095

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