Lab 2: Social Networks/Social Support.

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SocialNetworkslecture8.pdf

Social Networks

William R. Brieger, MPH, CHES, DrPH Johns Hopkins University

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Structure of a Network

  Density -  Connections or linkages within

  Size -  Number of direct contacts

  Range -  Extent, heterogeneity

  Intensity -  Emotional closeness, focal person

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Network Characteristics

  Network characteristics in!uence diffusion of ideas, behaviors, and even diseases

  Density -  HIGH density

  Many connections—easier !ow of innovations -  LOW density

  Few connections—slower or more difficult !ow

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Network Characteristics

  Network characteristics in!uence diffusion of ideas, behaviors, even diseases

  Range -  HIGH range

  Variety of different members; greater opportunity for new ideas to enter network; greater in!uence in terms of community change, as those members will themselves have a variety of networks

-  LOW range   Members more homogeneous; fewer points where

new ideas can enter network

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Wide Range

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High Density

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Self 17%

Friends 36%

Fathers 26%

Brothers 9%Mothers

6%

Acquaintance 6%

Social contacts as sources

Youth Who Drink Alcohol

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Family

Rural dweller

Urban visitor

Social events

Business Friends

becomes

Rural to Urban Migration

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In the community

Polygamy Boy/girl friends Divorcees

Commercial sex workers

Drivers Farm laborers

Lagos returnees

Urban to Rural (And Others)

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Training village health workers

Intervention Can Build on Group Support

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Networks Influence Sharing of Knowledge

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El Progresso, Honduras

Youth Groups Help Community

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Diabetic club

Self-Help among Diabetic Patients

  Members provide emotional support when family members reject someone

  They teach each other skills and provide encouragement to en- hance self-efficacy

  As a group, they negotiate with medicine shops for lower prices

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Mother’s Clubs for Child Health

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Peer Education Builds on Social Support/Networks

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Peer Education

  Peer education programs are based on theory and assump- tions that young people can communicate among them- selves better

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Social Network Differences Influence

  In-school networks -  Captive audience -  Well-de$ned groups like classes -  Structured opportunities to interact

  Out-of-school networks -  Small networks—e.g., six apprentices in a workshop -  Overall populations larger, more diverse

Peer Education Effects

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Analysis of Peer Education Effects

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Theoretical Bases for Peer Education

  Building knowledge -  Information !ows more freely among peers

  Perception of risk -  Risk perception closely linked with emotional

development stages

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Theoretical Bases for Peer Education

  Perception of norms -  Beliefs of whether the behavior is acceptable, approved of

by social network   Self-efficacy -  Enhanced through observational learning, especially by

observing people in similar situations/similar backgrounds -  Greater sense of identity with people of similar

background

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Social Support Aids Program Success

  Social support is often needed to support public health efforts like immunization -  E.g., do family members

(who help watch over other children at home) approve?

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Networks Are Units of Identity

  People know to which network they belong   People belong to many networks   Different networks may meet differing needs for social

support -  Emotional, appraisal, material, and informational -  Networks mediate between the individual and the larger

community   Networks collectively comprise the fabric of the community

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Network Analysis

  Memberships   Connections   Sources of support   De$ne an individual’s coping strategy   Note -  Networks do not include social services and service

providers   Networks serve as mediators between these services

and individual group members

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Religious sect

Social club

Co-op/ union

Extended family

Farmer

Memberships

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Different Groups, Different Support

  Union or co-op -  Material support

  Access to government fertilizers as a group   Loans, contributions

-  Information support   Sharing ideas about crop production and availability

of agricultural inputs -  Appraisal support

  Feedback on production methods, crop choices

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Different Groups, Different Support

  Social club -  Emotional support

  Attend each member’s social events   Come together for mourning

-  Material support   Contribute $nancially to ceremonies   Loan each other money

-  Appraisal support   Feedback on performance of social roles

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A Farmer Has Various Memberships

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Lecture Evaluation

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