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Chunk #4 — HOW DO RELATIONSHIPS BENEFIT HEALTH? — Behavioral Explanations

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Social relationships and health: a flashpoint for health policy.
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Health behaviors encompass a wide range of personal behaviors that influence health, morbidity, and mortality. In fact, health behavior explains about 40 percent of premature mortality as well as substantial morbidity and disability in the United States (McGinnis, Williams-Russo, and Knickman 2002). Some of these health behaviors—such as exercise, consuming nutritionally balanced diets, and adherence to medical regimens—tend to promote health and prevent illness, while other behaviors—such as smoking, excessive weight gain, drug abuse, and heavy alcohol consumption—tend to undermine health. Many studies provide evidence that social ties influence health behavior (see a review in Umberson, Crosnoe, and Reczek 2010). For example, Berkman and Breslow’s (1983) prospective study in Alameda County showed that greater overall involvement with formal (e.g., religious organizations) and informal (e.g., friends and relatives) social ties was associated with more positive health behaviors over a ten-year period. Being married (Waite 1995), having children (Denney 2010), and ties to religious organizations (Musick, House, and Williams 2004) have all been linked to positive health behaviors (although, notably, as we will discuss below, marriage and parenthood have also been associated with behaviors that are not beneficial to health—including physical inactivity and weight gain).