Abstract

BackgroundPrevious studies have shown the social support-mental health associations varied in different bonding social networks. However, a further study is needed to determine these network-specific associations for mutually supportive interaction in a wider social network include bridging relationship members. MethodWe conducted a self-reported questionnaire in Osaka, Japan. The study included 659 pre-old age participants (age 65–74 years) and 888 old age participants (age 75–89 years). SF-36v2 was used to measure mental health. We measured three types of social network members (kin, friends, or neighbours) and divided them into recipients or sources of emotional or instrumental social support. We performed multiple regressions to investigate which network member is beneficial in terms of the impact of social support on mental health. ResultsOnly the neighbour social support was positively related with mental health in all subtypes. Associations were inconsistent amongst kin or friend social support subtypes. Positive associations were only found within the pre-old group. ConclusionFor pre-old people, only the presence of neighbours, not kin members, or friends, in social supportive interactions has consistently beneficial associations with mental health, regardless of the roles or functions. Accessibility of neighbour social support should be considered into community-based mental health promotion interventions along with the social network transformation in later life.

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