ArticleThe Lancet. Public health2018
Social connectedness and engagement in preventive health services: an analysis of data from a prospective cohort study.
Article in The Lancet. Public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06701188 (Supportive Training After Cardiac Rehabilitation Including Virtual Engagement), which is not on this map. Cited by 34 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Supportive Training After Cardiac Rehabilitation Including Virtual Engagement: The STRIVE Study
Who cites it
34 citing papers in PubMed, 4 syntheses or guidelines pooled it, 69 citations in OpenAlex.
- Older Adults' Social Relationships and Dental Visits: A Systematic Review and Meta-Analysis.Gerodontology · 2026Pooled it
- Social relationships and risk of cardio-cerebrovascular diseases: a meta-analysis of longitudinal cohort studies.Social psychiatry and psychiatric epidemiology · 2026Pooled it
- Examining the social networks of older adults receiving informal or formal care: a systematic review.BMC geriatrics · 2023Pooled it
- Marital status and prostate cancer incidence: a pooled analysis of 12 case-control studies from the PRACTICAL consortium.European journal of epidemiology · 2021Pooled it
- WhatsApp-Supported Teledentistry to Reinforce Oral Health Promotion Among Older Adults Residing in Rural and Urban Areas: Randomized Controlled Trial.JMIR mHealth and uHealth · 2026Trial
- The effect of a primary care intervention on diabetes distress in individuals with newly diagnosed type 2 diabetes: a cluster-randomized controlled trial.BMC primary care · 2026Trial
- The impact of participant mental health on attendance and engagement in a trial of behavioural weight management programmes: secondary analysis of the WRAP randomised controlled trial.The international journal of behavioral nutrition and physical activity · 2021Trial
- Equity gaps in screening utilization for chronic eye conditions: Evidence from a population-based survey in Germany.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026Article
- Social support and country-level factors associated with cancer screening participation in 18 European countries: a multilevel analysis of the European Health Interview Survey.Archives of public health = Archives belges de sante publique · 2026Article
- Validating sociodemographic disparities in HPV vaccine uptake in a universal, publicly funded, low barrier, school-based immunisation program in the Vancouver Coastal Health region of British Columbia, Canada: A cross-sectional study.Canadian journal of public health = Revue canadienne de sante publique · 2026Article
- A Retrospective Chart Review of Uninsured Encounters in a Primary Care Hospital in Japan.Cureus · 2026Article
- School bullying victimization, depression, and the role of school connectedness among junior high school students in Hong Kong: evidence from fixed-effects models.BMC psychology · 2026Article
- Associations of Social and Physical Isolation With Material Deprivation and Inadequate Use of Preventive Care in the United States.Annals of family medicine · 2026Article
- Community based interventions for the primary prevention of cardiovascular disease in women living in rural, regional and remote areas: a scoping review.BMC health services research · 2026Article
- Access to eye health services among older people with disabilities in Karamoja, Uganda: a qualitative exploration of successful care seeking.International journal for equity in health · 2025Article
- Voluntary vitamin D testing: a decade-long study of utilisation patterns and impact on deficiency outcomes in Taiwan.Public health nutrition · 2025Article
- A Qualitative Exploration of the Lived Experiences and Perspectives of Equine-Assisted Services Practitioners in the UK and Ireland.Animals : an open access journal from MDPI · 2025Article
- Associations of social support, living arrangements, and residential stability with cancer screening in the United States.Cancer causes & control : CCC · 2025Article
- Exploring the association between social isolation and utilization of primary health services by older adults: evidence from China.Frontiers in public health · 2024Article
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundEvidence of the possible health benefits of social connectedness is increasing. We aimed to examine poor social connectedness as a possible barrier to participation in preventive health services among older people (aged 53-69 years).
methodsWe analysed data from a prospective cohort study of 5362 socially stratified births from the Medical Research Council National Survey of Health and Development enrolled in England, Scotland, and Wales in March 1946. At ages 68-69 years, participants reported participation in blood pressure and cholesterol measurement, eyesight and dental check-ups, influenza immunisation, and bowel and breast cancer screening. Our primary outcome measure summed participation across all these tests and services at ages 68-69 years. We tested associations between structural and functional social connectedness from ages 53 years to 69 years and total count of participation in these preventive services in Poisson models controlling for sex, education, occupational class, employment, chronic illnesses, and general practitioner consultations for health problems.
findings940 (44%) of 2132 participants attended all preventive services within the recommended timeframes. At ages 68-69 years, being unmarried or not cohabiting (incident rate ratio [IRR] 1·33, 95% CI 1·20-1·47) and small personal social networks (IRR 1·51, 1·32-1·71) were independently associated with non-participation in more services, with associations consistent across most services. High social relationship quality at ages 68-69 years (IRR 0·91, 95% CI 0·87-0·95) and increasing social relationship quality from ages 53 years to 69 years (IRR 0·93, 0·89-0·97) were associated with low risk of non-participation.
interpretationIndividuals with poor social connectedness appear to be at greater risk of not engaging in the full range of preventive services than individuals with good social connectedness. Improvement of access to social contacts and networks in older ages is already recommended for the maintenance of good mental health. This study suggests that social connectedness could also improve participation in a wide range of preventive health services, and hence could improve use of the health-care system and population health.
fundingUK Medical Research Council.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.