Social Supports, Social Networks, and Health Behaviors

  • Christian Ritter


The purpose of this chapter is to examine some of the recent work that has bearing on the relationship between social supports, social networks, and health behavior. It is not intended to provide an exhaustive review of the literature in any of these areas. Nor is the purpose to propose a conceptual model that can then be applied to a variety of health behaviors. Instead, this chapter will identify methodological problems and conceptual concerns that have not been adequately dealt with in the area of health behavior research, and draw from the larger literature on social supports and social networks in an attempt to add clarity to this area of research. A major goal of the chapter then is to provide a research agenda for better understanding the nature of the relationship between social ties and health behaviors.


Social Support Social Network Health Behavior Stressful Life Event Network Member 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. Ajzen, T., & Fishbein, M. (1977). Attitude-behavior relations: A theoretical analysis and review of empirical research. Psychological Bulletin, 84, 888–918.CrossRefGoogle Scholar
  2. Andrews, G., Tennant, C., Hewson, D. M., & Vaillant, G. E. (1978). Life event stress, social support, coping style, and risk of psychological impairment. Journal of Nervous and Mental Diseases, 116, 307–316.Google Scholar
  3. Antonovsky, A. (1972). Breakdown: A needed fourth step in the conceptual armamentarium of modern medicine. Social Science and Medicine, 6, 537–544.PubMedCrossRefGoogle Scholar
  4. Antonovsky, A. (1974). Conceptual, methodological problems in the study of resistance resources and stressful Ufe events. In B. S. Dohrenwend & B. P. Dohrenwend (Eds.), Stressful life events: Their nature and effects (pp. 245–259). New York: Wiley.Google Scholar
  5. Bentler, P. M., & Speckart, G. (1979). Models of attitude-behavior relations. Psychological Review, 86, 452–464.CrossRefGoogle Scholar
  6. Bentler, P. M., & Speckart, G. (1981). Attitudes cause behavior: A structural equation analysis. Journal of Personality and Social Psychology, 40, 226–238.CrossRefGoogle Scholar
  7. Berkman, L. F. (1984). Assessing the physical health effects of social networks and social support. Annual Review of Public Health, 5, 413–432.PubMedCrossRefGoogle Scholar
  8. Berkman, L. F. (1986). Social networks, support, and health: Taking the next step forward. American Journal of Epidemiology, 123, 559–562.PubMedGoogle Scholar
  9. 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, 186–204.PubMedGoogle Scholar
  10. Billings, A. G., & Moos, R. H. (1981). The role of coping responses and social responses in attenuating the impact of stressful life events. Journal of Behavioral Medicine, 4, 139–157.PubMedCrossRefGoogle Scholar
  11. Blazer, D. G. (1982). Social support and mortality in an elderly community population. American Journal of Epidemiology, 115, 684–694.PubMedGoogle Scholar
  12. Brim, J. (1974). Social network correlates of avowed happiness. Journal of Nervous and Mental Diseases, 158, 432–439.CrossRefGoogle Scholar
  13. Broadhead, W. E., Kaplan, B. H., James, S. A., Wagner, E. H., Schoenbach, V. J., Grimson, R., Heyden, S., Tibblin, G., & Gehlback, S. H. (1983). The epidemiological evidence for a relationship between social support and health. American Journal of Epidemiology, 117, 521–537.PubMedGoogle Scholar
  14. Brown, G. W., & Harris, T. O. (1978). Social origins of depression: A study of psychiatric disorder in women. New York: Free Press.Google Scholar
  15. Burt, R. S., & Minor, M. S. (1983). Applied network analysis. Beverly Hills: Sage.Google Scholar
  16. Caplan, G. (1974). Social systems and community mental health. New York: Behavioral Publishers.Google Scholar
  17. Cassel, J. (1976). The contribution of social environment to host resistance. American Journal of Epidemiology, 104, 107–123.PubMedGoogle Scholar
  18. Cobb, S. (1976). Social support as a moderator of life stress. Psychosomatic Medicine, 15 (5, Suppl.), 47–57.Google Scholar
  19. Cohen, C., & Syme, S. L. (1985). Social support and health. New York: Academic Press.Google Scholar
  20. Coppatelli, H. C., & Orleans, C. T. (1985). Partner support and other determinants of smoking cessation maintenance among women. Journal of Consulting and Clinical Psychology, 53, 455–460.CrossRefGoogle Scholar
  21. Eaton, W. W. (1978). Life events, social supports and psychiatric symptoms: A reanalysis of the New Haven data. Journal of Health and Social Behavior, 19, 230–234.PubMedCrossRefGoogle Scholar
  22. Fishbein, M., and Ajzen, I. (1975). Beliefs, attitudes, intentions and behavior: An introduction to theory and research. Reading, MA: Addison-Wesley.Google Scholar
  23. Freidson, E. (1970). Profession of medicine. New York: Dodd, Mead.Google Scholar
  24. Geertsen, R., Klauber, M. R., Rindflesh, M., Kane, R. L., & Gray, R. (1975). A re-examination of Suchman’s views on social factors in health care utilization. Journal of Health and Social Behavior, 16, 226–237.PubMedCrossRefGoogle Scholar
  25. Goldberg, E. L., Van Natta, P., & Comstock, G. W. (1985). Depressive symptoms, social networks and social support of elderly women. American Journal of Epidemiology, 121, 448–456.PubMedGoogle Scholar
  26. Gottlieb, B. H. (1981). Social networks and social support in community mental health. In B. H. Gottlieb (Ed.), Social networks and social support (pp. 11–42). Beverly Hills: Sage.Google Scholar
  27. Gottlieb, N. H., & Baker, J. A. (1986). The relative influence of health beliefs, parental and peer behaviors and exercise program participation on smoking, alcohol use and physical activity. Social Science and Medicine, 22, 915–927.PubMedCrossRefGoogle Scholar
  28. Gore, S. (1978). The effect of social support in moderating the health consequences of unemployment. Journal of Health and Social Behavior, 17, 157–165.CrossRefGoogle Scholar
  29. Granovetter, M. (1973). The strength of weak ties. American Journal of Sociology, 78, 1360–1380.CrossRefGoogle Scholar
  30. Gravell, J., Zapka, J. G., & Mamon, J. A. (1985). Impact of breast self-examination planned educational messages on social network communications: An exploratory study. Health Education Quarterly, 12, 51–64.PubMedCrossRefGoogle Scholar
  31. Hammer, M. (1983). Core and extended social networks in relation to health and illness. Social Science and Medicine, 17, 405–411.PubMedCrossRefGoogle Scholar
  32. Henderson, S., Byrne, D. G., Duncan-Jones, P., Scott, R., & Adcock, S. (1980). Social relationships, adversity, and neurosis: A study of associations in a general population sample. British Journal of Psychiatry, 136, 574–583.PubMedCrossRefGoogle Scholar
  33. Henderson, S., Duncan-Jones, P., McAuley, M., & Ritchie, K. (1978). The patient’s primary group. British Journal of Psychiatry, 132, 74–86.CrossRefGoogle Scholar
  34. Hirsch, B. J. (1981). Social network and the coping process: Creating personal communities. In B. H. Gottlieb (Ed.), Social networks and social support (pp. 149–170). Beverly Hills: Sage.Google Scholar
  35. Horwitz, A. (1978). Family, kin, and friend networks in psychiatric help-seeking. Social Science and Medicine, 12, 297–304.PubMedGoogle Scholar
  36. Horwitz, S. M., Morgenstern, H., & Berkman, L. F. (1985). The impact of social Stressors and social networks on pediatric medical care use. Medical Care, 23, 946–959.PubMedCrossRefGoogle Scholar
  37. House, J. S. (1981). Work, stress and social support. Reading, MA: Addison-Wesley.Google Scholar
  38. House, J. S., & Kahn, R. (1984). Measuring social support. In S. Cohen & L. Syme (Eds.), Social support and health (pp. 83–108). New York: Academic Press.Google Scholar
  39. Howe, H. L. (1981). Social factors associated with breast self-examination among high risk women. American Journal of Public Health, 71, 251–255.PubMedCrossRefGoogle Scholar
  40. Israel, B. A. (1982). Social networks and health status: Linking theory, research and practice. Patient Counseling and Health Education, 4, 65–79.CrossRefGoogle Scholar
  41. Israel, B. A. (1985). Social networks and social support: Implications for natural helper and community level interventions. Health Education Quarterly, 12, 65–80.PubMedCrossRefGoogle Scholar
  42. Kadushin, C. (1969). Why people go to psychiatrists. New York: Atherton.Google Scholar
  43. Kaplan, B. H., Cassel, J. C., & Gore, S. (1977). Social support and health. Medical Care, 15 (Suppl.), 47–58.PubMedCrossRefGoogle Scholar
  44. Kessler, R. C., Price, R. H., & Wortman, C. B. (1985). Social factors in psychopathology: Stress, social support, and coping processes. Annual Review of Psychology, 36, 531–572.PubMedCrossRefGoogle Scholar
  45. Lacy, W. B. (1981). The influence of attitudes and current friends on drug use intentions. Journal of Social Psychology, 113, 65–76.PubMedCrossRefGoogle Scholar
  46. Lin, N., Ensel, W. M., Simeone, R. S., & Kuo, W. (1979). Social support, stressful life events, and illness: A model and an empirical test. Journal of Health and Social Behavior, 20, 108–119.PubMedCrossRefGoogle Scholar
  47. Liska, A. E. (1984). A critical examination of the causal structure of the Fishbein/Ajzen attitude-behavior model. Social Psychology Quarterly, 47, 61–74.CrossRefGoogle Scholar
  48. Lowenthal, M. F., & Haven, C. (1968). Interaction and adaptation: Intimacy as a criterion variable. American Sociological Review, 33, 20–30.PubMedCrossRefGoogle Scholar
  49. Marsden, P. V. (1987). Core discussion networks of Americans. American Sociological Review, 52, 122–131.CrossRefGoogle Scholar
  50. McKinlay, J. (1973). Social networks, lay consultation, and help seeking behavior. Social Forces, 51, 275.CrossRefGoogle Scholar
  51. Mitchell, J. C. (1969). The concept and use of social network. In J. C. Mitchell (Ed.), Social networks in urban situations (pp. 1–50). Manchester: University Press.Google Scholar
  52. Mitchell, R. E., & Trickett, E. J. (1980). Task force report: Social networks as mediators of social support—An analysis of the effects and determinants of social networks. Community Mental Health Journal, 16, 27–44.PubMedCrossRefGoogle Scholar
  53. Montano, D. E. (1986). Predicting and understanding influenza vaccination behavior. Medical Care, 24, 438–453.PubMedCrossRefGoogle Scholar
  54. Mueller, D. P. (1980). Social networks: A promising direction for research on the relationship of the social environment to psychiatric disorder. Social Science and Medicine, 14A, 147–161.Google Scholar
  55. Nuckolls, K. B., Cassel, J., & Kaplan, B. H. (1972). Psychosocial assets, life crisis and the prognosis of pregnancy. American Journal of Epidemiology, 95, 431–441.PubMedGoogle Scholar
  56. Oliver, R. L., & Berger, P. K. (1979). A pathanalysis of preventive health care decision models. Journal of Consumer Research, 6, 13–121.CrossRefGoogle Scholar
  57. Sanson, CD., Wakefield, J., & Pinnok, K. M. (1971). Choice or change? How women come to have a cytotest done by their family doctor. International Journal of Health Education, 14, 127–138.Google Scholar
  58. Suchman, E. (1965). Social patterns of illness and medical care. Journal of Health and Human Behavior, 6, 2–16.PubMedCrossRefGoogle Scholar
  59. Thoits, P. A. (1982). Conceptual, methodological, and theoretical problems in studying social support as a buffer against stress. Journal of Health and Social Behavior, 23, 145–159.PubMedCrossRefGoogle Scholar
  60. Thoits, P. A. (1983). Multiple identities and psychological well-being. American Sociological Review, 48, 174–187.PubMedCrossRefGoogle Scholar
  61. Turner, R. J. (1981). Social support as a contingency in psychological well-being. Journal of Health and Social Behavior, 22, 357–367.CrossRefGoogle Scholar
  62. Walker, K., MacBride, A., & Vachon, M. (1977). Social support networks and the crisis of bereavement. Social Science and Medicine, 11, 35–41.PubMedCrossRefGoogle Scholar
  63. Weiss, R. (1969). The fund of sociability. Transition, 1, 36–43.Google Scholar
  64. Weiss, R. (1974). The provisions of social relationships. In Z. Rubin (Ed.), Doing unto others (pp. 17–26). Englewood Cliffs, NJ: Prentice-Hall.Google Scholar
  65. Wellman, B. (1979). The community question. American Journal of Sociology, 84, 1201–1231.CrossRefGoogle Scholar
  66. Wellman, B. (1981). Applying network analyses to the study of support. In B. H. Gottlieb (Ed.), Social networks and social support (pp. 171–200). Beverly Hills: Sage.Google Scholar
  67. Wethington, E., & Kessler, R. C. (1986). Perceived support, received support, and adjustment to stressful life events. Journal of Health and Social Behavior, 27, 78–89.PubMedCrossRefGoogle Scholar
  68. Winefield, H. B. (1979). Social support and social environment of depressed and normal women. Australian and New Zealand Journal of Psychiatry, 13, 335–339.PubMedCrossRefGoogle Scholar
  69. Wortman, C. B. (1984). Social support and the cancer patient: Conceptual and methodological issues. Cancer, 53, 2339–2360.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1988

Authors and Affiliations

  • Christian Ritter
    • 1
  1. 1.Department of Sociology and AnthropologyKent State UniversityKentUSA

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