Skip to main content

Part of the book series: International Perspectives on Aging ((Int. Perspect. Aging,volume 11))

Abstract

Our prime interest in this chapter concerns the health consequences of embeddedness in social network types that are characterized by different levels of social capital. The construct of social network type was developed to provide a means by which to take the complexity of the interpersonal environment in late life into account. This book chapter focuses on the social network types that are prevalent among older Americans i.e. “friends”, “diverse”, “congregant”, “family” and “restricted”, and their associations with health. It reviews recent analytical studies that we performed based on data from the National Social Life, Health and Aging Project (NSHAP), and introduces a new analysis of the data examining the relationship between social network types and the key functional and physical health indicators of self-reported disability and subjective health. The findings show, in general, that older people who are embedded in social network types characterized by greater social capital tend to be emotionally and physically healthier and tend to adopt more health-promoting behaviors. Finally we discuss the practical implications and future research that follow from our results.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Berkman, L. F. (1984). Assessing the physical health effects of social networks and social support. Annual Reviews of Public Health, 5, 413–432.

    Article  Google Scholar 

  • Berkman, L. F. (1995). The role of social relations in health promotion. Psychosomatic Medicine, 57, 245–254.

    Article  Google Scholar 

  • Berkman, L. F., Leo-Summers, L., & Horwitz, R. I. (1992). Emotional support and survival after myocardial infarction: A prospective, population—based study of the elderly. Annals of Internal Medicine, 117, 1003–1009.

    Article  Google Scholar 

  • Berkman, L. F., Glass, T., Brissette, I., & Seeman, T. E. (2000). From social integration to health: Durkheim in the new millennium. Social Science & Medicine, 51, 843–857.

    Article  Google Scholar 

  • Berkman, L. F., & Syme, S. L. (1979). Social networks, host resistance, and mortality: A nine year follow-up study of Alameda county residents. American Journal of Epidemiology, 109(2), 186–204.

    Google Scholar 

  • Cacioppo, J. T., Hawkley, L. C., Crawford, L. E., Ernst, J. M., Burleson, M. H., Kowalewski, R. B., et al. (2002). Loneliness and health: Potential mechanisms. Psychosomatic Medicine, 64, 407–417.

    Article  Google Scholar 

  • Cheon, E. Y. (2010). Correlation of social network types on health status of Korean elders. Journal of Korean Academy of Nursing, 40(1), 88–98.

    Article  Google Scholar 

  • Cheng, S.-T., Lee, C. K. L., Chan, A. C. M., Leung, E. M. F., & Lee, J.-J. (2009). Social network types and subjective well-being in Chinese older adults. Journal of Gerontology: Psychological Sciences, 64B(6), 713–722.

    Article  Google Scholar 

  • Cornwell, E. Y., & Waite, L. J. (2009). Social disconnectedness, perceived isolation, and health among older adults. Journal of Health and Social Behavior, 50, 31–48.

    Article  Google Scholar 

  • Doubova, S. V., Perez-Cuevas, R., Espinosa-Alarcon, P., & Flores-Hernandez, S. (2010). Social network types and functional dependency in older adults in Mexico. BMC Public Health, 10, 104.

    Article  Google Scholar 

  • Fiori, K. L., Antonucci, T. C., & Cortina. K. S. (2006). Social network typologies and mental health among older adults. Journals of Gerontology: Psychological Sciences, 61, 25–32.

    Article  Google Scholar 

  • Fiori, K. L., Smith, J., & Antonucci, T. C. (2007). Social network types among older adults: A multidimensional approach. Journals of Gerontology: Psychological Sciences, 62, 322–330.

    Article  Google Scholar 

  • Fiori, K. L., Antonucci, T. C., & Akiyama, H. (2008). Profiles of social relations among older adults: A cross-cultural approach. Ageing & Society, 28, 203–231.

    Google Scholar 

  • Gray, A. (2009). The social capital of older people. Ageing & Society, 29, 5–31.

    Article  Google Scholar 

  • Hawkley, L. C., Burleson, M. H., Berntson, G. G., & Cacioppo, J. T. (2003). Loneliness in everyday life: Cardiovascular activity, psychosocial context, and health behaviors. Journal of Personality and Social Psychology, 85, 105–120.

    Article  Google Scholar 

  • Hawkley, L. C., Masi, C. M., Berry, J. D., & Cacioppo, J. T. (2006). Loneliness is a unique predictor of age-related differences in systolic blood pressure. Psychology and Aging, 21, 152–164.

    Article  Google Scholar 

  • Herlitz, J., Wiklund, I., Caidahl, K., Hartford, M., Haglid, M., Karlsson, B. W., et al. (1998). The feeling of loneliness prior to coronary artery bypass grafting might be a predictor of short—and long-term postoperative mortality. European Journal of Vascular and Endovascular Surgery, 16, 120–125.

    Article  Google Scholar 

  • House, J. S., Landis, K. R., & Umberson, D. (1988). Social relationships and health. Science, 241, 540–545.

    Article  Google Scholar 

  • Katz, S. C., Ford, A. B., Moskowitz, R. W., Jackson, A. B., & Jaffe, M. W. (1963). Studies of illnesses in the aged—the index of ADL: A standardized measure of biological and psychological function. Journal of the American Medical Association, 185, 914–919.

    Article  Google Scholar 

  • Krause, N. (2004). Stressors arising in highly valued roles, meaning in life, and physical health status of older adults. Journal of Gerontology: Social Sciences, 59B(5), 287–297.

    Article  Google Scholar 

  • Krause, N. (2010a). Close companions at church, health, and health care use in late life. Journal of Aging and Health, 22, 434–453.

    Article  Google Scholar 

  • Krause, N. (2010b). The social milieu of the church and religious coping responses: A longitudinal investigation of older whites and older blacks. International Journal for the Psychology of Religion, 20, 109–129.

    Article  Google Scholar 

  • Krumholz, H. M., Butler, J., Miller, J., Vaccarino, V., Williams, C. S., Mendes de Leon, C. F., et al. (1998). Prognostic importance of emotional support for elderly patients hospitalized with heart failure. Circulation, 97, 958–964.

    Article  Google Scholar 

  • Litwin, H. (1998). Social network type and health status in a national sample of elderly Israelis. Social Science and Medicine, 46(4–5), 599–609.

    Article  Google Scholar 

  • Litwin, H. (2001). Social network type and morale in old age. The Gerontologist, 41, 516–524.

    Article  Google Scholar 

  • Litwin, H. (2004). Social networks, ethnicity and public home-care utilization. Ageing & Society, 24, 921–939.

    Article  Google Scholar 

  • Litwin, H. (2011). The association between social network relationships and depressive symptoms among older Americans: What matters most? International Psychogeriatrics, 23(6), 930–940.

    Article  Google Scholar 

  • Litwin, H. (2012). Physical activity, social network type, and depressive symptoms in late life: An analysis of data from the national social life, health and aging project. Aging & Mental Health, 16(5), 608–616.

    Article  Google Scholar 

  • Litwin, H. (2014). Réseau social [Social network]. In A. Bihr & R. Pfefferkorn (Eds). Dictionnaire des inégalités (pp. 341–342). Paris: Armand Colin.

    Google Scholar 

  • Litwin, H., & Shiovitz-Ezra, S. (2006). Network type and mortality risk in later life. The Gerontologist, 46(6), 735–743.

    Article  Google Scholar 

  • Litwin, H., & Shiovitz-Ezra, S. (2011a). The association of background and network type among older Americans: Is “who you are” related to “who you are with?” Research on Aging, 33(6), 735–759.

    Article  Google Scholar 

  • Litwin, H., & Shiovitz-Ezra, S. (2011b). Social network type and subjective well being in a national sample of older Americans. The Gerontologist, 51(3), 379–388.

    Article  Google Scholar 

  • Lubben, J., Blozik, E., Gillmann, G., Lliff, S., Krause, W., Beck, J. C. et al. (2006). Performance of an abbreviated version of the Lubben social network scale among three European community-dwelling older adult populations. The Gerontologist, 46(4), 503-513.

    Google Scholar 

  • Nyqvist, F., Forsman, A. K., Giuntoli, G., & Cattan, M. (2013). Social capital as a resource for mental well-being in older people: A systematic review. Aging & Mental Health, 17(4), 394–410.

    Article  Google Scholar 

  • Okamoto, K., & Tanaka, Y. (2004). Gender differences in the relationship between social support and subjective health among elderly persons in Japan. Preventive Medicine, 38, 318–322.

    Article  Google Scholar 

  • O’Muircheartaigh, C., Eckman, S., & Smith, S. (2009). Statistical design and estimation for the national social life, health and aging project. Journal of Gerontology: Social Sciences, 64(1), 12–19.

    Article  Google Scholar 

  • Penedo, F. J., & Dahn, J. R. (2005). Exercise and well-being: A review of mental and physical health benefits associated with physical activity. Current Opinion in Psychiatry, 18, 189–193.

    Article  Google Scholar 

  • Penninx, B. W., van Tilburg, T., Kriegsman, D. M., Deeg, D. J., Boeke, A. J., & van Eijk, J. T. (1997). Effects of social support and personal coping resources on mortality in older age: The longitudinal aging study Amsterdam. American Journal of Epidemiology, 146(6), 510–519.

    Article  Google Scholar 

  • Penninx, B. W., van Tilburg, T., Kriegsman, D. M., Boeke, A. J., Deeg, D. J., & van Eijk, J. T. (1999). Social network, social support, and loneliness in older persons with different chronic diseases. Journal of Aging and Health, 11, 151–168.

    Article  Google Scholar 

  • Putnam, R. D. (2000). Bowling alone: The collapse and revival of American community. New York: Simon and Schuster.

    Google Scholar 

  • Shiovitz-Ezra, S., & Ayalon, L. (2010). Situational versus chronic loneliness as risk factors for all cause mortality. International Psychogeriatrics, 22, 455–462.

    Article  Google Scholar 

  • Shiovitz-Ezra, S., & Litwin, H. (2012). Social network type and health-related behaviors: Evidence from an American national survey. Social Science & Medicine, 75(5), 901–904.

    Article  Google Scholar 

  • Smith, S., Jaszczak, A., Graber, J., Lundeen, K., Leitsch, S., & Wargo, E., et al. (2009). Instrument development, study design implementation, and survey conduct for the national social life, health and aging project. Journal of Gerontology: Social Sciences, 64(1), 20–29.

    Article  Google Scholar 

  • Sorkin, D., Rook, K. S., & Lu, J. L. (2002). Loneliness, lack of emotional support, lack of companionship, and the likelihood of having a heart condition in an elderly sample. Annual Behavioral Medicine, 24, 290–298.

    Article  Google Scholar 

  • Stek, M. L., Vinkers, D. J., Gussekloo, J., Beekman, A. T. F., Van der Mast, R. C., & Westendrop, R. G. J. (2005). Is depression in old age fatal only when people feel lonely? American Journal of Psychiatry, 162, 178–180.

    Article  Google Scholar 

  • Stephens, C., Alpass, F., Towers. A., & Stevenson, B. (2011). The effects of types of social networks, perceived social support, and loneliness on the health of older people: Accounting for social context. Journal of Aging and Health, 23, 887–911.

    Google Scholar 

  • Uchino, B. N. (2006). Social support and health: A review of physiological processes underlying links to disease outcomes. Journal of Behavioral Medicine, 29(4), 377–387.

    Article  Google Scholar 

  • Uchino, B. N., Cacioppo, J. T., Malarkey, W. M., Glaser, R., & Kiecolt-Glaser, J. K. (1995). Appraisal support predicts age-related differences in cardiovascular function in women. Health Psychology, 14, 556–562.

    Article  Google Scholar 

  • Umberson, D. (1987). Family status and health behaviors: Social control as a dimension of social integration. Journal of Health and Social Behavior, 28, 306–319.

    Article  Google Scholar 

  • Umberson, D., Crosnoe, R., & Reczek, C. (2010). Social relationships and health behavior across the life course. The Annual Review of Sociology, 36, 139–157.

    Article  Google Scholar 

  • Welin, C., Lappas, G., & Wilhelmsen, L. (2000). Independent importance of psychosocial factors for prognosis after myocardial infarction. Journal of Internal Medicine, 247, 629–639.

    Article  Google Scholar 

  • Wenger, G. C. (1991). A network typology: From theory to practice. Journal of Aging Studies, 5, 147–162.

    Article  Google Scholar 

  • Wenger, G. C. (1997). Social networks and the prediction of elderly people at risk. Aging and Mental Health, 1, 311–320.

    Article  Google Scholar 

  • Wenger, G. C., & Tucker, I. (2002). Using network variation in practice: Identification of support network type. Health and Social Care in the Community, 10, 28–35. doi:10.1046/j.0966-0410.2001.00339.x.

    Article  Google Scholar 

  • Zunzunegui, M. V., Kone, A., Johri, M., Beland, F., Wolfson, C., & Bergman, H. (2004). Social networks and self-rated health in two French-speaking Canadian community dwelling populations over 65. Social Science & Medicine, 58, 2069–2081.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sharon Shiovitz-Ezra .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer Science+Business Media Dordrecht

About this chapter

Cite this chapter

Shiovitz-Ezra, S., Litwin, H. (2015). Social Network Type and Health among Older Americans. In: Nyqvist, F., Forsman, A. (eds) Social Capital as a Health Resource in Later Life: The Relevance of Context. International Perspectives on Aging, vol 11. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-9615-6_2

Download citation

Publish with us

Policies and ethics