Functional specificity in discussion networks: The influence of general and problem-specific networks on health outcomes

Abstract Though commonly used in social science research to measure the influence of social networks, the link between discussing “important matters” within networks and the achievement of instrumental ends is frequently unspecified or untested. To address this gap, we explore the consequences of using the general “important matters” approach versus one in which the substance of discussions is directly linked to the outcomes of interest. The egocentric social networks of people experiencing an acute health crisis are examined. We identify the characteristics of and the degree of membership overlap between “important matters” and “health matters” discussants, and explore their relative power in explaining a wide range of health and health services-related outcomes. We find no evidence for the influence of “important matters” networks, while characteristics of “health matters” networks demonstrate a significant effect across all models.

[1]  Peter V. Marsden,et al.  Interpretation and interview context: examining the General Social Survey name generator using cognitive methods , 1999, Soc. Networks.

[2]  Bruce G. Link.  Understanding labeling effects in the area of mental disorders : An assessment of the effects of expectations of rejection , 1987 .

[3]  L. Berkman.  Assessing the physical health effects of social networks and social support. , 1984, Annual review of public health.

[4]  E. Fischer,et al.  Schizophrenia: a network crisis. , 1981, Schizophrenia bulletin.

[5]  R. Burt.  A note on social capital and network content , 1997 .

[6]  Gary L. Albrecht.  Advances in medical sociology , 1990 .

[7]  Bruce C. Straits,et al.  Ego's important discussants or significant people: an experiment in varying the wording of personal network name generators , 2000, Soc. Networks.

[8]  O. Wahl,et al.  Telling is risky business: Mental health consumers confront stigma , 1999 .

[9]  James Pustejovsky,et al.  Question-order effects in social network name generators , 2009, Soc. Networks.

[10]  S. Syme,et al.  Social support and health. , 1986 .

[11]  N. Marks.  Caregiving across the Lifespan: National Prevalence and Predictors , 1996 .

[12]  Ron Coriell,et al.  Doing Unto Others , 1980 .

[13]  S. Wasserman,et al.  Models and Methods in Social Network Analysis , 2005 .

[14]  N. Lin,et al.  Social structure and network analysis , 1985 .

[15]  Bruce G. Link,et al.  The effectiveness of stigma coping orientations: can negative consequences of mental illness labeling be avoided? , 1991, Journal of health and social behavior.

[16]  L. Waite,et al.  Are blacks more likely than whites to receive and provide social support in middle and old age? Yes, no, and maybe so. , 1993, Journal of gerontology.

[17]  Barry Wellman,et al.  Network Capital in a Multi-level World: Getting Support in Personal Communities , 2001 .

[18]  J. Cook.  Who "Mothers" the Chronically Mentally Ill? , 1988 .

[19]  Barry Wellman,et al.  Brothers' Keepers: Situating Kinship Relations in Broader Networks of Social Support , 1989 .

[20]  P. V. Marsden,et al.  Models and Methods in Social Network Analysis: Recent Developments in Network Measurement , 2005 .

[21]  J. Beggs,et al.  Exploring the structural contexts of the support process: social networks, social statuses, social support, and psychological distress , 2002 .

[22]  B. Pescosolido,et al.  Complementary and alternative medicine : challenge and change , 2000 .

[23]  P. Bearman,et al.  Cloning Headless Frogs and Other Important Matters: Conversation Topics and Network Structure , 2004 .

[24]  Rebecca L. Sandefur,et al.  A PARADIGM FOR SOCIAL CAPITAL , 1998 .

[25]  M. Hammer,et al.  'Core' and 'extended' social networks in relation to health and illness. , 1983, Social science & medicine.

[26]  D. Umberson,et al.  Family status and health behaviors: social control as a dimension of social integration. , 1987, Journal of health and social behavior.

[27]  M. Steinberg.  Structured clinical interview for DSM-IV dissociative disorders (SCID-D). , 1993 .

[28]  Daniel W. Russell,et al.  Type of social support and specific stress: Toward a theory of optimal matching. , 1990 .

[29]  M. Minkler,et al.  Social support and health. , 1982, Patient education newsletter.

[30]  T. Antonucci,et al.  Social networks among blacks and whites: the interaction between race and age. , 2001, The journals of gerontology. Series B, Psychological sciences and social sciences.

[31]  J. Jill Suitor,et al.  Once a friend, always a friend? Effects of homophily on women's support networks across a decade☆ , 1997 .

[32]  B. Wellman,et al.  Different Strokes from Different Folks: Community Ties and Social Support , 1990, American Journal of Sociology.

[33]  M. Penning.  Receipt of assistance by elderly people: hierarchical selection and task specificity. , 1990, The Gerontologist.

[34]  Bernice A. Pescosolido,et al.  The role of social networks in health, illness, disease and healing: the accepting present, the forgotten past, and the dangerous potential for a complacent future , 2002 .

[35]  Irwin G. Sarason,et al.  Social support: An interactional view. , 1990 .

[36]  R. Weiss.  The provisions of social relationships , 1974 .

[37]  Alan D. Lopez,et al.  The global burden of disease: a comprehensive assessment of mortality and disability from diseases injuries and risk factors in 1990 and projected to 2020. , 1996 .

[38]  R. Simons.  Specificity and Substitution in the Social Networks of the Elderly , 1984, International journal of aging & human development.

[39]  P. V. Marsden,et al.  Core Discussion Networks of Americans , 1987 .

[40]  T. Antonucci,et al.  Social Networks Among Blacks and Whites , 2001 .

[41]  B. Schneider,et al.  Social Capital in Action: Alignment of Parental Support in Adolescents' Transition to Postsecondary Education , 2005 .

[42]  N. Christakis,et al.  The Spread of Obesity in a Large Social Network Over 32 Years , 2007, The New England journal of medicine.

[43]  K. Campbell,et al.  Name generators in surveys of personal networks , 1991 .

[44]  Bruce G. Link,et al.  Public conceptions of mental illness: labels, causes, dangerousness, and social distance. , 1999, American journal of public health.

[45]  Mark S. Granovetter.  T H E S T R E N G T H O F WEAK TIES: A NETWORK THEORY REVISITED , 1983 .

[46]  Bo Feng,et al.  Gender differences in the communication values of mature adults , 2003 .

[47]  Ronald C. Kessler,et al.  Social support and mental health in community samples. , 1985 .

[48]  Paul D. Allison,et al.  Logistic Regression Using the SAS System : Theory and Application , 1999 .

[49]  B. Ingersoll-Dayton,et al.  Gender and relationship differences in caregiving patterns and consequences among employed caregivers. , 1997, The Gerontologist.

[50]  L. Berkman,et al.  From social integration to health: Durkheim in the new millennium. , 2000, Social science & medicine.

[51]  A. B. Ford,et al.  Profession of Medicine: A Study of the Sociology of Applied Knowledge , 1970 .

[52]  Bernice A. Pescosolido,et al.  Beyond Rational Choice: The Social Dynamics of How People Seek Help , 1992, American Journal of Sociology.

[53]  P. Thoits.  Social support as coping assistance. , 1986, Journal of consulting and clinical psychology.

[54]  Ronald S. Burt,et al.  Network items and the general social survey , 1984 .

[55]  Mark S. Granovetter.  The Strength of Weak Ties , 1973, American Journal of Sociology.

[56]  M. Marini,et al.  Gender and values , 1995 .

[57]  M. Peek,et al.  Networks in Later Life: An Examination of Race Differences in Social Support Networks , 2001, International journal of aging & human development.

[58]  C. Gardner,et al.  How people get into mental health services: stories of choice, coercion and "muddling through" from "first-timers". , 1998, Social science & medicine.

[59]  Scott L. Feld,et al.  The Structured Use of Personal Associates , 1984 .

[60]  S. Muhlbauer.  Navigating the Storm of Mental Illness: Phases in the Family’s Journey , 2002, Qualitative health research.

[61]  Bruce G. Link,et al.  A modified labeling theory approach to mental disorders : an empirical assessment , 1989 .