Marriage, Social Networks, and Health at Older Ages.

Abstract

Social relationships in older adulthood have strong connections to health and wellbeing. Connections with social network members and with spouses and long-term partners in particular, have an especially important impact on health. We highlight recent research from the National Social Life, Health, and Aging Project (NSHAP), a nationally representative, longitudinal study of aging in America, to describe the different ways health is produced in social contexts. We first discuss how social network characteristics and marital relationships influence health outcomes and sexuality, and then move on to recent findings about the ways health shapes an individual’s social world. We find that features of a social network, apart from simply its size, have strong effects on health behaviors, and that changes in network composition are associated with changes in health. We show that marriage is uniquely protective against damaging biological processes, and that the quality of a marriage influences health and well-being in nuanced ways. Finally we find that health status is associated with the ability to manage one's social network, and that health status affects the quality of one's marriage. We focus our discussion on new data from Wave 2 that enables researchers to explore how changes in social networks and partner relationships affect health and well-being during the last third of life.