Functional specificity in discussion networks: The influence of general and problem-specific networks on health outcomes

Though commonly used in social science research to measure the influence of social networks, the link between discussing “important matters” within networks and the achievement of instrumental ends is frequently unspecified or untested. To address this gap, we explore the consequences of using the general “important matters” approach versus one in which the substance of discussions is directly linked to the outcomes of interest. The egocentric social networks of people experiencing an acute health crisis are examined. We identify the characteristics of and the degree of membership overlap between “important matters” and “health matters” discussants, and explore their relative power in explaining a wide range of health and health services-related outcomes. We find no evidence for the influence of “important matters” networks, while characteristics of “health matters” networks demonstrate a significant effect across all models.