Establishing a causal link between social relationships and health using the Bradford Hill Guidelines

An abundance of evidence suggests that the size and quality of our social relationships improves humans' physical and mental health while increasing lifespan. However most of this evidence comes from observational rather than experimental (randomised trial) evidence, leaving open the possibilit...

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Main Authors: Howick, J, Kelly, P, Kelly, M
Format: Journal article
Language:English
Published: Elsevier 2019
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author Howick, J
Kelly, P
Kelly, M
author_facet Howick, J
Kelly, P
Kelly, M
author_sort Howick, J
collection OXFORD
description An abundance of evidence suggests that the size and quality of our social relationships improves humans' physical and mental health while increasing lifespan. However most of this evidence comes from observational rather than experimental (randomised trial) evidence, leaving open the possibility that the connection between social relationships and health could be associational rather than causal. However there are examples, including the link between smoking and lung cancer, where a cause was established without experimental evidence. This was sometimes achieved by looking at the totality of evidence, using the ‘Bradford Hill Guidelines’, which considers factors including the strength of association, reversibility, and evidence of a plausible mechanism. In this paper we apply the Bradford Hill Guidelines to the link between social relationships and health. We conclude that having strong and supportive social relationships causes better health and longer life. Beyond establishing that social relationships are a causal factor for health, the method we used here can be applied to other areas where randomised trials are unethical or not feasible.
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spelling oxford-uuid:7f0f5b5a-d49e-403c-be4c-5ee0b90c07ad2022-03-26T21:14:18ZEstablishing a causal link between social relationships and health using the Bradford Hill GuidelinesJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:7f0f5b5a-d49e-403c-be4c-5ee0b90c07adEnglishSymplectic Elements at OxfordElsevier2019Howick, JKelly, PKelly, MAn abundance of evidence suggests that the size and quality of our social relationships improves humans' physical and mental health while increasing lifespan. However most of this evidence comes from observational rather than experimental (randomised trial) evidence, leaving open the possibility that the connection between social relationships and health could be associational rather than causal. However there are examples, including the link between smoking and lung cancer, where a cause was established without experimental evidence. This was sometimes achieved by looking at the totality of evidence, using the ‘Bradford Hill Guidelines’, which considers factors including the strength of association, reversibility, and evidence of a plausible mechanism. In this paper we apply the Bradford Hill Guidelines to the link between social relationships and health. We conclude that having strong and supportive social relationships causes better health and longer life. Beyond establishing that social relationships are a causal factor for health, the method we used here can be applied to other areas where randomised trials are unethical or not feasible.
spellingShingle Howick, J
Kelly, P
Kelly, M
Establishing a causal link between social relationships and health using the Bradford Hill Guidelines
title Establishing a causal link between social relationships and health using the Bradford Hill Guidelines
title_full Establishing a causal link between social relationships and health using the Bradford Hill Guidelines
title_fullStr Establishing a causal link between social relationships and health using the Bradford Hill Guidelines
title_full_unstemmed Establishing a causal link between social relationships and health using the Bradford Hill Guidelines
title_short Establishing a causal link between social relationships and health using the Bradford Hill Guidelines
title_sort establishing a causal link between social relationships and health using the bradford hill guidelines
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