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Exploring Physical, Mental and Psychological
Health for Elders through Their Personal Networks
Mohammed Shahadat Uddin
Project Management Graduate Programme
University of Sydney, Australia
Email: m.uddin@usyd.edu.au
Liaquat Hossain
Project Management Graduate Programme
University of Sydney, Australia
Email: l.hossain@usyd.edu.au
Abstract—In this study, we explore whether there is
correlation between the personal network and its impact
on physical, mental and psychological health of aging
population. Previous research on aging and health suggest
the importance of individual family network and social
network on different aspects of health assessments and
outcomes. We examine the impact of family network and
social network on physical, mental and psychological
health of elderly men and women by using a cross-national
sample (N = 4412) from four Eastern Mediterranean
countries of Bahrain, Egypt, Jordan, and Tunisia. We
analyse the dataset entitled World Health Organisation
Collaborative Study on Social and Health Aspects of Aging
in Bahrain, Egypt, Jordan, and Tunisia both at a macro and
a micro level. Results show that there is a strong impact of
family network and social network on individual physical,
mental, and psychological health both at a macro and a
micro level.
Keywords- personal network; physical health; mental
health; psychological health.
I. INTRODUCTION
The enhancement and modern invention in medical
science which reduces the incident of many life-losing
diseases and makes the treatment of some of these
diseases available is now supporting longevity of people
[1]. It is quite common that people entering old age tend
to become dependants on others and more influenced to
their personal networks regarding their activities of
daily living and health related issues [2]. After a lifetime
of typically giving more to younger persons than they
receive from them, elders must come to accept
beneficence as like for parents receiving benefits from
child [3]. This can be explained as getting benefits from
past contributions. However, receiving this kind of
benefits might be a problem as elders may have less to
offer to balance the relationships with others [4]. Elders
also may get benefits as a way of emotional sharing,
awareness of positive health behavior from their social
network. Thus, with the increase of life and influence to
their social networks, elders become more dependent to
their family network.
Throughout this paper, we treat social network and
family network as two classifications of individual
personal network, which has been found to play an
important role to human health [5-8]. To distinguish
between social network and family network, we refer all
relationships with non-relative people as well as
distance relative belong to social network; whereas,
family network is referred to relations with direct
family members such as parent, son and daughter,
brother and sister. The benefits that people may receive
from their personal network could be (i) emotional, such
as intimacy and attachment, reassurance, and the
knowledge that one can confide in and rely on another;
(ii) instrumental, such as direct financial aid or services;
and (iii) informational, such as assistance with problem
solving or provision of feedback [9]. Conversely,
previous research also suggest that social isolation may
produce undesirable changes such as lower immune
function, and higher neuroendocrine and cardiovascular
reactivity in the body, all of which may increase
susceptibility to diseases [10] [11] [8].
In this study, we aim to explore the underlying
relationships between the personal networks and its
impact on physical, mental and psychological health of
aging population. In particular, we examine the impact
of family network and social network on individual
physical, mental, and psychological health for each
surveyed country as well at macro level exploring
aggregate level dataset. Focusing on the micro level, we
cluster the data samples on individual demographic
characteristics of age, sex, and locality of birth place.
We then test the impact of family network and social
network on physical, mental and psychological health of
elder people using approaches similar to a macro level
for each cluster.
II. BACKGROUND
Health has no longer been considered as a
one-dimensional experience; instead it incorporates
physical, mental, and psychological aspects of
well-being. Health has been regarded as a state of
complete physical, mental, and social well-being and
not merely the absence of disease or infirmity [12]. It
follows that in order to be healthy, physical fitness,
being of sound mind, and social wellness which is the
ability to form and maintain social and family network,
all are equally important. As defined by World Health
Organisation, physical health is good body health;
whereas, mental health refers to the emotional
well-being of individual. Psychological well-being or
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