Social Support and Social Strain Among Husbands and Wives: A Multilevel Analysis.

2004 ◽  
Vol 18 (3) ◽  
pp. 470-479 ◽  
Author(s):  
Anita DeLongis ◽  
Martha Capreol ◽  
Susan Holtzman ◽  
Tess O'Brien ◽  
Jennifer Campbell
2008 ◽  
Vol 16 (4) ◽  
pp. 465-483 ◽  
Author(s):  
Kelly A. Cotter ◽  
Aurora M. Sherman

Exercise self-efficacy is a powerful predictor of physical activity behavior, which enhances health and well-being for older adults. Social relations have been proposed as influential precursors for exercise self-efficacy. In a longitudinal study of 160 older adults with osteoarthritis (76.9% women), the authors found that social support (but not social strain) significantly predicted exercise self-efficacy in a structural equation model examining cross-sectional data: χ2(178, N = 160) = 264.57, p < .01; RMSEA = .06; CFI = .92; TLI = .90. When data were examined longitudinally, however, social strain (but not social support) significantly predicted lower exercise self-efficacy 1 year later: χ2(233, N = 160) = 288.64, p < .01; RMSEA = .04; CFI = .96; TLI = .95. Results support the negativity effect, suggesting that social strain might be the more potent aspect of social relations and should be the target of interventions.


2012 ◽  
Vol 14 (6) ◽  
pp. 628-640 ◽  
Author(s):  
Polina Eidelman ◽  
Anda Gershon ◽  
Katherine Kaplan ◽  
Eleanor McGlinchey ◽  
Allison G Harvey

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S906-S906
Author(s):  
Wilma E Afunugo ◽  
Rafael Samper-Ternent

Abstract According to the Alzheimer’s Association, 5.6 million Americans age 65 and older are living with Alzheimer’s Disease. Since pharmacological treatments have yet to be developed, we want to determine whether the amount and quality of social support influence the quality of life (QoL) of persons with dementia so they can lead active and purposeful lives. We analyzed data from 22,030 individuals aged 50+ from the 2010 Health and Retirement Study cohort. The dependent variable, QoL, was measured as self-rated health. The main independent variable, cognitive status, was obtained through direct and proxy interview measurements of cognition. For social support, a composite score including the number of social contacts/close relationships and perceived social support/strain was created. Lastly, several covariates were included. Longitudinally, we examined how QoL changed between 2010 and 2012 using 3 stepwise regression models. Model 1 found those with normal cognition have lower odds of poor QoL vs. those with cognitive impairment (OR = 0.38, p &lt;.0001), number of relationships and perceived social support decreases the odds of poor QoL (p = 0.003, p &lt;.0001), while social strain increases the odds of poor QoL (p &lt;.0001). Model 3 revealed similar findings but also, persons with comorbidities have increased odds of poor QoL (p &lt;.0001), while persons with better function have decreased odds of poor QoL (p &lt;.0001). In conclusion, these results can be used to design interventions to improve social support and reduce social strain, which can also improve QoL for dementia caregivers.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 927-927
Author(s):  
Julia Tucker ◽  
Nicholas Bishop ◽  
Kaipeng Wang ◽  
Farya Phillips

Abstract Given the rapid growth of older Americans and the increased incidence of divorce among this population, it is paramount to identify negative health outcomes following marital transition and investigate the potential protective role of social support. Our study aims to identify relationships between change in depression and marital transitions, test whether social support moderates this association, and to examine variation by gender. The sample included 3,705 participants from the Health and Retirement Study, who reported being married or partnered in 2012. Changes in marital status were measured between 2012 and 2014 (remained married/partnered (reference), divorced/separated, and widowed). Depression was measured using the Center for Epidemiological Studies Depression short form (CESD-8). Three types of social support from family, friends, and children were assessed: social support, social strain, and social contact. Autoregressive multiple regression was used to examine the relationship between change in depression, marital transitions, social support, and gender. Widowhood and social strain were independently associated with an increase in CESD-8 scores between 2012 and 2014. Significant interactions between social support and social strain, and separation/divorce were identified, and the relationship between social support, depression, and divorce varied by gender. Change in depression was positively associated with social support for separated/divorced females, but not separated/divorced males. These results indicate that social support may modify the influence of divorce on changes in depression among recently divorced older females. These findings can help mental health service providers more effectively target older adults at the greatest risk of depression after experiencing a marital transition.


2021 ◽  
pp. jech-2020-216354
Author(s):  
Shawna Follis ◽  
Yann C Klimentidis ◽  
Jennifer Bea ◽  
Chengcheng Hu ◽  
David Garcia ◽  
...  

BackgroundThe biological consequences of stress from the social environment pattern health outcomes. This study investigated whether social stress is prospectively associated with fracture incidence among racially and ethnically diverse, postmenopausal women.MethodsData from 160 709 postmenopausal women in the Women’s Health Initiative was analysed using Cox proportional hazards regression models to examine prospective associations of social stress with time to total and hip fracture incidence. Self-reported questionnaires measuring social strain, social functioning and social support were used to assess social stress.ResultsAge and race/ethnicity modified associations between social stress and total and hip fractures. HRs for the associations between higher social support (indicating lower social stress) and total fractures among those age 50–59 years were 0.92 (95% CI: 0.90 to 0.94); HR=0.94 (95% CI: 0.93 to 0.95) for those age 60–69 years and HR=0.96 (95% CI: 0.95 to 0.98) for those age 70–79 years. Higher social strain was associated with greater hip fracture incidence among Native American women (HR=1.84, 95% CI: 1.10 to 3.10), Asian women (HR=1.37, 95% CI: 1.01 to 1.86) and white women (HR=1.04, 95% CI: 1.01 to 1.08).ConclusionIdentifying population patterns of fracture incidence as biological expressions of social environments reveals how race/ethnic specific social environmental factors influence disparities in fractures.


Author(s):  
Julia E. Tucker ◽  
Nicholas Bishop ◽  
Kaipeng Wang ◽  
Farya Phillips

Preventing negative health outcomes following marital transitions can promote personal recovery and well-being. We used the Health and Retirement Study (HRS) (2012, 2014) to test whether social relationship quality moderated the association between marital transition and change in depressive symptomology among U.S. adults aged 50 and older (n = 3,705). Marital status transitions between 2012 and 2014 included remained married/partnered, divorced/separated, and widowed. Depressive symptomology was measured using the Center for Epidemiological Studies Depression Scale 8 Short Form (CES-D 8). Social support, social contact, and social strain were indicators of social relationship quality. Change in depressive symptomology was modeled using autoregressive multiple regression. Social relationship quality appeared to influence depressive symptomatology for those experiencing divorce/separation. Compared to individuals who remained married/partnered, depressive symptomatology in those experiencing separation/divorce decreased among those reporting low social support, increased among those reporting high social support, and increased among those who reported low social strain. Limitations and clinical implications are discussed.


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