French version

 

Our programs

Our services

Our Events

Public policy
e-Health Promotion
e-Health Promotion
 

 

 

 

Home - Collaborative projects - Articles

 

Why is change so hard?

Ruth was on the phone to her sister Sarah, trying to get to the bottom of her recent run of poor health.

"I don't get it sis," she said. "We were both always really healthy as kids and I've been exercising and eating right the same as ever, I just can't understand why I've been getting so sick the past couple winters while you've been fine as usual..."

Sarah sighed to herself on the other end of the phone; she had an idea of why her big sister had been feeling so poorly recently. "I'm not sure Ruth, what does Tom think?" she asked tentatively.

A slight tightness crept into Ruth's voice as she replied. "Tom? What does it have to do with him?" Ruth exhaled heavily. "Oh I don't want to bother him over a little cold here and there, it isn't important. He's been working really long hours at the office again, and you know how men get." Sarah thought of her own husband Mike, and how he left early for work two days a week so he could pick up the kids from daycare. "Well..." she began.

"Besides," Ruth said briskly, interrupting her, "Tom and I haven't been fighting as much lately, now when we start to argue he just goes into another room or out for a drink, and I have a cigarette to calm down. We haven't argued in ages!

Physical effects of social relationships

Health is defined not only as the absence of disease and illness, but also as a state of complete physical, mental, and social well-being. This definition of health incorporates the importance of social support and close personal relationships in a comprehensive overall concept of health and wellness.

In the past, most research on the connection between relationships and health focused on the link between our social relationships and our emotional and psychological health. More recent studies have focused on the effect our relationships have on our physical health, and they have found that a stressful and unhappy relationship can have a negative impact on our physical wellbeing. For example, research tells us that:

An unhappy marriage increases the chances of becoming ill by 35% and can shorten one's life by an average of four years.
Children growing up in unstable marriages tend to have higher levels of stress causing them to be sick more often.


What makes a relationship healthy?

Research on the connection between supportive social relationships and physical health has found that certain relationship characteristics help protect us against physical disease and illness.

These characteristics include:

a sense of closeness and connectedness,
solving problems and making decisions as a team,
being able to cope with a variety of situations together, and
the ability to talk honestly and openly.

Relationship characteristics that have been shown to increase the risk for disease and illness include:

anger and hostility
constant criticism and blame,
rigidity and lack of flexibility
a need for perfectionism in the relationship, and
lack of closeness and intimacy.


Consequences of unhealthy relationships

A lack of social support and close relationships in people's lives has been linked with physical conditions such as heart disease, different forms of cancer, epilepsy, inflammatory bowel disease, and arthritis. The quality of personal relationships has also been linked to the physical health of the elderly, the immune system, reproductive health/puberty, smoking and drinking habits, as well as risk taking behavior.

Some examples of these correlations include:

Unmarried people with cancer having an 8-17% lower chance of survival because they receive less support than married people.
Women grieving the loss of a relationship through death or divorce having higher rates of arthritis.
Elderly people who do not have social support and close relationships with others being more likely to have shorter lives.
Couples that are more negative and/or hostile while discussing marital problems have more negative changes in their immune system up to 24 hours after their discussion.
Children who come from divorced families being more likely to start smoking and males from divorced families being more likely to be problem drinkers.
People grieving the loss of a loved one having a greater likelihood of using alcohol and tranquilizers.
Women not in close contact with their extended families and with little sense of family heritage being more likely to take sexual risks that lead to contracting HIV/AIDS.


Health benefits of positive relationships

The role of personal relationships and social support is to provide:

a feeling of intimacy and an environment where people feel able to express themselves openly without being self-conscious
a sense of belonging
the opportunity to care for others and be supported by others
affirmation and reassurance of worth
assistance, guidance and advice
access to new contacts and different information

Based on these roles, relationships are able to directly influence physical health because they:

Are sources of information. People in relationships provide information, advice, services and new social contacts to one another. Individuals with stronger/healthier social networks have access to more resources, and are better able to effectively access and utilize health services. As a result, these people obtain better medical care and have better physical health.
Provide people with a caring environment. Better functioning social networks/relationships take better care of their members by supplying help and financial support.
Establish a group identity. Individuals in social networks feel peer pressure to behave like other group members. As a result, groups of individuals that have health-promoting behavior have members that are healthier.
Provide a buffer to stress. People in healthy relationships have other people to support and help them through stressful and difficult situations.
Give a purpose for living a healthy lifestyle. People in stable well functioning relationships develop a larger meaning and purpose in life and are more motivated to protect themselves against disease/illness/injury.


Positive relationships prevent disease & illness

Research on the connections between social support/relationships and physical health has shown that healthy relationships help to prevent physical disease and illness. Other studies have found that social support and healthy relationships can even help reverse the symptoms of certain diseases/illness.

Based on this information, it is important that individuals work hard to achieve and maintain healthy and happy relationships with friends, family, co-workers, and their communities. Educational programs designed to help people with marriage, parenting and grand-parenting can further empower people by improving their relationship skills, and teaching them how to better take care of themselves and their loved ones. By improving the quality of their social networks and personal relationships, individuals will not only improve their psychological well-being and happiness, but their physical health as well.



This article was originally written for the Canadian Health Network by the B.C. Council for Families. Revised by Health Nexus, May 2008.

 

 

 

 
 
Social Determinants of Health

There are many different factors that determine whether or not someone will enjoy good health. These factors are known as the determinants of health.

Some of these determinants are biological and unchangeable but some specifically relate to an individual's place in society. These socio-economic variables are known as social determinants of health , and they are hugely influential in deciding things like how long people will live, or how likely they are to develop a disease.

A key social determinant of health is an individual's level of social inclusion. This can be defined as a sense of belonging - to our families, our places of work, and our cultural and community groups- which helps us feel connected to society as a whole and more engaged in our lives and the lives of those around us. When these kinds of social supports are missing, people are less likely to look after themselves and reach out to help others, and they become more vulnerable to the stresses of life that can contribute to the weakening of their immune systems.