Blind spots in health perception: the underestimated role of social connection for health outcomes.

IF 3.6 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH BMC Public Health Pub Date : 2025-02-12 DOI:10.1186/s12889-025-21554-5
Andrew Scot Proctor, Julianne Holt-Lunstad
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Abstract

Background: Robust evidence indicates that having few or poor-quality social connections is associated with poorer physical health outcomes and risk for earlier death (Snyder-Mackler N, Science 368, 2020; Vila J, Front Psychol 12:717164, 2021).

Aim: This study sought to determine whether recent attention on social connection and loneliness brought on by the COVID-19 pandemic may influence risk perception and whether these perceptions were heightened among those who are lonely.

Methods: Two waves of online survey data were collected. The first included data from 1,486 English-speaking respondents in the US, UK, and Australia, and a second sample of 999 nationally representative US adults, with a final sample of 2392 respondents from the US and UK.

Results: Perceptions of risk have remained consistent, underestimating the influence of social factors on health outcomes and longevity, even among respondents who reported moderate-to-severe levels of loneliness.

Conclusions: Despite heightened awareness and discourse during the COVID-19 pandemic, public perception in the US and UK continues to significantly underestimate the impact of social factors on physical health and mortality. This underestimation persists regardless of individual loneliness levels, underscoring the need for enhanced public education and policy efforts to recognize social connection as a crucial determinant of health outcomes.

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健康认知中的盲点:低估了社会联系对健康结果的作用。
背景:强有力的证据表明,很少或质量差的社会关系与较差的身体健康结果和较早死亡的风险相关(Snyder-Mackler N, Science 368, 2020;[J] .中华精神病学杂志,2016(12):717 - 716。目的:本研究旨在确定最近对COVID-19大流行带来的社会联系和孤独感的关注是否会影响风险感知,以及这些感知是否会在孤独的人中得到加强。方法:收集两波在线调查数据。第一个样本包括来自美国、英国和澳大利亚的1486名说英语的受访者,第二个样本包括999名具有全国代表性的美国成年人,最后一个样本包括来自美国和英国的2392名受访者。结果:对风险的认知保持一致,低估了社会因素对健康结果和寿命的影响,即使在报告中度至重度孤独的受访者中也是如此。结论:尽管在2019冠状病毒病大流行期间,公众对社会因素对身体健康和死亡率的影响的认识和话语有所提高,但美国和英国的公众仍然严重低估了社会因素对身体健康和死亡率的影响。无论个人的孤独程度如何,这种低估仍然存在,强调需要加强公共教育和政策努力,以认识到社会联系是健康结果的关键决定因素。
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来源期刊
BMC Public Health
BMC Public Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.50
自引率
4.40%
发文量
2108
审稿时长
1 months
期刊介绍: BMC Public Health is an open access, peer-reviewed journal that considers articles on the epidemiology of disease and the understanding of all aspects of public health. The journal has a special focus on the social determinants of health, the environmental, behavioral, and occupational correlates of health and disease, and the impact of health policies, practices and interventions on the community.
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