House J S, Landis K R, Umberson D
Department of Epidemiology, University of Michigan, Ann Arbor 48109.
Science. 1988 Jul 29;241(4865):540-5. doi: 10.1126/science.3399889.
Recent scientific work has established both a theoretical basis and strong empirical evidence for a causal impact of social relationships on health. Prospective studies, which control for baseline health status, consistently show increased risk of death among persons with a low quantity, and sometimes low quality, of social relationships. Experimental and quasi-experimental studies of humans and animals also suggest that social isolation is a major risk factor for mortality from widely varying causes. The mechanisms through which social relationships affect health and the factors that promote or inhibit the development and maintenance of social relationships remain to be explored.
近期的科学研究已经为社会关系对健康的因果影响奠定了理论基础并提供了有力的实证依据。前瞻性研究对基线健康状况进行了控制,结果一致表明,社交关系数量少、有时质量也低的人死亡风险会增加。对人类和动物进行的实验性和准实验性研究也表明,社会隔离是导致多种原因死亡的主要风险因素。社会关系影响健康的机制以及促进或抑制社会关系发展和维持的因素仍有待探索。