It takes a village

The lost third space: Rediscovering community and connection in modern society

As third spaces—our essential hubs of community—shrink in number across the country, the losses negatively impact patient well-being and public health.

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Growing up in New Delhi, India, I was immersed in a vibrant tapestry of community life. In India, the concept of “third spaces” was woven seamlessly into the social fabric. These were the bustling markets, the neighborhood tea stalls and the parks where strangers became friends over chai and conversations. These spaces were more than physical locations; they were the heartbeats of our communities, nurturing connections and fostering a sense of belonging.

The concept of a “third space” typically refers to a sociocultural idea describing a place or environment outside of the usual realms of home (first space) and work (second space). It’s a location where individuals can come together, interact and engage in social activities beyond their immediate obligations. The term gained popularity through the work of sociologist Ray Oldenburg, who introduced the idea of third places in his book “The Great Good Place.”

According to Oldenburg, these spaces are crucial for community and social well-being. They are informal and accessible, and they facilitate regular, spontaneous gatherings, which promotes social interaction and civic engagement.

Upon immigrating to San Jose, California, during my senior year of high school, my family embarked on a journey that entailed leaving behind familiar social networks and established careers to forge a new path in a foreign land. Despite bracing ourselves for the cultural adjustments that lay ahead, I was taken aback to discover that my most profound source of cultural shock stemmed from the nation’s social infrastructure.

Transitioning from a resource-poor country to one abundant in wealth and cutting-edge infrastructure, I encountered a landscape where the ubiquity of social infrastructure, particularly third spaces, appeared scarce, if not entirely lacking.

In India, my parents thrived in communal spaces where brief walks to the corner store or around the neighborhood offered natural interactions with community members eager to share news, discuss cricket or movies and pass on wisdom. In our new city, however, we found this warmth to be markedly absent. While the difference can partially be attributed to a faster pace of life and population disparities, the lack of nearby gathering spaces highlights a fundamental shift in social structure and community accessibility.

Social network

In India, communal spaces were indispensable for my parents, serving as a support system beyond immediate family where emotional bonds were nurtured and solidified. However, after relocating to our new environment, the absence of similar third spaces left a palpable emptiness that directly impacted the overall health and happiness of my parents.

Unfortunately, the U.S. is quickly losing its third spaces, an impact felt not only by my parents but also by millions of Americans daily. In an era marked by the rise of digital connectivity and the omnipresence of screens, the gradual decline in public access to third spaces stands as a poignant testament to the changing social landscape. These communal hubs, ranging from cafés to libraries to parks, once served as vital arenas for spontaneous interactions and community bonding.

However, as these spaces dwindle in number or succumb to commercial pressures, the repercussions on mental health become starkly evident. Individuals find themselves increasingly isolated, lacking avenues for meaningful social engagement beyond the confines of work or home. This erosion of communal gathering spots not only fractures social cohesion but also deprives communities of vital mental health support networks, exacerbating feelings of loneliness and disconnection.

Moreover, the decline in third spaces exacts a heavy toll on the overall well-being of communities, fostering environments where social inequalities thrive and collective resilience wanes. Access to these spaces is often unequally distributed, with marginalized groups bearing the brunt of their disappearance. For individuals grappling with economic hardship or systemic discrimination, third spaces offer more than mere leisure; they provide sanctuaries where identities can be affirmed and a sense of belonging can be cultivated. When these spaces vanish, the social fabric frays, leaving communities fragmented and vulnerable to social unrest.

Health care burden

A 2022 population health research brief published by Syracuse University showed the differences in the availability of third spaces across the United States. Notable findings indicated that urban areas and very remote rural areas had many more third spaces than rural areas. The study also found that populations with higher Black and Hispanic populations had a lower density of third spaces. In light of this data, one wonders if there is a correlation between social support and health outcomes in areas with a greater number of third spaces versus less.

The decline in public access to third spaces poses a significant health care burden, as these communal hubs play a crucial role in providing social support, which is integral to positive health outcomes. Research has consistently shown that strong social connections are associated with better physical and mental health, while social isolation has been linked to myriad health problems, including depression, anxiety and cardiovascular disease. By serving as venues for social interaction and community engagement, third spaces make possible the camaraderie that can mitigate the negative health effects of social isolation.

Furthermore, the loss of third spaces exacerbates barriers to accessing health care, particularly for marginalized communities who often rely on these spaces for informal support networks. Studies have demonstrated that individuals with strong social ties are more likely to seek medical care when needed and adhere to treatment regimens, leading to better health outcomes. Thus, the erosion of third spaces not only deprives individuals of social support but may also hamper their ability to navigate the health care system effectively, perpetuating health inequities and exacerbating disparities in health outcomes.

In addressing these challenges, policymakers and health care professionals must recognize the vital role of social support in promoting health and well-being. Investments in community-based interventions that strengthen social connections and rebuild third spaces can help mitigate the health care burden associated with social isolation while reducing barriers to accessing care.

How governments, business and citizens are supporting third spaces

Governments and private entities are increasingly recognizing the importance of investing in social/third spaces to encourage community cohesion and improve overall well-being. One initiative involves partnering with local community organizations to identify and revitalize existing third spaces, such as parks, community centers and libraries. By providing funding and resources for maintenance and programming, governments can ensure these spaces remain accessible and vibrant hubs for social interaction and connection.

Moreover, public-private partnerships offer another avenue for enhancing investment in social spaces. Collaborations between government agencies, businesses and nonprofits can leverage diverse expertise and resources to create and sustain third spaces that meet the unique needs of their communities. For instance, businesses can sponsor events and activities in public parks or contribute to the development of community gathering spots within their commercial properties.

In addition to external initiatives, empowering residents to take ownership of their community spaces is essential for sustaining vibrant third spaces. Community-led efforts, such as crowdfunding campaigns, volunteer clean-up days and neighborhood associations, can mobilize residents to advocate for the preservation and enhancement of existing social spaces or the creation of new ones.

As the void left by disappearing third spaces widens, the imperative to reclaim and preserve these communal bastions grows ever more urgent. Recognizing the integral role they play in nurturing mental health and fostering community resilience, concerted efforts must be made to safeguard existing third spaces and cultivate new ones. Whether through grassroots initiatives or policy interventions, prioritizing the revitalization of communal gathering spots is essential for building healthier, more connected societies.

While completing my clinical rotations in a rural town, I’ve witnessed firsthand how knowing a good portion of the town through various medical offices has made it easier to strike up conversations in the local third spaces. My experience has underscored, for me, the vital role third spaces play in fostering these connections and creating supportive networks.

Whether through grassroots initiatives or policy interventions, prioritizing the revitalization of communal gathering spots is essential for building healthier, more connected societies.

Editor’s note: The views expressed in this article are the author’s own and do not necessarily represent the views of The DO or the AOA.

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