Advancing social connection as a public health priority in the United States.

Holt‐Lunstad, Julianne; Robles, Theodore F.; Sbarra, David A.

doi:10.1037/amp0000103

Cited by 657 publications

(557 citation statements)

References 70 publications

(96 reference statements)

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“…In contrast, social isolation refers to a complete or near‐complete lack of contact with society, and it relates to a quantifiable number of relationships (actual isolation). Lastly, social connectedness refers to a multifactorial construct that represents the structural (eg, network size, marital status), functional (eg, perceived social support), and quality (eg, positive or negative) aspects of social relationships . On a continuum of low to high, isolation, loneliness, and relationship strain would be examples of low social connectedness …”

Section: Epidemiologymentioning

confidence: 99%

“…Loneliness has received widespread national and international attention in the public press and in the medical literature. The relationship between loneliness health outcomes, particularly mortality, is as great as many traditional medical risk factors . For example, a recent meta‐analysis demonstrated that loneliness has a greater impact on health than obesity, physical inactivity, and air pollution .…”

Section: Epidemiologymentioning

confidence: 99%

“…11,13 For example, a recent meta-analysis demonstrated that loneliness has a greater impact on health than obesity, physical inactivity, and air pollution. 11 In addition, a commonly cited statistic is that lacking social connection is as dangerous as smoking 15 cigarettes per day. 2 The distress experienced by those who are lonely may trigger biological changes that are attributed to evolutionary fight-orflight responses.…”

Section: Health Effects Of Loneliness and Social Isolationmentioning

confidence: 99%

See 2 more Smart Citations

A Practical Approach to Assessing and Mitigating Loneliness and Isolation in Older Adults

Perissinotto

Holt‐Lunstad

Periyakoil

et al. 2019

J American Geriatrics Society

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136

144

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Loneliness and social isolation are strongly associated with several adverse health outcomes in older persons including death and functional impairments. The strength of these associations has been compared with smoking. Accordingly, loneliness and isolation have significant public health implications. Despite the adverse impacts of loneliness and social isolation on quality of life, and their strong association with health outcomes, the evaluation of loneliness and isolation have not been integrated into medical care. The risks for loneliness may be of particular concern to persons with serious illness as patients and caregivers cope with the experience of loss, loss of independence, and increasing care needs. To date, there has been no uniform way of evaluating and documenting loneliness and social isolation as a part of a review of a patient's social determinants of health. This article provides a framework for healthcare systems, providers, and community members working with older adults to (1) understand loneliness, isolation, and its counterpart social connection; (2) describe the different ways loneliness affects health; and (3) create a framework for asking about and documenting these experiences. Finally, because the lack of studies assessing whether targeting loneliness can improve health outcomes is a major gap, we provide guidance on the future of interventions. J Am Geriatr Soc 67:657–662, 2019.

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Section: Epidemiologymentioning

confidence: 99%

Section: Epidemiologymentioning

confidence: 99%

Section: Health Effects Of Loneliness and Social Isolationmentioning

confidence: 99%

See 1 more Smart Citation

A Practical Approach to Assessing and Mitigating Loneliness and Isolation in Older Adults

Perissinotto

Holt‐Lunstad

Periyakoil

et al. 2019

J American Geriatrics Society

Self Cite

136

144

View full text Add to dashboard Cite

show abstract

“…Involvement in a satisfying romantic relationship is a protective factor for many health conditions (Holt-Lunstad, Robles, & Sbarra, 2017;Holt-Lunstad, Smith, & Layton, 2010), in part because romantic partners have the ability to apply social influence, or interpersonal regulation, to improve each other's health behaviours (see meta-analytic review by Craddock, vanDellen, Novak, & Ranby, 2015). Importantly, however, people have their own reasons for employing interpersonal regulation.…”

mentioning

confidence: 99%

An examination of accuracy and bias in perceptions of a partner's motives for health behaviour regulation

Berzins

LaBuda

Gere

2018

British J Health Psychol

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Although people are somewhat accurate in their perceptions of their romantic partner's motives for attempting to influence their health behaviours, their perceptions are also contaminated by biases. This suggests that people's judgements about their partner's motives could be substantially improved. Statement of contribution What is known about this subject? Romantic partners use social influence tactics to improve each other's health behaviours. People who perceive their partner's influence attempts positively often make healthy changes. Misperceptions of a partner's motives for influence attempts may have health and relationship implications. What does this study add? People are aware of whether partner influence attempts are motivated by convenience or concern. People also project their own motives for self-regulating health behaviours onto their partner.

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“…He theorized that the higher suicide rates among Protestants was related to lower social integration in their faith communities. This study's focus on sense of community and sense of belonging is further grounded in the substantial evidence linking social support to physical (Holt-Lunstad et al 2017) and psychological…”

mentioning

confidence: 99%

Suicidal Ideation and Sense of Community in Faith Communities

2018

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Previous studies have found that religion and spirituality (R/S) are related to less suicidal ideation (SI), fewer suicide attempts and fewer suicide deaths and that an absence of social support is associated with SI, suicide attempts, and suicide death. 745 Catholic, Jewish, and Protestant congregants completed an online survey measuring their sense of community (SOC) in their faith community, overall belonging and SI. SOC was weakly related to SI. Congregants attending more than one service per week reported more SI and more importance to feel a SOC. Jewish and Hispanic congregants reported more SI. Unmarried congregants reported lower overall belonging, more SOC and more SI, suggesting that people apportion their sense of connectedness differently. Future studies might examine the relationship of SOC to suicide attempts and deaths and how a faith community might confer SOC differently from a non-religious/non-spiritual community.

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Advancing social connection as a public health priority in the United States.

Cited by 657 publications

References 70 publications

A Practical Approach to Assessing and Mitigating Loneliness and Isolation in Older Adults

A Practical Approach to Assessing and Mitigating Loneliness and Isolation in Older Adults

An examination of accuracy and bias in perceptions of a partner's motives for health behaviour regulation

Suicidal Ideation and Sense of Community in Faith Communities

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