Blind spots in health perception: the underestimated role of social connection for health outcomes

Abstract Background Robust evidence indicates that having few or poor-quality social connections is associated with poorer physical health outcomes and risk for earlier death (Snyder-Mackler N, Science 368, 2020; Vila J, Front Psychol 12:717164, 2021). Aim This study sought to determine whether rece...

Full description

Saved in:
Bibliographic Details
Main Authors: Andrew Scot Proctor, Julianne Holt-Lunstad
Format: Article
Language:English
Published: BMC 2025-02-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-025-21554-5
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850197423138275328
author Andrew Scot Proctor
Julianne Holt-Lunstad
author_facet Andrew Scot Proctor
Julianne Holt-Lunstad
author_sort Andrew Scot Proctor
collection DOAJ
description Abstract Background Robust evidence indicates that having few or poor-quality social connections is associated with poorer physical health outcomes and risk for earlier death (Snyder-Mackler N, Science 368, 2020; Vila J, Front Psychol 12:717164, 2021). Aim This study sought to determine whether recent attention on social connection and loneliness brought on by the COVID-19 pandemic may influence risk perception and whether these perceptions were heightened among those who are lonely. Methods Two waves of online survey data were collected. The first included data from 1,486 English-speaking respondents in the US, UK, and Australia, and a second sample of 999 nationally representative US adults, with a final sample of 2392 respondents from the US and UK. Results Perceptions of risk have remained consistent, underestimating the influence of social factors on health outcomes and longevity, even among respondents who reported moderate-to-severe levels of loneliness. Conclusions Despite heightened awareness and discourse during the COVID-19 pandemic, public perception in the US and UK continues to significantly underestimate the impact of social factors on physical health and mortality. This underestimation persists regardless of individual loneliness levels, underscoring the need for enhanced public education and policy efforts to recognize social connection as a crucial determinant of health outcomes.
format Article
id doaj-art-3377c83aac38450db2bb2a4bc7110d11
institution OA Journals
issn 1471-2458
language English
publishDate 2025-02-01
publisher BMC
record_format Article
series BMC Public Health
spelling doaj-art-3377c83aac38450db2bb2a4bc7110d112025-08-20T02:13:10ZengBMCBMC Public Health1471-24582025-02-0125111310.1186/s12889-025-21554-5Blind spots in health perception: the underestimated role of social connection for health outcomesAndrew Scot Proctor0Julianne Holt-Lunstad1Social Connection and Health Laboratory, Department of Psychology, Brigham Young UniversitySocial Connection and Health Laboratory, Department of Psychology, Brigham Young UniversityAbstract Background Robust evidence indicates that having few or poor-quality social connections is associated with poorer physical health outcomes and risk for earlier death (Snyder-Mackler N, Science 368, 2020; Vila J, Front Psychol 12:717164, 2021). Aim This study sought to determine whether recent attention on social connection and loneliness brought on by the COVID-19 pandemic may influence risk perception and whether these perceptions were heightened among those who are lonely. Methods Two waves of online survey data were collected. The first included data from 1,486 English-speaking respondents in the US, UK, and Australia, and a second sample of 999 nationally representative US adults, with a final sample of 2392 respondents from the US and UK. Results Perceptions of risk have remained consistent, underestimating the influence of social factors on health outcomes and longevity, even among respondents who reported moderate-to-severe levels of loneliness. Conclusions Despite heightened awareness and discourse during the COVID-19 pandemic, public perception in the US and UK continues to significantly underestimate the impact of social factors on physical health and mortality. This underestimation persists regardless of individual loneliness levels, underscoring the need for enhanced public education and policy efforts to recognize social connection as a crucial determinant of health outcomes.https://doi.org/10.1186/s12889-025-21554-5Social Determinants of HealthSocial SupportSocial IntegrationLonelinessHealthMortality
spellingShingle Andrew Scot Proctor
Julianne Holt-Lunstad
Blind spots in health perception: the underestimated role of social connection for health outcomes
BMC Public Health
Social Determinants of Health
Social Support
Social Integration
Loneliness
Health
Mortality
title Blind spots in health perception: the underestimated role of social connection for health outcomes
title_full Blind spots in health perception: the underestimated role of social connection for health outcomes
title_fullStr Blind spots in health perception: the underestimated role of social connection for health outcomes
title_full_unstemmed Blind spots in health perception: the underestimated role of social connection for health outcomes
title_short Blind spots in health perception: the underestimated role of social connection for health outcomes
title_sort blind spots in health perception the underestimated role of social connection for health outcomes
topic Social Determinants of Health
Social Support
Social Integration
Loneliness
Health
Mortality
url https://doi.org/10.1186/s12889-025-21554-5
work_keys_str_mv AT andrewscotproctor blindspotsinhealthperceptiontheunderestimatedroleofsocialconnectionforhealthoutcomes
AT julianneholtlunstad blindspotsinhealthperceptiontheunderestimatedroleofsocialconnectionforhealthoutcomes