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This chapter examines the associations between gender, social support, and health outcomes for individuals living with HIV disease. We include social integration and social isolation as structural measures of social support as well as perceived social support and social conflict as functional measures of social support. We include both mental health and physical health outcomes, which are too often studied in isolation of each other.

Data are from the Coping with HIV/AIDS in the Southeast (CHASE) study; this study reports on baseline data from 611 participants collected from 2001 to 2002. We first examined differences by gender and race, and then used blocked linear regression to determine the additive effects of the social support variables on both mental and physical health outcomes while controlling for potential confounders.

There were notable differences in the significance and strength of social support variables in health outcome models for men and women. Unlike men, social conflict was the strongest predictor of greater psychological distress and poorer physical health-related quality of life among women.

While the results from this study contribute to a greater understanding of gender differences in the relationships between social support and health outcomes, the data used for this study are limited to those living with HIV/AIDS in the Southeast.

Our findings suggest that social conflict may be more detrimental for the health of women than men.

Does social-isolation deflate observed preferences for public goods? Using a voting referendum elicitation mechanism, List et al. (2004) document a 30% reduction in affirmative voting when votes are privately, rather than publicly, cast for a public good. We replicate this work and then add to the exercise by examining the role that group size plays in generating social-pressure bias – an extension we motivate with a structural model. Having replicated to the extent possible the List et al.’s consequential private and public treatments, we find that when group size is large (N = 60), social isolation reduces affirmative votes by roughly 30%, a result that does not carry over to the small-group (N = 30) session.

Lesbian, gay, and bisexual (LGB) individuals experience institutionalized prejudice within society and in their working lives. This prejudice increases the stress that these individuals experience within the workplace. Thus, in this chapter, we outline the mechanisms of LGB-workplace stress, detailing the antecedents, outcomes, and strategies to remediate this form of stress. We first outline theoretical conceptualizations of workplace stress before explaining how sexual orientation minorities experience additional workplace stressors due to their specific, stigmatized identities. Then, we explain how the stressors of formal discrimination, interpersonal discrimination, stigma consciousness, internalized heterosexism, concealment, and social isolation each contribute to workplace stress and ultimately health and workplace outcomes. Finally, we discuss several strategies that organizations, stigmatized individuals, and allies can engage in to prevent and cope with each of these LGB-related workplace stressors. In so doing, this chapter encourages researchers and practitioners to continue to develop more comprehensive and effective strategies to combat the negative outcomes experienced by these and all other stigmatized employees, thereby promoting more healthy and inclusive organizations.

Purpose: This chapter explores the role of life course transitions, personal networks, community, and social support in the physical and mental health of LGBTQ+ elders. Specifically, we review the literature on formal and informal supports and resources available to LGBTQ+ elders as they age.

Methodology: We use an intersectional lens that explores dimensions of social identity and social location among diverse subpopulations within sexual and gender minority (SGM) elders. We outline the implications of access (or lack of access) to formal and informal care for SGM elders' physical and mental health and well-being in late life. We examine the availability of these supports in the context of broad inequalities and life events that structure the life course for LGBTQ+ elders and have long-term health implications.

Findings: Our findings from this review demonstrate how social factors over the life course shape SGM mental and physical health later in life for aging LGBTQ+ populations. We reflect on how strained relationships and lack of acceptance compel some to seek alternative sources of support and relationships. Our analysis uncovers individual and institutional sources of support: personal social networks and formal spaces, such as healthcare settings, that connect elders with resources to develop social support and avoid social isolation.

Implications: The implications of our review reveal the unique needs and barriers to practical and social support that SGM older adults face. We explore alternative supports that LGBTQ+ elders need compared with their heterosexual cisgender peers, given the disproportionate rejection they face in a range of public and intimate spaces. We conclude by identifying and celebrating sources of support and resilience as LGBTQ+ elders have crafted alternate support networks and advocated for increased recognition, rights, and care.

Originality and Value: Despite some recent flourishing of research in SGM health, a road map for scholars, practitioners, and community members outlining future research in understudied areas such as LGBTQ+ aging and transgender health would help advance scholarship and policy. Our commentary highlights quantitative and qualitative studies and suggests avenues for research that put in conversation literatures on rural studies, urban sociology, and social networks; gerontology; health; and gender/sexuality studies.

Although social distancing measures enacted during COVID-19 prevented the spread of the virus and acted as important coping mechanisms during this stressful time, they also contributed to loneliness and anxiety. The pros and cons of social distancing measures were especially relevant among people with disabilities and chronic health conditions – a high-risk group concerned about infection through contact with non-household members and visiting public places like school, healthcare providers, and work.

Drawing on data from a national online survey (N = 1,027) and in-depth virtual interviews (N = 50) with Canadians with disabilities and chronic health conditions, we examine the positive and negative effects of three types of social distancing measures – avoiding public places, transitioning to remote work or school, and avoiding contact with non-household members – on perceptions of increases in anxiety and loneliness during the pandemic.

We find that the relationships between engaging with social distancing measures and anxiety and loneliness could be positive or negative, with measures acting as both adaptive and maladaptive coping mechanisms. Although avoiding public places or non-household members and transitioning to remote work or school often resulted in increased anxiety and loneliness, respondents also described situations where these measures helped them cope with concerns about catching COVID-19.

Our findings highlight potential implications for public health policy in allocating different coping resources among marginalized groups during times of crisis and demonstrate the importance of using a social model of stress, coping mechanisms, and mental health.

The health industry is rapidly adopting digital services and face-to-face offerings are being replaced by e-services. One example is peer-to-peer survivor networks for cancer patients. This study investigates the virtual exchanges in survivor networks and whether these exchanges are valued for economic, symbolic, or expressive worth. The research seeks to address whether the alleviation of loneliness is possible.

The qualitative work in this study utilizes netnographic explorations and in-depth interviews with cancer survivors, average age 62, to investigate the social exchange continuum in peer-to-peer online patient survivor networks.

This study shows that technological innovations can aid survivorship when the exchanges are meaningful. Meaningful interactions within gift systems are valued for expressive worth and are established upon the notion of selfless gifts where the giver expects nothing in return. For networks to operate via expressiveness, informants must be open and vulnerable to others. Findings show that biographical narratives are useful tools for creating an expressive environment and givers become more giving after engaging in selfless acts. The intangibility and immaterial nature of virtual gifts creates a collective identity and fosters an aggregate extended self.

Implications emphasize the need among survivors of trauma to connect with others. Digital technologies allow connections on a global scale, so survivors can find others with similar needs. Peer-to-peer networks provide a way for survivors to meet, interact with, and extend their aggregate selves through other survivors, while experiencing a transcendent sense that they are part of something bigger than self alone.