Social Relationships and the Health of Older Adults: An Examination of Social Connectedness and Perceived Social Support

This study examined the extent to which dimensions of social connectedness and perceived social support have distinct associations with the physical and mental health of older adults. This study utilized data from the Utah Fertility, Longevity, and Aging (FLAG) study. Participants included 259 older adults, aged 60 or older (mean age: 67.75 ± 4.8). Connectedness (networks and satisfaction with networks) was measured with the Duke Social Support Index. Social support (affective, confidant, instrumental) was measured with the Duke–UNC Functional Support Scale. Physical and mental health were measured with the Short Form Health Survey (SF-36). The results showed significant differences in the mean physical and mental health scores between participants with high scores on satisfaction with networks, affective, confidant, and instrumental support, and those with low scores on these dimensions. After controlling for covariates, affective support significantly predicted physical health, while satisfaction with networks, and affective and instrumental support significantly predicted mental health. The findings suggest that social support may be relatively more important to the health and wellbeing of older adults than social connectedness. This underscores the relative importance older adults attach to the quality rather than quantity of social ties.