# Negative social ties as emerging risk factors for accelerated aging, inflammation, and multimorbidity

**Authors:** Byungkyu Lee, Gabriele Ciciurkaite, Siyun Peng, Colter Mitchell, Brea L. Perry

PMC · DOI: 10.1073/pnas.2515331123 · Proceedings of the National Academy of Sciences of the United States of America · 2026-02-18

## TL;DR

Negative relationships, like those with 'hasslers,' can speed up aging and worsen health, especially for vulnerable groups.

## Contribution

Identifies negative social ties as significant, yet overlooked, contributors to accelerated biological aging and multimorbidity.

## Key findings

- Each additional hassler is linked to 1.5% faster biological aging and about 9 months older biological age.
- Negative ties are more common among vulnerable groups like smokers and those with poor health.
- Kin and nonkin hasslers are harmful, but spouse hasslers are not associated with negative effects.

## Abstract

Social relationships are fundamental to human health, yet research has focused primarily on their supportive dimensions. We investigate the role of “hasslers,” people in one’s close social networks who create problems or make life more difficult, finding that these negative ties are not rare, disproportionately experienced by individuals facing greater social and health vulnerabilities, and consequential for aging. Each additional hassler is associated with faster biological aging, with especially pronounced effects when the hassler is a family member. These findings identify negative social ties as chronic stressors that shape aging trajectories and underscore the need for interventions that reduce harmful social exposures to promote healthier aging.

Negative social ties, or “hasslers,” are pervasive yet understudied components of social networks that may accelerate biological aging and morbidity. Using ego-centric network data and DNA methylation-based biological aging clocks (i.e., DunedinPACE and age-accelerated GrimAge2) from saliva from a state representative probability sample in Indiana, we examine how negative social ties are associated with accelerated biological aging and a broad range of health outcomes, including inflammation and multimorbidity. Negative relationships are not rare within close relationships, as nearly 30% of individuals report having at least one hassler in their network. These hasslers tend to occupy peripheral network positions and are more likely to be connected through weak, uniplex ties. Importantly, exposure to negative social ties follows patterns of social and health vulnerability, with women, daily smokers, people in poorer health, and those with adverse childhood experiences more likely to report having hasslers in their networks. Having more hasslers is associated with accelerated biological aging in both rate and cumulative burden: Each additional hassler corresponds to approximately 1.5% faster pace of aging and roughly 9 mo older biological age. Moreover, not all hasslers exert the same influence; kin and nonkin hasslers show detrimental associations, whereas spouse hasslers do not. Finally, a greater number of hasslers is associated with multiple adverse health outcomes beyond epigenetic aging. These findings together highlight the critical role of negative social ties in biological aging as chronic stressors and the need for interventions that reduce harmful social exposures to promote healthier aging trajectories.

## Full-text entities

- **Genes:** FURIN (furin, paired basic amino acid cleaving enzyme) [NCBI Gene 5045] {aka FUR, PACE, PCSK3, SPC1}, CRP (C-reactive protein) [NCBI Gene 1401] {aka PTX1}
- **Diseases:** emphysema (MESH:D004646), asthma (MESH:D001249), anxiety (MESH:D001007), abuse (MESH:D019966), psychiatric (MESH:D001523), diabetes (MESH:D003920), cancer (MESH:D009369), coronary heart disease (MESH:D003327), Comorbidity (MESH:D004194), inflammation (MESH:D007249), function (MESH:D003291), neglect (MESH:D058069), stroke (MESH:D020521), obesity (MESH:D009765), Multiplexity (MESH:D020422), toxicity (MESH:D064420), age-related disease (MESH:D010024), mental health disorders (OMIM:603663), myocardial infarction (MESH:D009203), cardiovascular and other diseases (MESH:D002318), COVID (MESH:D000086382), death (MESH:D003643), arthritis (MESH:D001168), adiposity (MESH:D018205), Depression (MESH:D003866), kidney disease (MESH:D007674)
- **Chemicals:** PNAS (MESH:D020135), adrenaline (MESH:D004837), cortisol (MESH:D006854), hasslers (-)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

4 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12933095/full.md

## References

73 references — full list in the complete paper: https://tomesphere.com/paper/PMC12933095/full.md

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Source: https://tomesphere.com/paper/PMC12933095