Abstract

ObjectivesAlthough the quality of one’s own social relationships has been related to cardiovascular morbidity and mortality, whether a partner’s social network quality can similarly influence one’s cardiovascular risk is unknown. In this study we tested whether the quality of a partner’s social networks influenced one’s own ambulatory blood pressure (ABP).MethodsThe quality of 94 couples’ social networks was determined using a comprehensive model of relationships that separates out social ties that are sources of positivity(supportive), negativity (aversive), and both positivity and negativity (ambivalent). We then utilized statistical models (actor-partner analyses) that allowed us to separate out the links between one’s own social network quality on ABP (actor influences), a partner’s social network quality on ABP (partner influences), and a couple’s network quality combined on ABP (actor X partner interactions).ResultsIndependent of one’s own relationship quality, results showed that an individual’s ABP was lower if their spouse had more supportive ties, and higher if a spouse had more aversive and ambivalent ties. In addition, couples’ networks in combination were associated with higher ABP but only if both had a low number of supportive ties, or a high number of aversive or ambivalent ties.ConclusionsThese data suggest that the social ties of those we have close relationships with may influence our cardiovascular risk and opens new opportunities to capitalize on untapped social resources or to mitigate hidden sources of social strain.

Highlights

  • The quality of one’s close relationships has been linked to significant health outcomes [1,2,3,4,5]

  • We focused on ambulatory blood pressure (ABP) as an outcome because it is an important predictor of future cardiovascular risk even when considering clinic blood pressure levels [26]

  • The number of aversive (m = 1.02, sd = 1.38) and indifferent (m = 0.77, sd = 1.48) ties were predictably less prevalent. These proportions are consistent with our prior work [28]

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Summary

Introduction

The quality of one’s close relationships has been linked to significant health outcomes [1,2,3,4,5]. In the most compelling evidence to date, a recent meta-analysis found that positive aspects of relationships (i.e., perceived social support) were associated with a lower risk for mortality [6]. The quality of one’s marriage appears important. It is one of the most significant adult relationships and has been linked to positive health outcomes [7,8,9]. This study addresses two limitations in prior work by testing (a) if the quality of spouses’ social networks can influence their partners’ health, and (b) the more specific qualities of relationships involved in such crossspouse associations

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