Discrimination and social identity processes predict impairment and dysfunction among heavy drinkers

Background: Previous research has linked discrimination to poorer health. Yet health risk behaviours such as heavy alcohol consumption are often targeted with stigmatising public health campaigns. The current study sought to establish the link between experiencing discrimination and health outcomes among heavy drinkers, with a focus on exploring the multiple social identity processes that might underpin this relationship. Method: A survey was conducted with 282 people who self-reported consuming alcohol above recommended guidelines. We measured discrimination experienced as a drinker, components of social identification as a drinker (centrality, satisfaction, solidarity, homogeneity, and self-stereotyping), and two health outcomes: psychological distress and severity of alcohol use disorder symptomatology. Results: Discrimination was a moderate-large predictor of psychological distress and alcohol use disorder symptoms. Three social identity constructs were implicated in the link between discrimination and ill-health: identity centrality and homogeneity positively mediated this relationship, while identity satisfaction was a negative mediator. The model explained a large proportion of the variance (39-47%) in health outcomes. Discussion: Results are interpreted with an emphasis on the need to avoid stigmatising messaging and to prioritise social identity processes to prevent and treat substance use disorders. We further highlight the need for social identity researchers to consider the multidimensional nature of social identities, especially in the context of stigmatised groups

Multiple social identities enhance health post-retirement because they are a basis for giving social support

This is the final version of the article. Available from the publisher via the DOI in this record.We examine the extent to which multiple social identities are associated with enhanced health and well-being in retirement because they provide a basis for giving and receiving social support. Results from a cross-sectional study show that retirees (N = 171) who had multiple social identities following (but not prior to) retirement report being (a) more satisfied with retirement, (b) in better health, and (c) more satisfied with life in general. Furthermore, mediation analyses revealed an indirect path from multiple social identities to greater satisfaction with retirement and better health through greater provision, but not receipt, of social support to others. These findings are the first to point to the value of multiple group membership post-retirement as a basis for increased opportunities to give meaningful support to others. We discuss the theoretical and practical implications for the management of multiple identities in the process of significant life transitions such as retirement.This work was supported by three grants from the Australian Research Council awarded to JJ (FT110100238), CH (DP160102514), and AH (FL110100199

Social group memberships in retirement are associated with reduced risk of premature death: evidence from a longitudinal cohort study.

This is the final version of the article. Available from [publisher] via the DOI in this record.OBJECTIVES: Retirement constitutes a major life transition that poses significant challenges to health, with many retirees experiencing a precipitous decline in health status following retirement. We examine the extent to which membership in social groups following retirement determines quality of life and mortality. DESIGN: The longitudinal impact of the number of social group memberships before and after the transition to retirement was assessed on retirees' quality of life and risk of death 6 years later. SETTING: Nationally representative cohort study of older adults living in England. PARTICIPANTS: Adults who underwent the transition to retirement (N=424). A matched control group (N=424) of participants who had comparable demographic and health characteristics at baseline but did not undergo the transition to retirement were also examined. OUTCOME MEASURES: Analyses examined participants' quality of life and mortality during a period of 6 years. RESULTS: Retirees who had two group memberships prior to retirement had a 2% risk of death in the first 6 years of retirement if they maintained membership in two groups, a 5% risk if they lost one group and a 12% risk if they lost both groups. Furthermore, for every group membership that participants lost in the year following retirement, their experienced quality of life 6 years later was approximately 10% lower. These relationships are robust when controlling for key sociodemographic variables (age, gender, relationship status and socioeconomic status prior to retirement). A comparison with a matched control group confirmed that these effects were specific to those undergoing the transition to retirement. The effect of social group memberships on mortality was comparable to that of physical exercise. CONCLUSIONS: Theoretical implications for our understanding of the determinants of retiree quality of life and health, and practical implications for the support of people transitioning from a life of work to retirement are discussed.This research was supported by two grants from the Australian Research Council awarded to JJ (FT110100238) and SAH (FL110100199). The funding body did not play any role in the research design; in the collection, analysis, and interpretation of data; in the writing of the manuscript; or in the decision to submit the manuscript for publication

Social isolation predicts frequent attendance in primary care

Background. Frequent attenders in primary care have complex physical and mental healthcare needs as well as low satisfaction with their healthcare. Interventions targeting mental health or psychoeducation have not been effective in reducing attendance. Here, we test the proposition that both frequent attendance and poor health are partly explained by unmet social needs (i.e., limited social group support networks). Methods. Study 1 (N=1752) was a large cross-sectional community sample of primary care attenders in Scotland. Study 2 (N = 79) was a longitudinal study of a group of young people undergoing a life transition (moving countries and commencing university) that increased their risk of frequent attendance. Study 3 (N=46) was a pre-post intervention study examining whether disadvantaged adults who joined a social group subsequently had reduced frequency of primary care attendance. Results. All three studies found that low social group connectedness was associated with a higher frequency of primary care attendance. This was not attributable to poorer health among those who were socially isolated. In Study 3, joining a social group led to reduced primary care attendance to the extent that participants experienced a (subjective) increase in their social group connectedness. Conclusions. Unmet social needs among frequent attenders warrant closer consideration. Interventions that target social group connectedness show promise for reducing overutilization of primary care services

Social identity mapping online.

This is the author accepted manuscript Social identities play an important role in many aspects of life, not least in those pertaining to health and well-being. Decades of research shows that these relationships are driven by a range of social identity processes, including identification with groups, social support received from groups, and multiple group memberships. However, to date, researchers have not had access to methods that simultaneously capture these social identity processes. To fill this void, this article introduces an online Social Identity Mapping (oSIM) tool designed to assess the multidimensional and connected nature of social identities. Four studies (total N = 721) featuring community, student, new parent, and retiree samples, test the reliability and validity of oSIM. Results indicate that the tool is easy to use, engaging, has good internal consistency as well as convergent and discriminant validity, and predicts relevant outcomes across a range of contexts. Furthermore, using meta-analytic findings, the tool is able to index a higher-order social identity construct, here introduced as a supergroup. This new concept provides holistic information about groups (reflecting an integrated index of several social identity processes) that are predictive of well-being outcomes, as well as outcomes related to successful adjustment to challenging life events. We discuss how the tool can be used to tackle key debates in the literature and contribute to theory by affording researchers the opportunity to capture the nuanced and contextual nature of social identity in action.Australian Research Counci

Correction: Having a Lot of a Good Thing: Multiple Important Group Memberships as a Source of Self-Esteem

This is the final version of the article. Available from Public Library of Science via the DOI in this record.This is the correction to Jetten J, Branscombe NR, Haslam SA, Haslam C, Cruwys T, Jones JM, et al. (2015) Having a Lot of a Good Thing: Multiple Important Group Memberships as a Source of Self-Esteem. PLoS ONE 10(5): e0124609. doi:10.1371/journal.pone.0124609The original article for which this is the correction is in ORE at http://hdl.handle.net/10871/26622

Greater number of group identifications is associated with lower odds of being depressed: evidence from a Scottish community sample

Purpose: Group identification has been shown to be associated with reduced risk of depression, but this research has important limitations. Our aim was to establish a robust link between group identification and depression whilst overcoming previous studies’ shortcomings. Methods: 1824 participants, recruited from General Practice throughout Scotland, completed a questionnaire measuring their identification with three groups (family, community, and a group of their choice), as well as their intensity of contact with each group. They also completed a self-rated depression measure and provided demographic information. Their medical records were also accessed in order to determine if they had been prescribed antidepressants in the previous six months. Results: Number of group identifications was associated with both lower self-rated depression and lower odds of having received a prescription for antidepressants, even after controlling for number of contact-intensive groups, level of education, gender, age, and relationship status. Conclusions: Identifying with multiple groups may help to protect individuals against depression. This highlights the potential importance of social prescriptions, where health professionals encourage a depressed patient to become a member of one or more groups with which the patient believes he/she would be likely to identify

Having a lot of a good thing: multiple important group memberships as a source of self-esteem.

Copyright: © 2015 Jetten et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are creditedMembership in important social groups can promote a positive identity. We propose and test an identity resource model in which personal self-esteem is boosted by membership in additional important social groups. Belonging to multiple important group memberships predicts personal self-esteem in children (Study 1a), older adults (Study 1b), and former residents of a homeless shelter (Study 1c). Study 2 shows that the effects of multiple important group memberships on personal self-esteem are not reducible to number of interpersonal ties. Studies 3a and 3b provide longitudinal evidence that multiple important group memberships predict personal self-esteem over time. Studies 4 and 5 show that collective self-esteem mediates this effect, suggesting that membership in multiple important groups boosts personal self-esteem because people take pride in, and derive meaning from, important group memberships. Discussion focuses on when and why important group memberships act as a social resource that fuels personal self-esteem.This study was supported by 1. Australian Research Council Future Fellowship (FT110100238) awarded to Jolanda Jetten (see http://www.arc.gov.au) 2. Australian Research Council Linkage Grant (LP110200437) to Jolanda Jetten and Genevieve Dingle (see http://www.arc.gov.au) 3. support from the Canadian Institute for Advanced Research Social Interactions, Identity and Well-Being Program to Nyla Branscombe, S. Alexander Haslam, and Catherine Haslam (see http://www.cifar.ca)

A controlled evaluation of the effect of social prescribing programs on loneliness for adults in Queensland, Australia (protocol)

Background: In social prescribing, link workers support individuals whose persistent health problems are exacerbated by loneliness by connecting them to community-based social activities. This approach is well established in the UK and is gaining attention in Australia. However, a major limitation of research to date has been a lack of theoretically informed and rigorous evaluations of social prescribing. We will address these points in this study, applying a social identity framework to examine the effects of group-based social prescribing (SP) activity compared to primary care treatment as usual (TAU). Methods: Ninety participants experiencing loneliness recruited from primary care services and community centres across five sites in Southeast Queensland will be assigned to one of two conditions (SP, TAU) and assessed at two timepoints (baseline, + 8 weeks). Individuals will be aged 18 years and over, have sufficient English language skills to provide consent, and at the time of recruitment they will not be experiencing acute symptoms or social issues that require urgent intervention. Primary outcomes are loneliness, mental well-being, and health service use (total number of GP, hospital, and allied health visits in the past 3 months). Secondary outcomes will assess social group processes, including number of important social groups, new group identification, multiple identity compatibility, and group-based support and emotion regulation. Discussion: This study will provide comprehensive data about the extent to which, and how, social prescribing to community-based group activities may help people to feel less lonely, more socially integrated, and healthy over the first 8 weeks. If effective, this social identity-informed model of social prescribing can be disseminated in communities across Australia. Trial registration: ANZCTR, Registered 8 June 2022-Retrospectively registered, https:// www. anzctr. org. au/ ACTRN 12622 00080 1718. asp

Report on the 18-month evaluation of social prescribing in Queensland

Background: Social prescribing is rapidly developing in Australia in response to unmet social needs. Its overarching aim is to link people to community services and social activities to reduce loneliness and social isolation that have been further exacerbated through the COVID-19 pandemic and associated lockdowns. Aims & Methods: This research aimed to understand whether social prescribing improves loneliness, wellbeing, and physical health in Queenslanders through a longitudinal analysis of 63 social prescribing clients compared to 51 patients who were frequent attenders at their GP. We also utilised interviews with 15 service providers (link workers) and 15 social prescribing clients to understand how social prescribing works and how we can better support link workers in their roles. This work was carried out across the COVID-19 Pandemic, beginning in March 2020 and ending in April 2023. Longitudinal Results: Clients were supported to join a variety of groups and increased their social networks over the 18-month period. In only 8-weeks of social prescription, participants showed significant improvement in loneliness and trust in others that were not reflected in the comparison group. At 18 months social prescribing participants showed further improvements in feelings of loneliness, psychological distress, and perceived overall health. Further, the quality of the link worker-client relationship and having a group facilitator able to create a sense of belonging to groups, were both associated with improved outcomes across all domains at 18-months - loneliness, wellbeing, psychological distress, trust, and health. Interview Results: Social prescribing was seen to work through several processes: (1) breaking down barriers that interfere with social connection, such as addressing social anxiety; (2) finding groups where clients ‘fit’ with others; and (3) rebuilding clients’ sense of self after disconnection from community. Link workers saw relationship building as one of the key skills in their role. They felt a sense of fulfilment from what they were able to accomplish with clients as well as their work increasing awareness of loneliness and strengthening community connections. However, precarious funding and limited support around many link workers, who often worked in silo, contributed to a sense of overwhelming workload and a risk of burnout and high turnover. Where to from here: Social prescribing is effective in addressing loneliness and meeting social needs among community dwelling adults in metropolitan areas. The characteristics of our sample suggest that more efforts are needed to increase reach and equity in referral processes. More promotion of social prescribing and more training and support for link workers is also needed for ongoing sustainability of this new health pathway