Effects of Late-Life Health Transitions on Spouses’ Psychological Well-Being

Declining physical health likely affects not only older adults’ own well-being, but also that of their spouse. Using two waves of data from 610 couples in the National Social Life, Health and Aging Project, we examined effects of health declines over five years on change in self and spousal psychological well-being. Actor-Partner Interdependence Model findings showed that declines in spouses’ physical health (i.e., increased pain and decreased physical and cognitive function) predicted increases in older adults’ anxiety. Given the increasing importance of later-life social ties outside of marriage, we further considered the role of non-spousal health confidants. Preliminary findings suggest that effects of health declines on both partners’ well-being depend on the availability of these confidants. When older adults have people in addition to their spouse with whom they can talk about their health, detrimental effects of spouses’ declining health on older adults’ well-being are weakened for some health outcomes

Own health, spousal health and transitions in loneliness among middle-aged and older adults in China

This study examines the effects of own and spousal health on transitions in loneliness over time among married middle-aged and older adults in China, and explores the possible gender differences in these effects using data from the three waves of the China Health and Retirement Longitudinal Study (2011–2015). The sample includes 6,422 men and 6,391 women who were married and aged 45 and older at the baseline survey. Middle-aged and older adults with poorer physical and emotional health statuses are more likely to transition into and less likely to transition out of loneliness in a two-year period. Spouse's emotional health also affects both types of transition in loneliness and spouse's functional limitation affects transition into loneliness through spouse's emotional health. In addition, for married men, their own functional limitation is significantly associated with their transitions into and out of loneliness. For married women, their spouse's functional limitation is significantly associated with their transition into loneliness and this is mainly through its association with spouse's emotional health. Also, for married women, their spouse's emotional health is significantly associated with their transition out of loneliness. Social interventions to reduce feelings of loneliness need to take a couple approach and consider both spouses’ health problems and how they may affect their daily activities and their interactions with each other and with others.

Older Adults’ Receptivity to Spousal Health Support: A Qualitative Analysis

Romantic partners play a powerful role in promoting each other’s well-being, particularly later in life. Although there is a robust literature documenting how spouses tend to respond to each other’s health issues (e.g., support, control), there has been a surprising dearth of studies examining how receptive spouses are to these overtures. To reveal how older couples react to each other’s health support attempts, we used a qualitative approach to analyze transcripts of 64 older, married, heterosexual couples observed discussing each other’s health issues. Thematic analysis revealed older couples responded to spouses’ health support strategies in four different ways: 1) listening (individuals actively listened); 2) accepting (individuals welcomed spousal efforts); 3) deflecting (individuals redirected conversation away from health); and 4) rejecting (individuals dismissed and refused spousal intervention). Given the rise in late-life caregiving, identifying the very different responses that are evoked when partners intervene in each other’s health warrants further investigation. Part of a symposium sponsored by Dyadic Research on Health and Illness Across the Adult Lifespan Interest Group.

Self-perceptions of aging and domain-specific health outcomes among midlife and later-life couples

Objectives: This study places the self-perceptions of aging (SPA)-health link in the couple context and examines how changes in one’s own and spouse’s SPA influence multiple health domains and how such associations differ by gender. Methods: Fixed-effects regression models were estimated. Data were drawn from the Health and Retirement Survey ( N = 5972). Results: For both husbands and wives, almost all health domains declined when their own SPA became more negative. The spouse’s SPA were associated with one’s self-rated health, regardless of gender. Gender differences existed in some cross-spousal health effects; while the husband’s SPA were associated with his wife’s depressive symptoms, the wife’s SPA were associated with her husband’s physical disability, functional limitations, and chronic diseases. Discussion: The SPA–health association extends beyond the individual in married persons, demonstrating intertwined health trajectories in older couples. The detrimental effects of ageism might be underestimated if the spillover effects were not considered.

Health as Human Capital in Entrepreneurship: Individual, Extension, and Substitution Effects on Entrepreneurial Success

This study investigates how entrepreneurial health and spousal health influence monetary and non-monetary entrepreneurial success. Drawing on human capital theory in combination with a family embeddedness perspective on entrepreneurship and applying actor–partner interdependence models to longitudinal data, we conclude that overall spousal health constitutes an important extension of entrepreneurs’ human capital influencing entrepreneurial success. This study further contributes to human capital research by offering interesting insights and novel theorizing on substitution effects for different types of entrepreneurial human capital, and adds to a biological perspective on entrepreneurship by considering the differential role of biological sex in the health–success relationship.