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United we thrive: friendship and subsequent physical, behavioural and psychosocial health in older adults (an outcome-wide longitudinal approach)

Epidemiology and psychiatric sciences, 2023-11, Vol.32, p.e65-e65, Article e65 [Peer Reviewed Journal]

The Author(s), 2023. Published by Cambridge University Press. ;The Author(s), 2023. Published by Cambridge University Press. This work is licensed under the Creative Commons Attribution License This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited. (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;The Author(s) 2023 2023 The Author(s) ;ISSN: 2045-7960 ;EISSN: 2045-7979 ;DOI: 10.1017/S204579602300077X ;PMID: 37964589

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  • Title:
    United we thrive: friendship and subsequent physical, behavioural and psychosocial health in older adults (an outcome-wide longitudinal approach)
  • Author: Kim, E. S. ; Chopik, W. J. ; Chen, Y. ; Wilkinson, R. ; VanderWeele, T. J.
  • Subjects: Cardiovascular disease ; Friendship ; health and retirement study ; Health behavior ; Loneliness ; Longitudinal studies ; Older people ; Original ; Original Article ; outcome-wide epidemiology ; physical health ; Psychiatry ; psychological well-being ; public health ; Questionnaires ; Social isolation ; Surgeons General
  • Is Part Of: Epidemiology and psychiatric sciences, 2023-11, Vol.32, p.e65-e65, Article e65
  • Description: Abstract Aims Three factors converge to underscore the heightened importance of evaluating the potential health/well-being effects of friendships in older adulthood. First, policymakers, scientists, and the public alike are recognizing the importance of social relationships for health/well-being and creating national policies to promote social connection. Second, many populations are rapidly aging throughout the world. Third, we currently face what some call a ‘friendship recession’. Although, growing research documents associations between friendship with better health and well-being, friendship can also have a ‘dark side’ and can potentially promote negative outcomes. To better capture friendship’s potential heterogeneous effects, we took an outcome-wide analytic approach. Methods We analysed data from 12,998 participants in the Health and Retirement Study (HRS) – a prospective and nationally representative cohort of U.S. adults aged >50, and, evaluated if increases in friendship strength (between t 0 ; 2006/2008 and t 1 ; 2010/2012) were associated with better health/well-being across 35 outcomes (in t 2 ; 2014/2016). To assess friendship strength, we leveraged all available friendship items in HRS and created a composite ‘friendship score’ that assessed the following three domains: (1) friendship network size, (2) friendship network contact frequency and (3) friendship network quality. Results Stronger friendships were associated with better outcomes on some indicators of physical health (e.g. reduced risk of mortality), health behaviours (e.g. increased physical activity) and nearly all psychosocial indicators (e.g. higher positive affect and mastery, as well as lower negative affect and risk of depression). Friendship was also associated with increased likelihood of smoking and heavy drinking (although the latter association with heavy drinking did not reach conventional levels of statistical significance). Conclusions Our findings indicate that stronger friendships can have a dual impact on health and well-being. While stronger friendships appear to mainly promote a range of health and well-being outcomes, stronger friendships might also promote negative outcomes. Additional research is needed, and any future friendship interventions and policies that aim to enhance outcomes should focus on how to amplify positive outcomes while mitigating harmful ones.
  • Publisher: Cambridge, UK: Cambridge University Press
  • Language: English;Italian
  • Identifier: ISSN: 2045-7960
    EISSN: 2045-7979
    DOI: 10.1017/S204579602300077X
    PMID: 37964589
  • Source: ProQuest One Psychology
    Open Access: PubMed Central
    Journals@Ovid Open Access Journal Collection Rolling
    AUTh Library subscriptions: ProQuest Central
    Directory of Open Access Journals
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