Social Support and Antibody Responses to Vaccination: A Meta-Analysis

• Published in: Annals of behavioral medicine 2020-08, Vol.54 (8), p.567-574
• Main Authors: Uchino, Bert N, Landvatter, Joshua, Zee, Katherine, Bolger, Niall
• Format: Article
• Language: English
• Subjects: Antibodies; Antigens; Health behavior; Health psychology; Meta-analysis; Regular; Social integration; Social support; Systematic review; Vaccines
• ISSN: 0883-6612; 1532-4796
• DOI: 10.1093/abm/kaaa029

Abstract Background Social support and social integration have been linked to lower rates of morbidity and mortality. However, the biological mechanisms responsible for such links need greater attention. Vaccine paradigms provide an integrative window into immune system involvement in the protective influence of social support/integration. Purpose The main aim of this article was to conduct a meta-analytic review of the association between social support/social integration and antibody responses to vaccines. Exploratory analyses also examined effect sizes and confidence intervals as a function of several factors to inform future research. Method A literature search was conducted using the ancestry approach and with PsycInfo, Medline, and the Psychology and Behavioral Science Collection by crossing the exact keywords of social support or social integration with vaccine or antibodies. The review identified nine studies with a total of 672 participants. Results The omnibus meta-analysis showed that social support/social integration was related to higher antibody levels following vaccination, but the average effect size was small and the lower bound of the confidence interval included zero (Zr = 0.06 [−.04, .15]). These results did not appear to differ much as a function of the operationalization of social relationships, participant age, or follow-up period, although effect sizes appeared larger for studies using a primary antigen. Conclusions These data provide some evidence that social support may be linked to antibody responses to vaccines. However, effect sizes are mostly small and zero overall effect cannot be ruled out. Future studies would benefit from larger sample sizes and greater consideration of methodological issues associated with secondary immune responses to antigen. This review shows that social support may beneficially influence antibody responses to vaccines, although effects appear small and null effects cannot be ruled out.